Declining coronary heart disease mortality in Iceland: contribution by incidence, recurrence and case fatality rate
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Gudmundsdottir, Inga Ingibjorg
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CitationScand. Cardiovasc. J. 2002, 36(6):337-41
AbstractOBJECTIVE: To analyse to what extent the recent decline in coronary heart disease mortality in Iceland is due to changes in incidence, recurrence and case fatality rates. DESIGN: A countrywide registration of myocardial infarction (MI) in people aged 25-74 was performed in Iceland during 1981-1999 according to the MONICA protocol. Possible cases were found by review of all hospital discharge records, autopsy records and death certificates. RESULTS: MI death rate declined by 63% in males and 51% in females, most in the youngest age groups in men (86%) and least in the oldest (49%). In women there was not a significant difference in age groups. Overall the age-adjusted reduction in MI death rate was 55.4% in both sexes combined; of this 23.1% was due to incidence reduction, 22.8% to recurrence reduction and 11.6% to case fatality reduction. In the youngest age groups the decline in incidence contributed most to the decline in MI death rate (62% in men and 71% in women), but thereafter the decline in case fatality in men. In the older age groups decline in recurrence rate has greater weight. CONCLUSION: The recent decline in MI mortality under the age of 75 years in Iceland is due to reduction in incidence and recurrence rate by about 40% each and to reduction in case fatality by 20%.
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- [Recent time trends of myocardial infarction rates in northern Italy. Results from the MONICA and CAMUNI registries in Brianza: 1993-1994 versus 1997-1998].
- Authors: Ferrario MM, Fornari C, Bolognesi L, Gussoni MT, Benedetti M, Sega R, Borchini R, Cesana G, Gruppo di Ricerca MONICA-CAMUNI in Brianza.
- Issue date: 2003 Aug
- Decline of coronary heart disease mortality in Finland during 1983 to 1992: roles of incidence, recurrence, and case-fatality. The FINMONICA MI Register Study.
- Authors: Salomaa V, Miettinen H, Kuulasmaa K, Niemelä M, Ketonen M, Vuorenmaa T, Lehto S, Palomäki P, Mähönen M, Immonen-Räihä P, Arstila M, Kaarsalo E, Mustaniemi H, Torppa J, Tuomilehto J, Puska P, Pyörälä K
- Issue date: 1996 Dec 15
- Trends in the incidence of acute myocardial infarction between 1984 and 1993 - The Halifax County MONICA Project.
- Authors: Bata IR, Gregor RD, Eastwood BJ, Wolf HK
- Issue date: 2000 May
- Trends in acute coronary heart disease mortality, morbidity, and medical care from 1985 through 1997: the Minnesota heart survey.
- Authors: McGovern PG, Jacobs DR Jr, Shahar E, Arnett DK, Folsom AR, Blackburn H, Luepker RV
- Issue date: 2001 Jul 3
- Coronary event and case fatality rates in an English population: results of the Oxford myocardial infarction incidence study. The Oxford Myocardial Infarction Incidence Study Group.
- Authors: Volmink JA, Newton JN, Hicks NR, Sleight P, Fowler GH, Neil HA
- Issue date: 1998 Jul