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American Journal of Epidemiology Vol. 136, No. 11: 1303-1315
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Trends in the Incidence of and Mortality from Coronary Heart Disease in Finland, 1983–1988

Veikko Salomaa1, Matti Arstila2, Esko Kaarsalo3, Matti Ketonen4, Kari Kuulasmaa1, Seppo Lehto5, Heikki Miettinen5, Harri Mustaniemi4, Matti Niemelä3, Pertti Palomäki5, Kalevi Pvörätä5, Jorma Torppa1, Jaakko Tuomilehto1 and Tapio Vuorenmaa2

1National Public Health Institute, Department of Epidemiology and Health Promotion Helsinki, Finland
2Department of Medicine, Turku University Central Hospital Turku. Finland
3Loimaa District Hospital Loimaa, Finland
4Department of Medicine, North Karelia Central Hospital Joensuu, Finland
5Department of Medicine, Kuopio University Hospital Kuopio, Finland

Reprint requests to Dr. Veikko Salomaa, National Public Health Institute, Department of Epidemiology and Health Promotion, Elimäenkatu 25 A, 6th floor, SF-00510 Helsinki, Finland

Trends in the incidence of and mortality from coronary heart disease during the period 1983–1988 were assessed in the population aged 35–64 years in three areas of Finland. The official mortality statistics and the FINMONICA (Finnish portion of the World Health Organization MONICA (Monitoring of Trends and Determinants in Cardiovascular Disease) project) Acute Myocardial Infarction Register were used as data sources. They both showed that coronary heart disease mortality declined steeply in Finnish men and women. This marked decline in coronary heart disease mortality was associated with a decline in the number of out-of-hospital coronary deaths. The changes in the incidence of acute myocardial infarction in men did not parallel the changes in mortality. No decline in incidence was seen in women in any of the study areas. These results suggest that the routine mortality statistics alone may give an overly favorable picture of coronary heart disease trends. Data on incidence are necessary to assess the need for the treatment and prevention of coronary heart disease. Am J Epidemiol 1992; 136: 1303–15.

Coronary disease; incidence; mortality; myocardial infarction


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