Trends in coronary events in Finland during 1983–1997; The FINAMI study
| Autor: | Y. A. Kesaniemi, Mika Niemelä, Veikko Salomaa, J. Tuomilehto, H. Miettinen, Kari Kuulasmaa, Aapo Lehtonen, Kärjä-Koskenkari P, Heli Koukkunen, Vuorenmaa T, Mähönen M, P. Palomäki, T. Jerkkola, M. Arstila, Immonen-Räihä P, Kalevi Pyörälä, Matti Ketonen, Jorma Torppa, Seppo Lehto |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Population Coronary Disease Recurrence Case fatality rate Epidemiology Myocardial Revascularization Humans Medicine Thrombolytic Therapy Registries Myocardial infarction Mortality Sex Distribution education Finland Secondary prevention education.field_of_study business.industry Incidence (epidemiology) Middle Aged medicine.disease Confidence interval Coronary heart disease Surgery Female Cardiology and Cardiovascular Medicine business Demography |
| Zdroj: | European Heart Journal. 24:311-319 |
| ISSN: | 0195-668X |
| Popis: | Aims To analyse the trends in incidence, recurrence, case fatality, and treatments of acute coronary events in Finland during the 15-year period 1983–97. Methods and results Population-based MI registration has been carried out in defined geographical areas, first as a part of the FINMONICA Project and then continued as the FINAMI register. During the study period, 6501 coronary heart disease (CHD) events were recorded among men and 1778 among women aged 35–64 years. The CHD mortality declined on average 6.4%/year (95% confidence interval −5.4, −7.4%) among men and 7.0%/year (−4.7, −9.3%) among women. The mortality from recurrent events declined even more steeply, 9.9%/year (−8.3, −11.4%) among men and 9.3%/year (−5.1, −13.4%) among women. The proportion of recurrent events of all CHD events also declined significantly in both sexes. Of all coronary deaths, 74% among men and 61% among women took place out-of-hospital. The decline in 28-day case fatality was 1.3%/year (−0.3, −2.3%) among men and 3.1%/year (−0.7, −5.5%) among women. Conclusions The study period was characterized by a marked reduction in the occurrence of recurrent CHD events and a relatively modest reduction in the 28-day case fatality. The findings suggest that primary and secondary prevention have played the main roles in the decline in CHD mortality in Finland. |
| Databáze: | OpenAIRE |
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