Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987
OBJECTIVE--To compare the long-term trends in mortality and attack rate of ischaemic heart disease in North Karelia, Finland, and in Kaunas, Lithuania, from 1971 to 1987. DESIGN--Data on routine mortality statistics were obtained from the Central Statistical Office of Finland and from the Central Ci...
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ftlithuaniansrc:oai:elaba:4373699 2023-05-15T17:00:06+02:00 Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 Daiva, Rastenytė Salomaa, Veikko Mustaniemi, Harri Rastenienė, Dalia Gražulevičienė, Regina Čepaitis, Žygimantas Kankaanpaa, Jari Kuulasmaa, Kari Torppa, Jorma Blužas, Juozas Tuomilehto, Jaakko 1992 http://lsmu.lvb.lt/LSMU:ELABAPDB4373699&prefLang=en_US eng eng http://lsmu.lvb.lt/LSMU:ELABAPDB4373699&prefLang=en_US British heart journal, London, BMJ Pub. Group [etc.], 1992, vol. 68, no. 5, p. 516-523 : ISSN 0007-0769 Myocardial-infarction Criteria info:eu-repo/classification/udc/616.12 info:eu-repo/semantics/article 1992 ftlithuaniansrc 2021-12-02T01:25:09Z OBJECTIVE--To compare the long-term trends in mortality and attack rate of ischaemic heart disease in North Karelia, Finland, and in Kaunas, Lithuania, from 1971 to 1987. DESIGN--Data on routine mortality statistics were obtained from the Central Statistical Office of Finland and from the Central City Archives of Kaunas. In addition, data from the community based myocardial infarction registers were used. The registers used similar diagnostic criteria and had operated in both areas during the entire study period. SETTING--The province of North Karelia in Finland and the city of Kaunas in Lithuania. SUBJECTS--The target populations were the people of North Karelia and Kaunas aged 35-64 years. MAIN OUTCOME MEASURES--Mortality from ischaemic heart disease and the attack rate of acute myocardial infarction. RESULTS--In North Karelia mortality from ischaemic heart disease and the attack rate of acute myocardial infarction declined steeply both in men and women. This decline was accompanied by a decrease in total mortality. In Kaunas, both mortality and the attack rate increased in men but remained unchanged in women. In 1985 to 1987, age standardised total mortality per 100,000 inhabitants was similar in the two populations in men (1081 (95% confidence interval (CI) 1013 to 1149), in North Karelia; 1082 (95% CI 1032 to 1132), in Kaunas). The proportional mortality from ischaemic heart disease was considerably higher in North Karelia (40%) than in Kaunas (28%). In women, age standardised total mortality was lower in North Karelia (350 (95% CI 312-388)) than in Kaunas (440 (95% CI 413 to 467)). The proportional mortality from ischaemic heart disease in women was also higher in North Karelia (28%) than in Kaunas (13%). CONCLUSIONS--Despite the remarkable decline in the occurrence of ischaemic heart disease, it still remains the most important cause of premature mortality in North Karelia. In Kaunas ischaemic heart disease mortality and attack rate increased in men. Article in Journal/Newspaper karelia* LSRC VL (Lithuanian Social Research Centre Virtual Library) |
institution |
Open Polar |
collection |
LSRC VL (Lithuanian Social Research Centre Virtual Library) |
op_collection_id |
ftlithuaniansrc |
language |
English |
topic |
Myocardial-infarction Criteria info:eu-repo/classification/udc/616.12 |
spellingShingle |
Myocardial-infarction Criteria info:eu-repo/classification/udc/616.12 Daiva, Rastenytė Salomaa, Veikko Mustaniemi, Harri Rastenienė, Dalia Gražulevičienė, Regina Čepaitis, Žygimantas Kankaanpaa, Jari Kuulasmaa, Kari Torppa, Jorma Blužas, Juozas Tuomilehto, Jaakko Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
topic_facet |
Myocardial-infarction Criteria info:eu-repo/classification/udc/616.12 |
description |
OBJECTIVE--To compare the long-term trends in mortality and attack rate of ischaemic heart disease in North Karelia, Finland, and in Kaunas, Lithuania, from 1971 to 1987. DESIGN--Data on routine mortality statistics were obtained from the Central Statistical Office of Finland and from the Central City Archives of Kaunas. In addition, data from the community based myocardial infarction registers were used. The registers used similar diagnostic criteria and had operated in both areas during the entire study period. SETTING--The province of North Karelia in Finland and the city of Kaunas in Lithuania. SUBJECTS--The target populations were the people of North Karelia and Kaunas aged 35-64 years. MAIN OUTCOME MEASURES--Mortality from ischaemic heart disease and the attack rate of acute myocardial infarction. RESULTS--In North Karelia mortality from ischaemic heart disease and the attack rate of acute myocardial infarction declined steeply both in men and women. This decline was accompanied by a decrease in total mortality. In Kaunas, both mortality and the attack rate increased in men but remained unchanged in women. In 1985 to 1987, age standardised total mortality per 100,000 inhabitants was similar in the two populations in men (1081 (95% confidence interval (CI) 1013 to 1149), in North Karelia; 1082 (95% CI 1032 to 1132), in Kaunas). The proportional mortality from ischaemic heart disease was considerably higher in North Karelia (40%) than in Kaunas (28%). In women, age standardised total mortality was lower in North Karelia (350 (95% CI 312-388)) than in Kaunas (440 (95% CI 413 to 467)). The proportional mortality from ischaemic heart disease in women was also higher in North Karelia (28%) than in Kaunas (13%). CONCLUSIONS--Despite the remarkable decline in the occurrence of ischaemic heart disease, it still remains the most important cause of premature mortality in North Karelia. In Kaunas ischaemic heart disease mortality and attack rate increased in men. |
format |
Article in Journal/Newspaper |
author |
Daiva, Rastenytė Salomaa, Veikko Mustaniemi, Harri Rastenienė, Dalia Gražulevičienė, Regina Čepaitis, Žygimantas Kankaanpaa, Jari Kuulasmaa, Kari Torppa, Jorma Blužas, Juozas Tuomilehto, Jaakko |
author_facet |
Daiva, Rastenytė Salomaa, Veikko Mustaniemi, Harri Rastenienė, Dalia Gražulevičienė, Regina Čepaitis, Žygimantas Kankaanpaa, Jari Kuulasmaa, Kari Torppa, Jorma Blužas, Juozas Tuomilehto, Jaakko |
author_sort |
Daiva, Rastenytė |
title |
Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
title_short |
Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
title_full |
Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
title_fullStr |
Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
title_full_unstemmed |
Comparison of trends in ischaemic heart disease between North Karelia, Finland, and Kaunas, Lithuania, from 1971 to 1987 |
title_sort |
comparison of trends in ischaemic heart disease between north karelia, finland, and kaunas, lithuania, from 1971 to 1987 |
publishDate |
1992 |
url |
http://lsmu.lvb.lt/LSMU:ELABAPDB4373699&prefLang=en_US |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
British heart journal, London, BMJ Pub. Group [etc.], 1992, vol. 68, no. 5, p. 516-523 : ISSN 0007-0769 |
op_relation |
http://lsmu.lvb.lt/LSMU:ELABAPDB4373699&prefLang=en_US |
_version_ |
1766052724736000000 |