analysing the large decline in coronary heart disease mortality in the icelandic population aged 25-74 between the years 1981 and 2006分析大型冰岛冠心病死亡率下降25 - 74岁的人口在1981年到2006年之间.pdfVIP

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analysing the large decline in coronary heart disease mortality in the icelandic population aged 25-74 between the years 1981 and 2006分析大型冰岛冠心病死亡率下降25 - 74岁的人口在1981年到2006年之间.pdf

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analysing the large decline in coronary heart disease mortality in the icelandic population aged 25-74 between the years 1981 and 2006分析大型冰岛冠心病死亡率下降25 - 74岁的人口在1981年到2006年之间

Analysing the Large Decline in Coronary Heart Disease Mortality in the Icelandic Population Aged 25-74 between the Years 1981 and 2006 1,2. 1,2 . 1 2,3 Thor Aspelund , Vilmundur Gudnason * , Bergrun Tinna Magnusdottir , Karl Andersen , Gunnar 1,3 1 2 4 5 Sigurdsson , Bolli Thorsson , Laufey Steingrimsdottir , Julia Critchley , Kathleen Bennett , Martin O’Flaherty6, Simon Capewell6 1 Icelandic Heart Association, Kopavogur, Iceland, 2 University of Iceland, Reykjavik, Iceland, 3 Landspitali University Hospital, Reykavik, Iceland, 4 Institute of Health and Society, University of Newcastle, Newcastle upon Tyne, United Kingdom, 5 Department of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St James’s Hospital, Dublin, Ireland, 6 Division of Public Health, University of Liverpool, Liverpool, United Kingdom Abstract Background: Coronary heart disease (CHD) mortality rates have been decreasing in Iceland since the 1980s. We examined how much of the decrease between 1981 and 2006 could be attributed to medical and surgical treatments and how much to changes in cardiovascular risk factors. Methodology: The previously validated IMPACT CHD mortality model was applied to the Icelandic population. The data sources were official statistics, national quality registers, published trials and meta-analyses, clinical audits and a series of national population surveys. Principal Findings: Between 1981 and 2006, CHD mortality rates in Iceland decreased by 80% in men and women aged 25 to 74 years, which resulted in 295 fewer deaths in 2006 than if the 1981 ra