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.
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.
Authors: H L Koek; A de Bruin; A Gast; E Gevers; J W P F Kardaun; J B Reitsma; D E Grobbee; M L Bots Journal: Heart Date: 2005-04-29 Impact factor: 5.994
Authors: Hanna-Riikka Lehto; Seppo Lehto; Aki Samuli Havulinna; Matti Ketonen; Aapo Lehtonen; Yrjö Antero Kesäniemi; Kari Juhani Airaksinen; Veikko Salomaa Journal: Eur J Epidemiol Date: 2011-06-30 Impact factor: 8.082
Authors: P Pajunen; H Koukkunen; M Ketonen; T Jerkkola; P Immonen-Räihä; P Kärjä-Koskenkari; K Kuulasmaa; P Palomäki; J Mustonen; A Lehtonen; M Arstila; T Vuorenmaa; S Lehto; H Miettinen; J Torppa; J Tuomilehto; Y A Kesäniemi; K Pyörälä; V Salomaa Journal: Diabetologia Date: 2005-10-25 Impact factor: 10.122
Authors: Mervi Alanne; Kati Kristiansson; Kirsi Auro; Kaisa Silander; Kari Kuulasmaa; Leena Peltonen; Veikko Salomaa; Markus Perola Journal: Hum Genet Date: 2007-07-20 Impact factor: 4.132
Authors: Marjo Okkonen; Aki S Havulinna; Olavi Ukkola; Heikki Huikuri; Arto Pietilä; Heli Koukkunen; Seppo Lehto; Juha Mustonen; Matti Ketonen; Juhani Airaksinen; Y Antero Kesäniemi; Veikko Salomaa Journal: Ann Med Date: 2021-12 Impact factor: 4.709
Authors: Hanna-Riikka Lehto; Seppo Lehto; Aki S Havulinna; Matti Ketonen; Aapo Lehtonen; Y Antero Kesäniemi; Juhani Airaksinen; Veikko Salomaa Journal: BMC Cardiovasc Disord Date: 2007-11-12 Impact factor: 2.298