Coronary Heart Disease Mortality and Sudden Death: Trends and Patterns in 35- to 44-Year-old White Males, 1970–1990
Trends in coronary heart disease mortality and sudden death were studied in 35- to 44-year-old white male residents of Allegheny County, Pennsylvania. Deaths coded as any cardiac or vascular disease, diabetes,unexplained sudden death, and other rubrics were eligible for investigation, and the cause...
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| Veröffentlicht in: | American journal of epidemiology 1995-07, Vol.142 (1), p.45-52 |
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| creator | Traven, Neal D Kuller, Lewis H lves, Diane G Rutan, Gale H Perper, Leena |
| description | Trends in coronary heart disease mortality and sudden death were studied in 35- to 44-year-old white male residents of Allegheny County, Pennsylvania. Deaths coded as any cardiac or vascular disease, diabetes,unexplained sudden death, and other rubrics were eligible for investigation, and the cause of death was validated by physicians examining multiple data sources about the deaths. During 1970–1990, 1,424 white male deaths were investigated, with 903 validated as coronary heart disease. In that time span, white male coronary heart disease mortality fell from 93.4 to 36.7 per 100,000 population per year, a 60% decline. Little proportionate change was seen in characteristics of the deaths, which were predominantly sudden and out-of-hospital. Diabetes mellitus history increased proportionately over time, largely because diabetics' mortality rates, unlike those of all other subgroups, did not fall. These observations support the contention that the decline in coronary heart disease mortality relates to risk factor modification more than to improvements in the treatment of coronary heart disease. Differences in death certification practices must be considered when interpreting and comparing vital statistics data. Am J Epidemiol 1995;142:45–52.. |
| doi_str_mv | 10.1093/oxfordjournals.aje.a117544 |
| format | Article |
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Deaths coded as any cardiac or vascular disease, diabetes,unexplained sudden death, and other rubrics were eligible for investigation, and the cause of death was validated by physicians examining multiple data sources about the deaths. During 1970–1990, 1,424 white male deaths were investigated, with 903 validated as coronary heart disease. In that time span, white male coronary heart disease mortality fell from 93.4 to 36.7 per 100,000 population per year, a 60% decline. Little proportionate change was seen in characteristics of the deaths, which were predominantly sudden and out-of-hospital. Diabetes mellitus history increased proportionately over time, largely because diabetics' mortality rates, unlike those of all other subgroups, did not fall. These observations support the contention that the decline in coronary heart disease mortality relates to risk factor modification more than to improvements in the treatment of coronary heart disease. 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Deaths coded as any cardiac or vascular disease, diabetes,unexplained sudden death, and other rubrics were eligible for investigation, and the cause of death was validated by physicians examining multiple data sources about the deaths. During 1970–1990, 1,424 white male deaths were investigated, with 903 validated as coronary heart disease. In that time span, white male coronary heart disease mortality fell from 93.4 to 36.7 per 100,000 population per year, a 60% decline. Little proportionate change was seen in characteristics of the deaths, which were predominantly sudden and out-of-hospital. Diabetes mellitus history increased proportionately over time, largely because diabetics' mortality rates, unlike those of all other subgroups, did not fall. These observations support the contention that the decline in coronary heart disease mortality relates to risk factor modification more than to improvements in the treatment of coronary heart disease. Differences in death certification practices must be considered when interpreting and comparing vital statistics data. Am J Epidemiol 1995;142:45–52..</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cause of Death</subject><subject>coronary disease</subject><subject>Coronary Disease - mortality</subject><subject>Coronary heart disease</subject><subject>death</subject><subject>Death, Sudden - epidemiology</subject><subject>European Continental Ancestry Group</subject><subject>Heart</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>mortality</subject><subject>Mortality - trends</subject><subject>Pennsylvania - epidemiology</subject><subject>sudden</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNpdkc1uEzEUhS0EKqHwCEgWIFY42OO_cXdVCkmlRoAoArqxPGOPOmFiF9sjtTveoW_YJ8E0QyRYeXG-e67vOQC8IHhOsKJvw3UXot2EMXozpLnZuLkhRHLGHoAZYVIgUXHxEMwwxhVSlagegycpbTAmRHF8AA6krLmQdAbGRYjBm3gDV87EDE_65ExycB1iNkOfb6DxFn4erXUenjiTL4_geXTepnvho8nZRZ9g7yHlCOYAGUPfixUKg4VfL_tcvMzg0htIlMR3v26JUvgpeNSVn7tn03sIvrx_d75YobMPy9PF8RlqacUyklLUpFGU17YitagtZby1daW44Mo1tFIWl2trpZygomkEI4J2hOKOSswKfghe73yvYvg5upT1tk-tGwbjXRiTlpJSVhIp4Mv_wL_p6mInBBcl1kId7ag2hpSi6_RV7LclPE2w_tOM_rcZXZrRUzNl-Pm0Ymy2zu5HpyqK_mrSTWrN0EXj2z7tMSow5pwXDO2wPmV3vZdN_KGLi-R69e1CC7xcrJcXa_2J_gYB8qhK</recordid><startdate>19950701</startdate><enddate>19950701</enddate><creator>Traven, Neal D</creator><creator>Kuller, Lewis H</creator><creator>lves, Diane G</creator><creator>Rutan, Gale H</creator><creator>Perper, Leena</creator><general>Oxford University Press</general><general>School of Hygiene and Public Health of the Johns Hopkins University</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HVZBN</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7X8</scope></search><sort><creationdate>19950701</creationdate><title>Coronary Heart Disease Mortality and Sudden Death: Trends and Patterns in 35- to 44-Year-old White Males, 1970–1990</title><author>Traven, Neal D ; Kuller, Lewis H ; lves, Diane G ; Rutan, Gale H ; Perper, Leena</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-77681b9358d21868d345cd8295659eb329d0476899e636bb64163f130f37048d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cause of Death</topic><topic>coronary disease</topic><topic>Coronary Disease - mortality</topic><topic>Coronary heart disease</topic><topic>death</topic><topic>Death, Sudden - epidemiology</topic><topic>European Continental Ancestry Group</topic><topic>Heart</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>mortality</topic><topic>Mortality - trends</topic><topic>Pennsylvania - epidemiology</topic><topic>sudden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Traven, Neal D</creatorcontrib><creatorcontrib>Kuller, Lewis H</creatorcontrib><creatorcontrib>lves, Diane G</creatorcontrib><creatorcontrib>Rutan, Gale H</creatorcontrib><creatorcontrib>Perper, Leena</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 24</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Traven, Neal D</au><au>Kuller, Lewis H</au><au>lves, Diane G</au><au>Rutan, Gale H</au><au>Perper, Leena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary Heart Disease Mortality and Sudden Death: Trends and Patterns in 35- to 44-Year-old White Males, 1970–1990</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>1995-07-01</date><risdate>1995</risdate><volume>142</volume><issue>1</issue><spage>45</spage><epage>52</epage><pages>45-52</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>Trends in coronary heart disease mortality and sudden death were studied in 35- to 44-year-old white male residents of Allegheny County, Pennsylvania. Deaths coded as any cardiac or vascular disease, diabetes,unexplained sudden death, and other rubrics were eligible for investigation, and the cause of death was validated by physicians examining multiple data sources about the deaths. During 1970–1990, 1,424 white male deaths were investigated, with 903 validated as coronary heart disease. In that time span, white male coronary heart disease mortality fell from 93.4 to 36.7 per 100,000 population per year, a 60% decline. Little proportionate change was seen in characteristics of the deaths, which were predominantly sudden and out-of-hospital. Diabetes mellitus history increased proportionately over time, largely because diabetics' mortality rates, unlike those of all other subgroups, did not fall. These observations support the contention that the decline in coronary heart disease mortality relates to risk factor modification more than to improvements in the treatment of coronary heart disease. Differences in death certification practices must be considered when interpreting and comparing vital statistics data. Am J Epidemiol 1995;142:45–52..</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>7785673</pmid><doi>10.1093/oxfordjournals.aje.a117544</doi><tpages>8</tpages></addata></record> |
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| ispartof | American journal of epidemiology, 1995-07, Vol.142 (1), p.45-52 |
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| source | MEDLINE; Oxford University Press Journals Digital Archive Legacy; Periodicals Index Online |
| subjects | Adult Biological and medical sciences Cardiology. Vascular system Cause of Death coronary disease Coronary Disease - mortality Coronary heart disease death Death, Sudden - epidemiology European Continental Ancestry Group Heart Humans Linear Models Male Medical sciences mortality Mortality - trends Pennsylvania - epidemiology sudden |
| title | Coronary Heart Disease Mortality and Sudden Death: Trends and Patterns in 35- to 44-Year-old White Males, 1970–1990 |
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