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Oral Session I Risk factors: from population to PCI, European journal of cardiovascular prevention and rehabilitation, Volume 16, Issue 1_suppl, 1 May 2009, Pages S80–S81, https://doi.org/10.1177/17418267090160s108
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Explaining the massive declines in coronary heart disease mortality rates in Iceland, 1981 − 2006
T Aspelund1, V Gudnason1, B Magnusdottir1, K Andersen2, G Sigurdsson3, J Critchley4, M O'Flaherty5, S Capewell5
1Icelandic Heart Association, Kopavogur, Iceland, 2Unversity of Iceland, Reykjavik, Iceland, 3University Hospital, Reykjavik, Iceland, 4University of Newcastle, Newcasle, United Kingdom, 5University of Liverpool, Liverpool, United Kingdom
Topic: Cardiovascular epidemiology
Background: coronary heart disease mortality rates have been decreasing in Iceland since the 1980s. We used the validated IMPACT model to examine how much of the decrease in Iceland between 1981 and 2006 could be attributed to medical and surgical treatments and how much to changes in cardiovascular risk factors.
Methods: the previously validated IMPACT mortality model was used to combine and analyse data on uptake and effectiveness of cardiological treatments and risk factor trends in the entire Iceland population. The main data sources were official statistics, national quality registers, published trials and meta-analyses, clinical audits and a series of national population surveys. Sensitivity analyses were then conducted.
- physical activity
- smoking
- stents
- restenosis
- triglycerides
- body mass index procedure
- cardiovascular diseases
- diabetes mellitus
- heart disease risk factors
- cerebrovascular accident
- ischemic stroke
- blood pressure
- adult
- alcohol drinking
- cotinine
- denmark
- follow-up
- iceland
- insulin-like growth factor binding protein 3
- insulin-like growth factor i
- life style
- systole
- television
- heart
- mortality
- coronary heart disease
- restenosis, in-stent
- non-smokers
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