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November 11, 2008Cardiology

CHD mortality in Finland declined in the 1970s by 1.8% annually for men and 3.4% for women aged 35-64, paralleled by favorable changes in lifestyle, risk factors, and patient management.

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Why the study?

What are the trends and contributing factors to coronary heart disease mortality and morbidity in Finland from the 1950s to the 1970s?

Population

Working-age men and women in Finland, specifically age group 35-64 years

Comparison

Changes in lifestyle, dietary fat consumption… vs Historical periods (1950s-1960s vs 1970s)

Design

Review

Follow-up

1950s to 1970s

Key result

CHD mortality in Finland declined in the 1970s by 1.8% annually for men and 3.4% for women aged 35-64, paralleled by favorable changes in lifestyle, risk factors, and patient management.

Authors

KAKalevi Py ouml r auml l aumlUniversity of Eastern FinlandJSJukka T. SalonenPreventive CardiologyTVTapani ValkonenResearch Institute of the Finnish Economy

Discussion

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Member takes

Overview

Supports risk factor interventions in CHD prevention; leaves open causal inference and generalizability from Level 5 observational data.

Study Design

Type

Observational

Structured PICO

What are the trends and contributing factors to coronary heart disease mortality and morbidity in Finland from the 1950s to the 1970s?

P
Population
Working-age men and women in Finland, specifically age group 35-64 years
I
Intervention
Changes in lifestyle, dietary fat consumption, serum cholesterol, smoking prevalence, hypertension control, and management of symptomatic CHD
C
Comparator
Historical periods (1950s-1960s vs 1970s)
O
Outcome
Coronary heart disease (CHD) mortality and morbidity (incidence of non-fatal myocardial infarction)hard clinical

The decline in CHD mortality and incidence in Finland during the 1970s was associated with favorable changes in lifestyle, risk factors, and clinical management.

Limitations

  • Limited data available on trends in CHD morbidity

Cite This Study

auml et al. (2008) conducted an observational in Coronary heart disease. Population-level changes in lifestyle, risk factors, and patient management was evaluated on Annual decline of CHD mortality in the 1970s. CHD mortality in Finland declined in the 1970s by 1.8% annually for men and 3.4% for women aged 35-64, paralleled by favorable changes in lifestyle, risk factors, and patient management.

synapsesocial.com/papers/6a0934a5b7dd28a06e160ddehttps://doi.org/10.1159/000173839
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Decline of Coronary Heart Disease Mortality in Finland During 1983 to 1992: Roles of Incidence, Recurrence, and Case-Fatality1996 · 97 citations
  2. 2Trends in fatal and non‐fatal coronary heart disease events in Finland during 1991–20012004 · 35 citations
  3. 3Trends in coronary events in Finland during 1983–1997; The FINAMI study2003 · 77 citations
  4. 4Trends and Determinants of Ischaemic Heart Disease Mortality in Finland: with Special Reference to a Possible Levelling off in the Early 1980s1989 · 10 citations
  5. 5Trends and Determinants of Ischaemic Heart Disease Mortality in Finland: with Special Reference to a Possible Levelling off in the Early 1980s1989 · 14 citations