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September 9, 2003StrokeOpen Access

Successive community cohorts from 1961 to 1988 showed a decelerating decline in stroke incidence (initially dropping 37% in men) and increasing coronary heart disease in the elderly.

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Why the study?

How have the incidence, mortality, and survival rates of cardiovascular disease changed over time in a Japanese community?

Population

3 study cohorts of Hisayama residents aged ≥40 years without a history of stroke or myocardial infarction in…

Design

Cohort

Follow-up

12 years for each cohort

Key result

Successive community cohorts from 1961 to 1988 showed a decelerating decline in stroke incidence (initially dropping 37% in men) and increasing coronary heart disease in the elderly.

Authors

MKMichiaki KuboYKYutaka KiyoharaIKIsao Kato

Discussion

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Member takes

Overview

Alerts clinicians to slowing stroke gains amid rising elderly CHD; leaves open roles of hypertension control and metabolic trends.

Study Design

Type

Cohort (n=6,293)

Multicenter

No

Structured PICO

How have the incidence, mortality, and survival rates of cardiovascular disease changed over time in a Japanese community?

P
Population
3 study cohorts of Hisayama residents aged ≥40 years without a history of stroke or myocardial infarction in 1961 (n=1618), 1974 (n=2038), and 1988 (n=2637)
C
Comparator
Comparison between the three cohorts (1961, 1974, and 1988)
O
Outcome
Incidence, mortality, and survival rate of cardiovascular disease (cerebral infarction, cerebral hemorrhage, coronary heart disease)hard clinical

The decline in stroke incidence in Japan is slowing down, and coronary heart disease incidence is increasing in the elderly, potentially due to insufficient hypertension control and rising metabolic disorders.

Cite This Study

Kubo et al. (2003) conducted a cohort in Cardiovascular disease (n=6,293). Successive historical cohorts (1961, 1974, 1988) vs. Earlier cohorts was evaluated on Incidence, mortality, and survival rate of cardiovascular disease. Successive community cohorts from 1961 to 1988 showed a decelerating decline in stroke incidence (initially dropping 37% in men) and increasing coronary heart disease in the elderly.

synapsesocial.com/papers/6a0afc614f5e7da68b2e1e82https://doi.org/10.1161/01.str.0000090348.52943.a2
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