Key result
The Northern Sweden MONICA project observed favorable secular trends with declining mortality from both ischaemic heart disease and stroke since the 1970s and early 1980s.
The Northern Sweden MONICA project highlights a favorable secular trend with declining mortality from ischemic heart disease and stroke following intense cardiovascular risk factor intervention programs.
Declining IHD and stroke mortality supports sustained risk factor programs; leaves open causal attribution versus secular trends.
As described in ‘‘The emerging epidemic of cardiovascular disease’’ (this supplement), cardiovascular diseases were identified as leading causes of morbidity and mortality in Northern Sweden during the 1970s and early 1980s. In Vasterbotten county, cardiovascular risk factors were suggested to be targets for intense intervention programmes. Since then, development has been mostly favourable with declining mortality from both ischaemic heart disease and stroke. In this concluding chapter, we will discuss secular trends in cardiovascular disease in Northern Sweden and their implications for cardiovascular disease prevention and treatment following the model described in Figure 1. We shall start with mortality trends, then discuss the processes leading to this end-point. Finally, we suggest prospects for future research, some of which can be addressed within the empirical structure provided by the MONICA study base.
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Asplund et al. (2003) conducted a review in Cardiovascular disease. The Northern Sweden MONICA project observed favorable secular trends with declining mortality from both ischaemic heart disease and stroke since the 1970s and early 1980s.
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