Population
Residents of Okinawa prefecture and general Japanese population from national surveys.
Design
Cross-sectional
Follow-up
3 years (April 1988 to March 1991)
Authors
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Stroke remains dominant over AMI in Japan despite BP declines; leaves open whether rising cholesterol will shift disease patterns.
In Japan, despite decreasing blood pressure and stroke mortality, the incidence of stroke remains 4.4 times higher than acute myocardial infarction, though westernized diets and rising cholesterol raise concerns for future increases in ischemic heart disease.
Fukiyama et al. (1994) studied this question.
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