Copyright © 2003 by the European Society of Cardiology.
Trends in coronary events in Finland during 1983–1997; The FINAMI study
a KTL-National Public Health Institute, Helsinki, Finland
b Central Hospital of North Karelia, Joensuu, Finland
c Kuopio University Hospital, Kuopio, Finland
d Raisio Regional Hospital, Raisio, Finland
e Department of Internal Medicine, Oulu University Hospital and Biocenter Oulu, Oulu, Finland
f University Hospital of Turku, Turku, Finland
g Turku Town Hospital, Turku, Finland
Received May 23, 2002;
accepted June 12, 2002
* Corresponding author. Department of Epidemiology and Health Promotion, KTL-National Public Health Institute, Mannerheimintie 166, 00300 Helsinki, Finland. Tel.: +358-947448620; fax: +358-947448338
veikko.salomaa{at}ktl.fi
Aims To analyse the trends in incidence, recurrence, case fatality, and treatments of acute coronary events in Finland during the 15-year period 1983–97.
Methods and results Population-based MI registration has been carried out in defined geographical areas, first as a part of the FINMONICA Project and then continued as the FINAMI register. During the study period, 6501 coronary heart disease (CHD) events were recorded among men and 1778 among women aged 35–64 years. The CHD mortality declined on average 6.4%/year (95% confidence interval –5.4, –7.4%) among men and 7.0%/year (–4.7, –9.3%) among women. The mortality from recurrent events declined even more steeply, 9.9%/year (–8.3, –11.4%) among men and 9.3%/year (–5.1, –13.4%) among women. The proportion of recurrent events of all CHD events also declined significantly in both sexes. Of all coronary deaths, 74% among men and 61% among women took place out-of-hospital. The decline in 28-day case fatality was 1.3%/year (–0.3, –2.3%) among men and 3.1%/year (–0.7, –5.5%) among women.
Conclusions The study period was characterized by a marked reduction in the occurrence of recurrent CHD events and a relatively modest reduction in the 28-day case fatality. The findings suggest that primary and secondary prevention have played the main roles in the decline in CHD mortality in Finland.
Key Words: Acute myocardial infarction • Coronary heart disease • Case fatality • Epidemiology
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  A. Gikas, A. Sotiropoulos, D. Panagiotakos, V. Pastromas, A. Papazafiropoulou, and S. Pappas Prevalence trends for myocardial infarction and conventional risk factors among Greek adults (2002-06) QJM, September 1, 2008; 101(9): 705 - 712. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. C. Barengo, S. Katoh, V. Moltchanov, N. Tajima, and J. Tuomilehto The diabetes-cardiovascular risk paradox: results from a Finnish population-based prospective study Eur. Heart J., August 1, 2008; 29(15): 1889 - 1895. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C Fornari, G C Cesana, L E Chambless, G Corrao, R Borchini, F Madotto, M M Ferrario, and for the MONICA Brianza-CAMUNI Research Group Time trends of myocardial infarction 28-day case-fatality in the 1990s: is there a contribution from different changes among socioeconomic classes? J. Epidemiol. Community Health, July 1, 2008; 62(7): 593 - 598. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Cubbon, S. B. Wheatcroft, P. J. Grant, C. P. Gale, J. H. Barth, R. J. Sapsford, R. Ajjan, M. T. Kearney, A. S. Hall, and on behalf of the EMMACE (Evaluation of Methods and Temporal trends in mortality of patients with diabetes mellitus suffering acute myocardial infarction: a comparison of over 3000 patients between 1995 and 2003 Eur. Heart J., March 1, 2007; 28(5): 540 - 545. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Huovinen, T. Harkanen, T. Martelin, S. Koskinen, and A. Aromaa Predicting coronary heart disease mortality--assessing uncertainties in population forecasts and death probabilities by using Bayesian inference Int. J. Epidemiol., October 1, 2006; 35(5): 1246 - 1252. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Auro, K. Komulainen, M. Alanne, K. Silander, L. Peltonen, M. Perola, and V. Salomaa Thrombomodulin Gene Polymorphisms and Haplotypes and the Risk of Cardiovascular Events: A Prospective Follow-Up Study Arterioscler. Thromb. Vasc. Biol., April 1, 2006; 26(4): 942 - 947. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kattainen, V. Salomaa, T. Harkanen, A. Jula, R. Kaaja, Y. A. Kesaniemi, M. Kahonen, L. Moilanen, M. S. Nieminen, A. Aromaa, et al. Coronary heart disease: from a disease of middle-aged men in the late 1970s to a disease of elderly women in the 2000s Eur. Heart J., February 1, 2006; 27(3): 296 - 301. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H L Koek, A de Bruin, A Gast, E Gevers, J W P F Kardaun, J B Reitsma, D E Grobbee, and M L Bots Decline in incidence of hospitalisation for acute myocardial infarction in the Netherlands from 1995 to 2000 Heart, February 1, 2006; 92(2): 162 - 165. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Laatikainen, J. Critchley, E. Vartiainen, V. Salomaa, M. Ketonen, and S. Capewell Explaining the Decline in Coronary Heart Disease Mortality in Finland between 1982 and 1997 Am. J. Epidemiol., October 15, 2005; 162(8): 764 - 773. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Salomaa, H. Koukkunen, M. Ketonen, P. Immonen-Raiha, P. Karja-Koskenkari, J. Mustonen, S. Lehto, J. Torppa, A. Lehtonen, J. Tuomilehto, et al. A new definition for myocardial infarction: what difference does it make? Eur. Heart J., September 1, 2005; 26(17): 1719 - 1725. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. C Lampe, R. W Morris, M. Walker, A G. Shaper, and P. H Whincup Trends in rates of different forms of diagnosed coronary heart disease, 1978 to 2000: prospective, population based study of British men BMJ, May 7, 2005; 330(7499): 1046. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Q. Qiao, P. Jousilahti, J. Eriksson, and J. Tuomilehto Predictive Properties of Impaired Glucose Tolerance for Cardiovascular Risk Are Not Explained by the Development of Overt Diabetes During Follow-Up Diabetes Care, October 1, 2003; 26(10): 2910 - 2914. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Salomaa, M. Ketonen, H. Koukkunen, P. Immonen-Raiha, T. Jerkkola, P. Karja-Koskenkari, M. Mahonen, M. Niemela, K. Kuulasmaa, P. Palomaki, et al. Decline in Out-of-Hospital Coronary Heart Disease Deaths Has Contributed the Main Part to the Overall Decline in Coronary Heart Disease Mortality Rates Among Persons 35 to 64 Years of Age in Finland: The FINAMI Study Circulation, August 12, 2003; 108(6): 691 - 696. [Abstract] [Full Text] [PDF]
|
|