Abstract:
:The Minnesota Heart Survey (MHS) assessed population trends in coronary heart disease (CHD) mortality, morbidity and risk factor levels in the Twin Cities metropolitan area to explain the decline in CHD deaths. Age-adjusted CHD mortality rates declined in Twin Cities residents aged 30 to 74 from 1968 to 1986 by 52% in men and 58% in women. Much of the decline in CHD mortality was attributable to decreased out-of-hospital deaths. Attack rates based on hospitalized definite myocardial infarction (MI) did not change from 1970 to 1985, and hospital case-fatality rates declined consistently from 1970 to 1985 (from 21% to 11% in men, from 27% to 17% in women). Dramatic increases were noted in the percentage of patients undergoing cardiac procedures (coronary artery bypass, angioplasty, and thrombolytic agents). Trends in CHD rates were associated with improved population levels of risk factors. Average serum total cholesterol levels decreased by 8 mg/dl and 11 mg/dl between 1973 and 1987 in men and women, respectively. Cigarette smoking prevalence declined from approximately 40% to 30%. Average systolic blood pressure apparently declined about 1 mm Hg and diastolic blood pressure by 2 mm Hg from 1973 to 1987. Body mass index (wt/ht2) increased by 1 unit in men and 1.7 units in women from 1973 to 1987. These data suggest that a combination of primary prevention and improved medical care of acute CHD contributed to the decline in CHD mortality.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Burke GL,Sprafka JM,Folsom AR,Luepker RV,Norsted SW,Blackburn Hsubject
Has Abstractpub_date
1989-01-01 00:00:00pages
S73-81issue
3 Suppl 1eissn
0300-5771issn
1464-3685journal_volume
18pub_type
杂志文章abstract::This study investigates whether consumption of fish during pregnancy may prolong gestation or increase fetal growth. From 1984 to 1987, 11,980 pregnant Danish women filled out a questionnaire while they were in the 36th week of gestation; this was 83% of all such women living in two geographically defined areas. The w...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/19.4.971
更新日期:1990-12-01 00:00:00
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journal_title:International journal of epidemiology
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1998-12-01 00:00:00
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journal_title:International journal of epidemiology
pub_type: 杂志文章
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更新日期:2018-02-01 00:00:00
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journal_title:International journal of epidemiology
pub_type: 杂志文章
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更新日期:1985-12-01 00:00:00
abstract::Mortality among male employees was studied in a chromium chemical production plant, part of which was rebuilt in 1950-51 and the remainder in 1960, to reduce exposure to chromium bearing dusts. Of 2 101 employees initially employed between 1945 and 1974 and having worked at least 90 days, the vital status of 88% was a...
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pub_type: 杂志文章
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更新日期:1979-12-01 00:00:00
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更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:1990-09-01 00:00:00
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更新日期:2013-04-01 00:00:00
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journal_title:International journal of epidemiology
pub_type: 杂志文章
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更新日期:1998-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/ije/27.5.758
更新日期:1998-10-01 00:00:00
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更新日期:1997-04-01 00:00:00
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更新日期:1999-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/ije/23.3.608
更新日期:1994-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/ije/18.3.717
更新日期:1989-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1093/ije/17.4.899
更新日期:1988-12-01 00:00:00
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更新日期:2017-12-01 00:00:00
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更新日期:2015-12-01 00:00:00
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更新日期:2010-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:1983-03-01 00:00:00
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更新日期:1995-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:1988-12-01 00:00:00
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journal_title:International journal of epidemiology
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更新日期:1979-03-01 00:00:00
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更新日期:2005-08-01 00:00:00
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journal_title:International journal of epidemiology
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更新日期:2006-04-01 00:00:00
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