The new old epidemic of coronary heart disease


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OBJECTIVES: This study quantified the consequences for prevalence of increased survival of coronary heart disease (CHD) in the Netherlands from 1980 to 1993. METHODS: A multistage life table fitted observed mortality and registration rates from the nationwide hospital register. The outcome was prevalence by age, sex, period, and disease state. RESULTS: The prevalence of CHD from 1980 to 1993 was 4.4% (men, aged 25 to 84 years) and 1.4% (women, aged 25 to 84 years). Between 1980-1983 and 1990-1993, the incidence changed little, but age-adjusted prevalence increased by 19% (men) and 59% (women). CONCLUSIONS: Sharply decreasing mortality but near-constant attack rates of CHD caused distinct increases in prevalence, particularly among the elderly.



Keywords


Automatically Extracted Terms
  • event
  • disease
  • health
  • death
  • netherland
  • population
  • incidence
  • study
  • mortality
  • heart
  • table
  • sensitivity limits
  • patient
  • infarction
  • 60-84
  • 25-59
  • admission
  • 1980-1983
  • women
  • result