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J Epidemiol Community Health 2009;63:31 doi:10.1136/jech.2009.096719e
  • Thursday 10 September, Parallel session B
  • Trends in CVD

Explaining the massive decline in coronary heart disease mortality in iceland between 1981 and 2006

  1. M. O’Flaherty1,
  2. T. Aspelund2,
  3. V. Gudnason2,
  4. B. T. Magnusdottir2,
  5. K. Andersen3,
  6. G. Sigurdsson1,4,
  7. B. Thorsson2,
  8. J. Critchley5,
  9. K. Bennett6,
  10. S. Capewell1
  1. 1
    Department of Public Health, University of Liverpool, Whelan Building, Quadrangle, Liverpool, UK
  2. 2
    Icelandic Heart Association, Kopavogur, Iceland
  3. 3
    University of Iceland, Reykjavik, Iceland
  4. 4
    Landspitali University Hospital, Reykavik, Iceland
  5. 5
    Institute of Health and Society, University of Newcastle, Newcastle, UK
  6. 6
    Department of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St James’s Hospital, Dublin 8, Ireland

      Background

      Coronary heart disease mortality rates have been decreasing in Iceland since the 1980s. We used the validated IMPACT model to examine how much of the 80% decrease in Iceland between 1981 and 2006 could be attributed to medical and surgical treatments and how much to changes in cardiovascular risk factors.

      Methods

      The previously validated IMPACT mortality model was used to …

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