Trends in mortality from coronary heart and cerebrovascular diseases in the Americas: 1970-2000

Heart
T RodríguezC La Vecchia

Abstract

To describe trends in mortality from coronary heart disease (CHD) and cerebrovascular accidents (CVAs) over the period 1970 to 2000 in the Americas. Age standardised mortality rates were derived from the World Health Organization database and grouped according to the International classification of diseases, ninth revision. Joinpoint analysis was used to identify changes in trends. In the USA and Canada, CHD mortality rates declined by about 60% in both sexes. In Latin America, falls in CHD mortality were observed for Argentina, Brazil, Chile, Cuba, and Puerto Rico. In 2000, mortality rates among men were highest in Venezuela (137.3/100,000) and lowest (apart from Ecuador) in Argentina (63.5/100,000). For women, the rates were highest in Cuba (79.4/100,000) and lowest in Argentina (26.5/100,000). For CVA mortality, a decline by about 60% was observed in the USA and Canada for both sexes. The falls were smaller (about -25% to -40% among men and -20% to -50% among women) in Puerto Rico, Argentina, Chile, and Costa Rica and only minor in Ecuador, Mexico, and Venezuela. Around 2000, CVA mortality in Latin America was highest in Brazil (85.5/100,000 among men and 61.7/100,000 among women) and lowest in Puerto Rico (29.3/100,000 amon...Continue Reading

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