Levi F, Lucchini F, Negri E, La Vecchia C
Unité d'épidémiologie du cancer and Registres vaudois et neuchâtelois des tumeurs, Institut universitaire de médecine sociale et préventive, Centre Hospitalier Universitaire Vaudois, Falaises 1, 1011 Lausanne, Switzerland.
Heart. 2002 Aug;88(2):119-24. doi: 10.1136/heart.88.2.119.
To analyse trends in mortality from coronary heart disease (CHD) and cerebrovascular disease (CVD) over the period 1965 to 1998 in the European Union, other European countries, the USA, and Japan.
Data were derived from the World Health Organization database. In the European Union, CHD mortality in men rose from 146/100 000 in 1965-9 to 163/100 000 in 1975-9 and declined thereafter to 99/100 000 in 1995-8 (-39%). In women, the fall was from 70 to 45/100 000 (-36%). A > 55% decline in CVD was registered in both sexes. In eastern Europe, mortality from both CHD and CVD rose up to the early 1990s but has declined over the past few years in Poland and the Czech Republic. In the Russian Federation during 1995-8, mortality rates from CHD reached 330/100 000 men and 154/100 000 women and mortality rates from CVD were 203/100 000 men and 150/100 000 women-that is, they were among the highest rates worldwide. In the USA and Japan, long term trends were favourable for both CHD and CVD.
Trends in mortality from CHD and CVD were favourable in several developed areas of the world, but there were major geographical differences. In a few eastern European countries, mortality from CHD and CVD remains exceedingly high.
分析1965年至1998年期间欧盟、其他欧洲国家、美国和日本冠心病（CHD）和脑血管疾病（CVD）的死亡率趋势。
数据来源于世界卫生组织数据库。在欧盟，男性冠心病死亡率从1965 - 1969年的146/10万上升至1975 - 1979年的163/10万，此后下降至1995 - 1998年的99/10万（下降39%）。女性则从70/10万降至45/10万（下降36%）。两性的心血管疾病死亡率均下降超过55%。在东欧，冠心病和心血管疾病的死亡率在20世纪90年代初之前一直上升，但在波兰和捷克共和国，过去几年有所下降。1995 - 1998年期间，俄罗斯联邦男性冠心病死亡率达到330/10万，女性为154/10万，男性心血管疾病死亡率为203/10万，女性为150/10万，即这些死亡率处于世界最高水平之列。在美国和日本，冠心病和心血管疾病的长期趋势都较为有利。
在世界上几个发达地区，冠心病和心血管疾病的死亡率趋势较为有利，但存在重大地理差异。在一些东欧国家，冠心病和心血管疾病的死亡率仍然极高。
