Khoo K L, Tan H, Khoo T H
Med J Malaysia. 1991 Mar;46(1):7-20.
Mortality statistics of Peninsular Malaysia for the period 1950-1989 have been studied in relation to cardiovascular diseases, with particular emphasis on coronary heart disease as an important cause of death. It was observed that among six major disease groups reviewed, cardiovascular diseases which occupied third place as a cause of death in 1950 emerged as the number one killer during the 1970s and has remained so since (with exception in 1980). In contrast, infectious diseases which ranked first in 1950 dropped to fourth position in 1980. Between 1960 and 1980, mortality due to cardiovascular diseases was higher in males than in females. This tendency became less apparent during 1985-1989. With reference to race, the incidence of cardiovascular deaths was highest in Indians followed by Chinese and Malays. Among the specific cardiovascular diseases, coronary heart and cerebrovascular diseases accounted for the main causes of mortality. Mortality due to coronary heart disease has increased by more than three fold over the last 40 years and is still rising. However, mortality incidence due to rheumatic heart disease and hypertension decreased during the same period. In 1965, mortality due to coronary heart disease was highest in the 55-59 age group. In recent years (1985 to 1989), it shifted to the older age group (i.e. 65-69). There was a tendency for higher mortality due to coronary heart disease in males compared to females. Indians had a higher mortality due to coronary heart disease than Chinese and Malays.
对1950年至1989年期间马来西亚半岛的死亡率统计数据进行了研究，涉及心血管疾病，尤其着重于冠心病这一重要死因。研究发现，在所审查的六个主要疾病类别中，心血管疾病在1950年作为死因位列第三，到了20世纪70年代成为头号杀手，此后一直保持这一地位（1980年除外）。相比之下，1950年排名第一的传染病在1980年降至第四位。1960年至1980年期间，男性心血管疾病死亡率高于女性。这种趋势在1985年至1989年期间变得不那么明显。就种族而言，心血管疾病死亡发生率在印度人中最高，其次是华人和马来人。在特定的心血管疾病中，冠心病和脑血管疾病是主要死因。在过去40年里，冠心病死亡率增加了三倍多，且仍在上升。然而，同期风湿性心脏病和高血压的死亡率有所下降。1965年，冠心病死亡率在55至59岁年龄组中最高。近年来（1985年至1989年），这一情况转移到了年龄更大的组（即65至69岁）。男性因冠心病导致的死亡率往往高于女性。印度人因冠心病导致的死亡率高于华人和马来人。
