Stehbens W E
Department of Pathology, Wellington School of Medicine, New Zealand.
Angiology. 1991 Apr;42(4):261-7. doi: 10.1177/000331979104200401.
Cerebrovascular disease (CVD) mortality rates are being increasingly used to establish a relationship with coronary heart disease risk factors. Cerebrovascular mortality rates suffer from the same general defects as coronary heart disease mortality rates but with greater diagnostic error in regard to subdivisions of CVD or stroke. These vital statistics, whether national or regional, are too inaccurate for scientific use and cannot be regarded as representing true mortality rates for any country. Moreover, clinical CVD is an inappropriate surrogate for severity of atherosclerosis, providing inexact data and allowing indeterminate overlap in epidemiologic studies.
脑血管疾病（CVD）死亡率越来越多地被用于建立与冠心病危险因素的关系。脑血管疾病死亡率与冠心病死亡率存在相同的普遍缺陷，但在CVD或中风的细分方面存在更大的诊断误差。这些生命统计数据，无论是国家层面还是地区层面的，都不够准确，无法用于科学研究，也不能被视为代表任何国家的真实死亡率。此外，临床CVD并不是动脉粥样硬化严重程度的合适替代指标，它提供的数据不准确，并且在流行病学研究中存在不确定的重叠。
