Incidence and prognosis of ischemic heart disease with respect to geographical area. An epidemiological study of middle-aged Finns.

Ischemic heart disease is more common in East Finland than in West Finland, but systematic comparison and follow-up of incidence figures have not been possible. In 1972 the personal identification number became included in the hospital discharge records, which made it possible to link death certificate data with hospital records from the whole country. The results of this study suggest that high mortality from IHD in some regions is more closely associated with high incidence than a high fatality rate. The proportion of deaths outside hospitals showed large variation by province but this had rather little effect on the total one-year survival rates.