title: Trends in coronary events in Finland during 1983-1997. The FINAMI study.
abstract: OBJECTIVE
  To analyse the trends in incidence, recurrence, case fatality, and treatments of acute coronary events in Finland during the 15-year period 1983-97.
  
  
  RESULTS
  Population-based MI registration has been carried out in defined geographical areas, first as a part of the FINMONICA Project and then continued as the FINAMI register. During the study period, 6501 coronary heart disease (CHD) events were recorded among men and 1778 among women aged 35-64 years. The CHD mortality declined on average 6.4%/year (95% confidence interval -5.4, -7.4%) among men and 7.0%/year (-4.7, -9.3%) among women. The mortality from recurrent events declined even more steeply, 9.9%/year (-8.3, -11.4%) among men and 9.3%/year (-5.1, -13.4%) among women. The proportion of recurrent events of all CHD events also declined significantly in both sexes. Of all coronary deaths, 74% among men and 61% among women took place out-of-hospital. The decline in 28-day case fatality was 1.3%/year (-0.3, -2.3%) among men and 3.1%/year (-0.7, -5.5%) among women.
  
  
  CONCLUSIONS
  The study period was characterized by a marked reduction in the occurrence of recurrent CHD events and a relatively modest reduction in the 28-day case fatality. The findings suggest that primary and secondary prevention have played the main roles in the decline in CHD mortality in Finland.
authors.affiliation: KTL-National Public Health Institute, Helsinki, Finland. veikko.salomaa@ktl.fi
authors.forename: V
authors.initials: V
authors.lastname: Salomaa
authors.forename: M
authors.initials: M
authors.lastname: Ketonen
authors.forename: H
authors.initials: H
authors.lastname: Koukkunen
authors.forename: P
authors.initials: P
authors.lastname: Immonen-Räihä
authors.forename: T
authors.initials: T
authors.lastname: Jerkkola
authors.forename: P
authors.initials: P
authors.lastname: Kärjä-Koskenkari
authors.forename: M
authors.initials: M
authors.lastname: Mähönen
authors.forename: M
authors.initials: M
authors.lastname: Niemelä
authors.forename: K
authors.initials: K
authors.lastname: Kuulasmaa
authors.forename: P
authors.initials: P
authors.lastname: Palomäki
authors.forename: M
authors.initials: M
authors.lastname: Arstila
authors.forename: T
authors.initials: T
authors.lastname: Vuorenmaa
authors.forename: A
authors.initials: A
authors.lastname: Lehtonen
authors.forename: S
authors.initials: S
authors.lastname: Lehto
authors.forename: H
authors.initials: H
authors.lastname: Miettinen
authors.forename: J
authors.initials: J
authors.lastname: Torppa
authors.forename: J
authors.initials: J
authors.lastname: Tuomilehto
authors.forename: Y A
authors.initials: YA
authors.lastname: Kesäniemi
authors.forename: K
authors.initials: K
authors.lastname: Pyörälä
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000401:mortality*; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D009204:Myocardial Revascularization / Q000706:statistics & numerical data; D012008:Recurrence; D012042:Registries; D017678:Sex Distribution; D015912:Thrombolytic Therapy / Q000706:statistics & numerical data