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The Decline in Ischemic Heart Disease Mortality Rates: An Analysis of the Comparative Effects of Medical Interventions and Changes in Lifestyle

GOLDMAN, LEE, COOK, E. FRANCIS·1984·Annals of Internal Medicine
DOI 10.7326/0003-4819-101-6-825
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Abstract

Using reasonable assumptions gathered from the published literature, we estimated that more than half of the decline in ischemic heart disease mortality between 1968 and 1976 was related to changes in lifestyle, specifically to reductions in serum cholesterol levels and cigarette smoking. In comparison, about 40% of the decline can be directly attributed to specific medical treatment of clinical ischemic heart disease and hypertension being the leading estimated contributors. Because many of these interventions have not yet been applied to their maximum potential, a continued decline in mortality rates might be anticipated in the coming decades. However, the relative costs of these medical interventions and lifestyle changes and the extent to which they interact with each other must be considered before an optimal national health strategy can be derived.

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Crossref · 10.7326/0003-4819-101-6-825

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  • Between 1950 and 1970 most of the decline in mortality rates from CVD was due to prevention.

    “Between 1950 and 1970 most of the decline in mortality rates from CVD was due to prevention (Goldman & Cook, 1984), whereas acute disease management and medical treatments accounted for about half of the decline between 1980 and 2000 (Ford et al., 2007).”

    From Mortality and Morbidity Trends: Is There Compression of Morbidity? (2011) · cites this paper as Goldman & Cook, 1984

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Metadata

Authors
GOLDMAN, L., & COOK, E. F.
Affiliations
Boston, Massachusetts
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
1984-12-01
Volume
101
Issue
6
Pages
825-836
ISSN
  • 0003-4819
  • 1539-3704
DOI
10.7326/0003-4819-101-6-825
Cited by
381
References
2
Language
en
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)

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