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European Society of Cardiology

Massive decline in rates of coronary death in Iceland are largely attributed to risk factor reductions in the population

Published in Cardiovascular Week, May 25th, 2009

In the 25 years between 1981 and 2006 mortality rates from coronary heart disease (CHD) in Iceland decreased by a remarkable 80% in men and women aged between 25 and 74 years. How could such a huge decline be explained' Were the health services of Iceland so much better, or were its citizens reducing their risks'1

To find out Dr Thor Aspelund and colleagues from the Icelandic Heart Association and the University of Iceland applied a validated CHD analysis model (the IMPACT mortality model) to official Icelandic death statistics, national quality registers, published trials and meta-analyses, clinical audits and a series of national population surveys.2

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