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Epidemiology of Coronary Heart Disease

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Brain and Heart Infarct II

Abstract

The epidemiology of coronary heart disease (CHD) is concerned with the description of the rates of occurrence of CHD in different population groups and with the investigation of the factors that determine its occurrence and natural history. Coronary heart disease (also referred to as ischemic heart disease in the International Classification of Diseases) is the leading cause of death in affluent countries. From being a medical rarity prior to the 1920s, it now accounts for a third of all deaths in the United States and for two-thirds of deaths due to cardiovascular diseases. Although mortaliy rates for coronary heart disease in the United States have declined by about 20% since 1968, they are still increasing in most other countries. Why these trends have occurred, and why they are not occurring uniformly in all countries, has not been fully explained. Yet it has been strongly held by most observers that it is environmental factors, particularly characteristics of peoples1 life styles and habits, that account for these differences (20).

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References

  1. Abell, I.L., Levy, B.B., Brodie, B.B., Kendall, F.E.: A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity. J. Biol. Chem. 195, 357–366 (1952)

    CAS  Google Scholar 

  2. Abraham, S., Johnson, C.L., Carroll, M.D.: Total serum cholesterol levels of adults 18–74 years. United States 1971–1974. Vital and health statistics: Series 11. Data from the National Health Survey, No. 205. DHEW Publication No. (PHS) 78–1652.

    Google Scholar 

  3. Aronow, W.S.: Effect of cigarette smoking and of carbon monoxide on coronary heart disease. Chest 70, 514–517 (1976)

    Article  PubMed  CAS  Google Scholar 

  4. Borhani, N.O.: Primary prevention of coronary heart disease: a critique. Am. J. Cardiol. 40, 251–259 (1977)

    Article  PubMed  CAS  Google Scholar 

  5. Castelli, W.P., Doyle, J.T., Gordon, T., Hames, C.G., Hjortland, M.C., Hulley, S.B., Kagan, A., Zukel, W.J.: HDL cholesterol and other lipids in coronary heart disease. The Cooperative Lipoprotein Phenotyping Study. Circulation 55, 767–772 (1977)

    PubMed  CAS  Google Scholar 

  6. Connor, W.E., Stone, D.E., Hodges, R.E.: The interrelated effects of dietary cholesterol and fat upon human serum lipid levels. J. Clin. Invest. 43, 1691–1696 (1964)

    Article  PubMed  CAS  Google Scholar 

  7. Coronary Drug Project Research Group, Baltimore: The prognostic importance of plasma glucose levels and of the use of oral hypoglycemic drugs after myocardial infarction in men. Diabetes 26, 453–465 (1977)

    Article  Google Scholar 

  8. Davidson, M., Feinleib, M.: Carbon disulfide poisoning: A review. Am. Heart J. 83, 100–114 (1972)

    Article  PubMed  CAS  Google Scholar 

  9. Dawber, T.R., Moore, E.E., Mann, G.V.: Coronary heart disease in the Framingham Study. Am. J. Public Health 47, 4–23 (1957)

    Article  CAS  Google Scholar 

  10. Doyle, J.T., Dawber, T.R., Kannel, W.B. et al.: The relationship of cigarette smoking to coronary heart disease: The second report of the combined experience of the Albany, N.Y. and Framingham, Mass. studies. JAMA 190, 886–890 (1964)

    PubMed  CAS  Google Scholar 

  11. Epstein, F.H., Napier, J.A., Block, W.D. et al.: The Tecumseh Study. Design, progress and perspectives. Arch. Environ. Health 21, 402–407 (1970)

    PubMed  CAS  Google Scholar 

  12. Feinleib, M., Williams, R.R.: Relative risks of myocardial infarction, cardiovascular disease and peripheral vascular disease by type of smoking. Proc. Third World Conference on Smoking and Health 1, 243–256 (1976)

    Google Scholar 

  13. Fredrickson, D.S., Levy, R.I., Lees, R.S.: Fat transport in lipoproteins — an integrated approach to mechanisms and disorders. N. Engl. J. Med. 276, 34–44 (1967)

    Article  PubMed  CAS  Google Scholar 

  14. Garcia-Palmieri, M.R., Costas, R., Jr. Cruz-Vidal, M. et al.: Risk factors and prevalence of coronary heart disease in Puerto Rico. Circulation 42, 541–549 (1970)

    PubMed  CAS  Google Scholar 

  15. Garcia, M.J., McNamara, P.M., Gordon, T., Kannel, W.B.: Morbidity and mortality in diabetes in the Framingham population. Sixteen year follow-up study. Diabetes 23, 105–111 (1974)

    PubMed  CAS  Google Scholar 

  16. Gordon, T., Garcia-Palmieri, M.R., Kagan, A. et al.: Differences in coronary heart disease in Framingham, Honolulu and Puerto Rico. J. Chronic Dis. 27, 329–344 (1974)

    Article  PubMed  CAS  Google Scholar 

  17. Gordon, T., Castelli, W.F., Hjortland, M.C., Kannel, W.B., Dawber, T.R.: Diabetes, blood lipids, and the role of obesity in coronary heart disease risk for women. Ann. Intern. Med. 87, 393–397 (1977)

    PubMed  CAS  Google Scholar 

  18. Hames, C.G.: Evans County cardiovascular and cerebrovascular epidemiologic study — Introduction. Arch. Intern. Med. 128, 883–886 (1971)

    Article  PubMed  CAS  Google Scholar 

  19. Haynes, S.G., Feinleib, M., Levine, S. et al.: The relationship of psychosocial factors to coronary heart disease in the Framingham Study. II. Prevalence of coronary heart disease. Am. J. Epidemiol. 107, 384–402 (1978)

    PubMed  CAS  Google Scholar 

  20. Inter-Society Commission for Heart Disease Resources: Primary prevention of the atherosclerotic diseases. Circulation 42, A55–A95 (1970)

    Google Scholar 

  21. Jenkins, C.D.: Recent evidence supporting psychologic and social risk factors for coronary disease. N. Engl. J. Med. 294, 987–994, 1033–1038 (1976)

    Article  PubMed  CAS  Google Scholar 

  22. Jenkins, C.D., Rosenman, R.H., Zyzanski, S.J.: Cigarette smoking: Its relationship to coronary heart disease and related risk factors in the Western Collaborative Group Study. Circulation 38, 1140–1155 (1968)

    PubMed  CAS  Google Scholar 

  23. Jick, H., Dinan, B., Rothman, K.J.: Oral contraceptives and nonfatal myocardial infarction. JAMA 239, 1403–1406 (1978)

    Article  PubMed  CAS  Google Scholar 

  24. Kagan, A., Gordon, T., Rhoades, G.G. et al.: Some factors related to coronary heart disease incidence in Honolulu Japanese men: the Honolulu Heart Study. Int. J. Epidemiol. 4, 271–279 (1975)

    Article  Google Scholar 

  25. Kännel, W.B.: Role of blood pressure in cardiovascular disease: The Framingham Study. Angiology 26, 1–14 (1975)

    Article  PubMed  Google Scholar 

  26. Kannel, W.B., Castelli, W.P., Gordon, T. et al.: Serum cholesterol, lipoproteins, and the risk of coronary heart disease: The Framingham Study. Ann. Intern. Med. 74, 1–12 (1971)

    PubMed  CAS  Google Scholar 

  27. Kannel, W.B., Hjortland, M.C., McNamara, P.M., Gordon, T.: Menopause and risk of cardiovascular disease: The Framingham Study. Ann. Intern. Med. 85, 447–452 (1976a)

    PubMed  CAS  Google Scholar 

  28. Kannel, W.B., McGee, D., Gordon, T.: A general cardiovascular risk profile: The Framingham Study. Am. J. Cardiol. 38, 46–51 (1976)

    Article  PubMed  CAS  Google Scholar 

  29. Keys, A.: Coronary heart disease in seven countries. Circulation 41, (Suppl 1) I-1–I-211 (1970)

    Google Scholar 

  30. Keys, A.: Coronary heart disease — the global picture. Atherosclerosis 22, 149–192 (1975)

    Article  PubMed  CAS  Google Scholar 

  31. Klebba, A.J., Dolman, A.B.: Comparability of mortality statistics for the seventh and eighth revisions of the International Classification of Diseases, United States. Vital and health Statistics: Series 2, No. 66. DHEW publication No. (HRA) 76–1340

    Google Scholar 

  32. Kuller, L.H., Radford, E.P., Swift, D. et al.: Carbon monoxide and heart attacks.

    Google Scholar 

  33. Arch. Environ. Health 30, 477–482 (1975)

    Google Scholar 

  34. Lauer, R.M., Connor, W.E., Leaverton, P.E. et al.: Coronary heart disease risk factors in school children: The Muscatine Study. J. Pediatr. 86, 697–706 (1975)

    Article  PubMed  CAS  Google Scholar 

  35. Mann, G.V.: Diet-heart: End of an era. N. Engl. J. Med. 297, 644–650 (1977)

    Google Scholar 

  36. Mann, J.I., Inman, W.H.W.: Oral contraceptives and death from myocardial infarction. Br. Med. J. 2, 245–248 (1975)

    Article  PubMed  CAS  Google Scholar 

  37. Marmot, M.G., Syme, S.L.: Acculturation and coronary heart disease in Japanese-Americans. Am. J. Epidemiol. 104, 225–247 (1976)

    PubMed  CAS  Google Scholar 

  38. Marmot, M.G., Syme, S.L., Kagan, A. et al.: Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii and California: Prevalence of coronary and hypertensive heart disease and associated risk factors. Am. J. Epidemiol. 102, 514–525 (1975)

    PubMed  CAS  Google Scholar 

  39. McGee, D., Gordon, T.: The results of the Framingham Study applied to four other U.S.-based epidemiologic studies of cardiovascular disease. The Framingham Study. Section 31. DHEW Publication No. (NIH) 76–1083 (1976)

    Google Scholar 

  40. McGill, H.D., Jr. (ed): Geographic pathology of atherosclerosis. Baltimore, Md.: Williams and Wilkins Co. 1968

    Google Scholar 

  41. Miller, G.J., Miller, N.E.: Plasma-high-density-lipoprotein concentration and development of ischaemic heart disease. Lancet I, 16–19 (1975)

    Article  Google Scholar 

  42. Mulcahy, R., Hickey, N.: Cigarette smoking habits of patients with coronary heart disease. Br. Heart J. 28, 404–408 (1966)

    Article  PubMed  CAS  Google Scholar 

  43. New hypertensive prevalence data. National High Blood Pressure Coordinating Committee. NHEP Information Center 120/80 Bethesda, Md. 20014 (1978)

    Google Scholar 

  44. Paffenbarger, R.S., Hale, W.E.: Work activity and coronary heart mortality. N. Engl. J. Med. 292, 545–550 (1975)

    Article  PubMed  CAS  Google Scholar 

  45. Page, L., Friend, B.: The changing United States diet. Bioscience 28, 192–197 (1978)

    Article  Google Scholar 

  46. Reid, D.D., Cornfield, J., Markush, R.E., Scigal, D., Pedersen, E., Haenzel, W.: Studies of disease among migrants and native populations in Great Britain, Norway and the United States. III. Prevalence of cardio-respiratory symptoms among migrants and native born in the United States. Natl. Cancer Inst. Monogr. 19, 321–346 (1966)

    PubMed  CAS  Google Scholar 

  47. Report from the National Heart and Lung Institute Task Force on Genetic Factors in Atherosclerotic Disease: DHEW Publication No. (NIH) 76–922 (1976)

    Google Scholar 

  48. Rhoads, G.G., Gulbrandsen, C.L., Kagan, A.: Serum lipoproteins and coronary heart disease in a population study of Hawaii Japanese men. N. Engl. J. Med. 294, 293–298 (1976)

    Article  PubMed  CAS  Google Scholar 

  49. Rogot, E., Padgett, S.J.: Associations of coronary and stroke mortality with temperature and snowfall in selected areas of the United States, 1962–1966. Am. J. Epidemiol. 103, 565–575 (1976)

    PubMed  CAS  Google Scholar 

  50. Rogot, E., Sharrett, A.R., Feinleib, M. et al.: Trends in urban mortality in relation to fluoridation status. Am. J. Epidemiol. 106, 104–112 (1978)

    Google Scholar 

  51. Rosenman, R.H., Brand, R.J., Sholtz, B.I., Friedman, M.: Multivariate prediction of coronary heart disease during 8.5 year follow-up in the Western Collaborative Group Study. Am. J. Cardiol. 37, 903–910 (1976)

    Article  PubMed  CAS  Google Scholar 

  52. Shapiro, S., Weinblatt, E., Frank, C.W. et al.: Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction. Am. J. Public Health 59, (Suppl) 1–101 (1969)

    Article  Google Scholar 

  53. Sharrett, A.R., Feinleib, M.: Water constituents and trace elements in relation to cardiovascular diseases. Prev. Med. 4, 20–36 (1975)

    Article  PubMed  CAS  Google Scholar 

  54. Shurtleff, D.: Some characteristics related to the incidence of cardiovascular disease and death: The Framingham Study, 18-year follow-up. Section No. 30. DHEW Publication No. (NIH) 74–599 (1974)

    Google Scholar 

  55. Stamler, J.: Epidemiology of coronary heart disease. Med. Clin. North Am. 57, 5–46 (1973)

    CAS  Google Scholar 

  56. Stamler, J., Epstein, F.H.: Coronary heart disease: Risk factors as guides to preventive action. Prev. Med. 1, 27–48 (1972)

    Article  PubMed  CAS  Google Scholar 

  57. Statistical Abstract of the United States: 1975, p. 751

    Google Scholar 

  58. Tibblin, G., Wilhelmsen, L., Werko, L.: Risk factors for myocardial infarction and death due to ischemic disease and other causes. Am. J. Cardiol. 35, 514–522 (1975)

    Article  PubMed  CAS  Google Scholar 

  59. University Group Diabetes Program: A study of the effects of hypoglycemic agents on vascular complications in patients with adult-onset diabetes. II. Mortality results. Diabetes 19, (Suppl 2) 785–830 (1970)

    Google Scholar 

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Authors
  1. M. Feinleib
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Editors and Affiliations

  1. Max-Planck-Institut für Hirnforschung, Ostmerheimer Str. 200, D-5000, Köln 91, Federal Republic of Germany

    K. J. Zülch

  2. Medizinische Klinik Köln-Merheim und Poliklinik, Universität Köln, Ostmerheimer Str. 200, D-5000, Köln 91, Federal Republic of Germany

    W. Kaufmann

  3. Max-Planck-Institut für Hirnforschung, Forschungsstelle für Hirnkreislauf-Forschung, Ostmerheimer Straße 200, D-5000, Köln 91, Federal Republic of Germany

    K.-A. Hossmann

  4. Medizinische Klinik Köln-Merheim, Lehrstuhl für Innere Medizin II, Universität Köln, Ostmerheimer Straße 200, D-5000, Köln 91, Federal Republic of Germany

    V. Hossmann

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Feinleib, M. (1979). Epidemiology of Coronary Heart Disease. In: Zülch, K.J., Kaufmann, W., Hossmann, KA., Hossmann, V. (eds) Brain and Heart Infarct II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67316-0_2

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  • DOI: https://doi.org/10.1007/978-3-642-67316-0_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67318-4

  • Online ISBN: 978-3-642-67316-0

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