ArticleBMJ (Clinical research ed.)2005
Trends in rates of different forms of diagnosed coronary heart disease, 1978 to 2000: prospective, population based study of British men.
Article in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical assessment of patients with chest pain; a systematic review of predictive tools.BMC cardiovascular disorders · 2016Pooled it
- Prevalence and Risk Factors for Atherosclerotic Cardiovascular Disease in 7704 Individuals: An Analysis from the Greek Registry for the Prevalence of Familial Hypercholesterolemia (GRegistry-FH).Journal of cardiovascular development and disease · 2024Article
- Assessing the external validity of model-based estimates of the incidence of heart attack in England: a modelling study.BMC public health · 2016Article
- Prevalence of Major Cardiovascular Risk Factors and Coronary Heart Disease in a Sample of Greek Adults: The Saronikos Study.The open cardiovascular medicine journal · 2016Article
- Preventable hospitalizations and emergency department visits for angina, United States, 1995-2010.Preventing chronic disease · 2013Article
- Evaluation of the add-on effect of chinese patent medicine for patients with stable or unstable angina: a systematic review and meta-analysis.Evidence-based complementary and alternative medicine : eCAM · 2013Review
- Incidence and 30-day case fatality for acute myocardial infarction in England in 2010: national-linked database study.European journal of public health · 2012Article
- Limitations to functioning and independent living after the onset of coronary heart disease: what is the role of lifestyle factors and obesity?European journal of public health · 2012Article
- Nationwide study on trends in hospital admissions for major cardiovascular events and procedures among people with and without diabetes in England, 2004-2009.Diabetes care · 2012 · on this mapArticle
- Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study.BMJ (Clinical research ed.) · 2012Article
- Trends in longer-term survival following an acute myocardial infarction and prescribing of evidenced-based medications in primary care in the UK from 1991: a longitudinal population-based study.Journal of epidemiology and community health · 2011Article
- Constituent country inequalities in myocardial infarction incidence and case fatality in men and women in the United Kingdom, 1996-2005.Journal of public health (Oxford, England) · 2011Article
- Article
- The conundrum of detecting stable angina pectoris in the community setting.Nature reviews. Cardiology · 2010Review
- Changes in environmental tobacco smoke (ETS) exposure over a 20-year period: cross-sectional and longitudinal analyses.Addiction (Abingdon, England) · 2009Article
- Elevated risk of myocardial infarction in very young immigrants from former Yugoslavia.European journal of epidemiology · 2009Article
- Secular decline in mortality from coronary heart disease in adults with diabetes mellitus: cohort study.BMJ (Clinical research ed.) · 2008Article
- Article
- Are social inequalities in mortality in Britain narrowing? Time trends from 1978 to 2005 in a population-based study of older men.Journal of epidemiology and community health · 2008Article
- Prognosis of stable angina pectoris: why we need larger population studies with higher endpoint resolution.Heart (British Cardiac Society) · 2007Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine trends over time in rates of different forms of diagnosed coronary heart disease among British men, during a period in which mortality due to coronary heart disease has been declining.
designProspective cohort study covering the period 1978-80 to 1998-2000.
participants7735 men, aged 40-59 at entry, randomly selected from one general practice in each of 24 British towns.
main outcome measuresTrends in the rates of major coronary events, first diagnosed angina and first diagnosed coronary heart disease (any fatal or non-fatal documented event or diagnosis). Events were ascertained from NHS central registers and reviews of medical records from general practices.
resultsOver the 20 year period, 1561 major coronary events occurred; 1087 and 1816 men had new diagnoses of angina and coronary heart disease, respectively. The age adjusted annual relative changes were -3.6% (95% confidence interval -4.8% to -2.4%, P < 0.001) for all major coronary events, 2.6% (1.1% to 4.0%, P < 0.001) for first diagnosed angina and -0.8% (-1.8% to 0.3%, P = 0.18) for first diagnosed coronary heart disease. The fall in major coronary events occurred across all categories of event (fatal and non-fatal, first and recurrent). Similarly, first diagnosed angina increased for both uncomplicated angina and angina after myocardial infarction. The age adjusted annual relative change in case fatality at 28 days of first major coronary events was -1.4% (-3.1% to 0.4%, P = 0.12).
conclusionsAmong British middle aged men, a substantial decline in the rate of major coronary events over the past two decades seems to have been largely offset by an increase in the incidence of diagnosed angina. Overall there was little change in the incidence of first diagnosed coronary heart disease. A continuing need exists for resources and services for coronary heart disease in general, and for new angina in particular.
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