BMJ 2008;336:347 (16 February), doi:10.1136/bmj.39489.375752.DB
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Coronary artery disease in US may no longer be declining
New York
1 Janice Hopkins Tanne
| The first 150 words of the full text of this article appear below. |
The US decline in coronary artery disease may have ended in the mid 1990s and the disease may even be increasing, reports an unusually comprehensive autopsy study from the Mayo Clinic and the University of British Columbia.
"Our finding that temporal declines in the grade of coronary artery disease at autopsy have ended, together with suggestive evidence that declines have recently reversed, provides some of the first data to support increasing concerns that declines in heart disease mortality may not continue," the authors write.
A possible reason may be the recent epidemics of obesity and diabetes, which began at about the time when coronary artery disease blockages in their study were no longer declining.
The study, published in the Archives of Internal Medicine, reviewed the incidence of coronary artery disease among 515 residents aged 16 to 64 of Olmsted County, Minnesota, who died from accidents, suicide, homicide, or other
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