Current strategies for explaining the decline in ischemic heart disease mortality

Richard F. Gillum, Henry Blackburn, Manning Feinleib

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Mortality from ischemic heart disease has declined sharply since the mid 1960's in the United States and several other industrialized nations. The causes of this decline have thus far not been established. Six major strategies for investigating determinants of ischemie heart disease mortality trends are discussed in this review: (1) analyses of mortality data; (2) morbidity surveillance; (3) surveillance of change in medical care; (4) surveillance of cardiovascular risk factors; (5) social and ecological surveillance; (6) experimental and quasi-experimental community approaches. The rationale, problems and limitations of each are discussed.

Original languageEnglish (US)
Pages (from-to)467-474
Number of pages8
JournalJournal of Chronic Diseases
Issue number6
StatePublished - 1982

Bibliographical note

Funding Information:
This work was supported by Grant of the National Institutes of Health, Ischemic Heart Disease Mortality at Minneapolis, MN, June 19. 1980.


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