Stroke, Vol 20, 577-582, Copyright © 1989 by American Heart Association
JP Broderick, SJ Phillips, JP Whisnant, WM O'Fallon and EJ Bergstralh
Studies of the population of Rochester, Minnesota, have provided the only
data on temporal trends for the incidence of stroke in North America. Among
the residents of Rochester, the average annual incidence rate of stroke
declined by 46%, from 213 to 115 per 100,000 population, between 1950-1954
and 1975-1979. The decline occurred in all age and sex groups, but it
occurred earlier in women than in men. The rates stabilized in the 1970s,
and did so earlier in women. For 1980-1984, the incidence rate of stroke
was 17% higher than that for 1975-1979. The onset of the decline in
incidence rates coincided with the introduction of effective
antihypertensive therapy, but stabilized and increased rates were
associated with continuing improvement in the control of hypertension. The
increase in the incidence rates of stroke coincided with the introduction
of computed tomography, which appeared to increase the detection of less
severe strokes.
ARTICLES
Incidence rates of stroke in the eighties: the end of the decline in stroke?
Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota 55905.
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