Stroke, Vol 15, 160-168, Copyright © 1984 by American Heart Association
JP Whisnant
Stroke mortality in the United States has declined since 1900. The
mortality rates from stroke in Rochester, Minnesota, have declined 76%
since 1950, and the primary cause for the declines is a decrease in the
incidence of new cases of cerebral infarction and cerebral hemorrhage.
There are no data on the incidence of stroke prior to 1945 to confirm the
US mortality trend. The decline in incidence was noted in women 10- 15
years before it was seen in men. Hypertension is the most important risk
factor for stroke. Hypertension surveys have shown an increasing
effectiveness of antihypertensive medication in lowering blood pressure,
and the effect was noted earlier in women. Available evidence is consistent
with the idea that treatment of hypertension is the only significant
contributor to the decline of stroke.
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The decline of stroke
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