Stroke, Vol 19, 598-603, Copyright © 1988 by American Heart Association
A Terent
The incidence of stroke and transient ischemic attack was studied
prospectively in the municipality of Soderhamn, Sweden, during the periods
1975-1978 and 1983-1986. A total of 723 cases of stroke and 111 cases of
transient ischemic attack were registered during the two periods. The
number of first-ever strokes increased by 28% between the 1970s and the
1980s, while the annual incidence of first-ever stroke rose from 2.90 to
3.53/1,000 (p less than 0.02). Female incidence increased by 38%, from 2.62
to 3.62/1,000 (p less than 0.05) between the study periods. Male incidence,
however, changed nonsignificantly from 3.19 in the first period to 3.43 in
the second. In 1975-1978, male incidence was four times greater than that
of females up to 65 years of age, but the distribution became balanced in
1983-1986, when the increment of female incidence was 47% in the group
25-44 years old and 232% (p less than 0.05) in the group 45-64 years old.
The annual incidence of first-ever transient ischemic attack was 0.43/1,000
in men and 0.48/1,000 in women in 1975-1978. The corresponding rates for
1983- 1986 were 0.56 and 0.45/1,000, respectively. These changes were not
significant. The cause of the increase in the incidence of stroke among
women has not been established.
ARTICLES
Increasing incidence of stroke among Swedish women
Department of Internal Medicine, Soderhamn Hospital, Sweden.
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