monica monograph and multimedia sourcebook: slide presentations from the cd-rom slides without...

MONICA Monograph and Multimedia Sourcebook:

Slide Presentations from the CD-ROM

Slides without spoken commentary:

Six presentations combined in one file

Prepared by Hanna Tolonen and Hugh Tunstall-Pedoe

MONICA Monograph Slide Presentations

Graphics A: Populations, Data Collection and Official Mortality


CHN-BEI

NEZ-AUCAUS-NEW

RUS-NOV

USA-STACAN-HAL

AUS-PER

G1

ITA-FRI

FIN-TUL

SWE-GOT

DEN-GLO

ICE-ICE

UNK-GLA

BEL-CHA

FRA-STR

SWI-VAF

FRA-TOU

SPA-CAT

ITA-BRI

LTU-KAU

POL-TARCZE-CZE

FIN-NKA

YUG-NOS

GER-EGE

SWE-NSW

FRA-LIL

BEL-GHE

SWI-TIC

GER-AUG

RUS-MOS

GER-BRE

UNK-BEL

POL-WAR

FIN-KUO

G2

POL-WARLTU-KAU

RUS-NOCUNK-GLAFIN-NKARUS-NOI

RUS-MOCCZE-CZE

YUG-NOSRUS-MOIBEL-CHA

FRA-LILPOL-TARFIN-KUOUNK-BELFIN-TUL

FRA-STRGER-EGE

ITA-FRIGER-BREBEL-GHEUSA-STADEN-GLOGER-AUGSWE-GOTNEZ-AUC

ITA-BRIAUS-NEWCAN-HALSWI-VAFICE-ICE

SWE-NSSWI-TIC

AUS-PERFRA-TOUSPA-CATCHN-BEI

0 500 1000 1500 2000

Annual mortality rate per 100 000

CHD

Stroke

Other CVD

Non CVD

Men

UNK-GLAPOL-WARLTU-KAUUSA-STADEN-GLOBEL-CHA

RUS-NOCYUG-NOSCZE-CZEUNK-BEL

RUS-MOCBEL-GHEGER-EGERUS-NOIRUS-MOINEZ-AUCPOL-TAR

FRA-LILAUS-NEW

CHN-BEICAN-HALGER-BRE

FIN-NKASWE-GOT

FIN-KUOITA-FRI

GER-AUGFIN-TUL

FRA-STRICE-ICE

AUS-PERITA-BRI

SWE-NSFRA-TOUSPA-CAT

0 250 500 750 1000


Women

G3

RUS-NOILTU-KAU

RUS-MOCRUS-MOI

POL-WARUNK-GLAPOL-TAR

YUG-NOSCZE-CZE

FRA-LILFIN-NKA

BEL-CHAFIN-KUOFIN-TUL

RUS-NOCGER-EGEGER-BREDEN-GLOFRA-STRUNK-BELUSA-STABEL-GHE

ITA-FRIGER-AUGNEZ-AUC

SWE-GOTSWI-VAFCAN-HAL

ITA-BRIAUS-NEWSPA-CATFRA-TOU

SWI-TICSWE-NS

AUS-PERICE-ICE

CHN-BEI

0 500 1000 1500 2000


Men

RUS-NOIUNK-GLAPOL-WARRUS-MOILTU-KAU

YUG-NOSDEN-GLOCZE-CZENEZ-AUCUSA-STAUNK-BELRUS-MO

GER-EGEBEL-CHAPOL-TARGER-BRE

FRA-LILBEL-GHE

FIN-TULCAN-HAL

SWE-GOTFIN-NKAFIN-KUOCHN-BEIICE-ICE

AUS-NEWRUS-NOCGER-AUGFRA-STR

ITA-FRISWE-NSITA-BRI

AUS-PERFRA-TOUSPA-CAT

0 250 500 750 1000


CHD

Stroke

Other CVD

Non CVD

Women

G4

FIN-NKAFIN-KUOICE-ICE

SWE-NSUNK-BELRUS-MOIRUS-NOIRUS-MO

NEZ-AUCFIN-TUL

CAN-HALAUS-NE

CZE-CZERUS-NO

UNK-GLAYUG-NO

POL-TARDEN-GL

USA-STAAUS-PERCHN-BEILTU-KAUGER-EGE

GER-AUSWI-TIC

SWE-GOGER-BRE

POL-WAITA-FRI

BEL-CHAITA-BRI

SWI-VAFBEL-GHESPA-CATFRA-STRFRA-TOU

FRA-LIL

0 20 40 60 80 100

Percentage of deaths

CHD Stroke Other CVD Non CVD

Men

RUS-NOIRUS-NOCHN-BEIPOL-TARFIN-KUORUS-MORUS-MOIFIN-NKA

YUG-NOSAUS-NE

CZE-CZEUNK-BELUNK-GLA

FIN-TULPOL-WA

USA-STANEZ-AUCLTU-KAUBEL-CHAGER-EGE

ITA-FRISWE-NS

CAN-HALITA-BRI

AUS-PERGER-AUGBEL-GHE

ICE-ICESWE-GO

GER-BREFRA-STRSPA-CATDEN-GLO

FRA-LILFRA-TOU

0 20 40 60 80 100


WomenG5

FIN-NKARUS-MORUS-MOIRUS-NOI

YUG-NOSPOL-TARFIN-KUOUNK-BELSWE-NS

RUS-NOCCZE-CZENEZ-AUCUNK-GLA

FIN-TULICE-ICE

LTU-KAUAUS-NEW

CHN-BEIGER-AUGGER-EGEDEN-GLOCAN-HALAUS-PERPOL-WARSWE-GOTGER-BREUSA-STA

ITA-BRISWI-TICITA-FRI

SWI-VAFBEL-CHABEL-GHESPA-CATFRA-STR

FRA-LILFRA-TOU

0 20 40 60 80 100


Men

RUS-NOCPOL-TARRUS-NOI

YUG-NOSCHN-BEIRUS-MORUS-MOIUNK-GLACZE-CZEFIN-NKA

POL-WARLTU-KAUUNK-BEL

AUS-NEWFIN-KUO

NEZ-AUCUSA-STAFIN-TUL

GER-AUGGER-EGESWE-NSBEL-CHACAN-HAL

SWE-GOTAUS-PERSPA-CAT

ITA-FRIDEN-GLOGER-BREFRA-STRBEL-GHE

ITA-BRIICE-ICEFRA-LIL

FRA-TOU

0 20 40 60 80 100


CHD Stroke Other CVD Non CVD

WomenG6

Hot pursuit

Mixed pursuitCold pursuit

G7

AUS-NEWAUS-PERBEL-CHABEL-GHECAN-HALCHN-BEICZE-CZEDEN-GLOFIN-KUOFIN-NKAFIN-TULFRA-LIL

FRA-STRFRA-TOUGER-AURGER-AUUGER-BREGER-EGE

ICE-ICEITA-BRIITA-FRI

LTU-KAUNEZ-AUCPOL-TAR

POL-WARRUS-MOCRUS-MOIRUS-NOCRUS-NOISPA-CAT

SWE-GOTSWE-NSSWI-TIC

SWI-VAFUNK-BELUNK-GLAUSA-STAYUG-NOS

1980 1985 1990 1995

Early registration period Lagged registration period

G8

CHN-BEI

DEN-GLO

FIN-KUO

FIN-NKA

FIN-TUL

ITA-FRI

LTU-KAU

POL-WAR

RUS-MOC

RUS-MOI

RUS-NOC

RUS-NOI

SWE-GOT

SWE-NS

YUG-NOS

1980 1985 1990 1995

Early registration period Lagged registration period

G9

AUS-NEWAUS-PERBEL-CHABEL-GHECAN-HALCHN-BEICZE-CZEDEN-GLOFIN-KUOFIN-NKAFIN-TULFRA-LIL

FRA-STRFRA-TOUGER-AURGER-AUUGER-BREGER-EGE



POL-WARRUS-MOCRUS-MOIRUS-NOCRUS-NOISPA-CAT

SWE-GOTSWE-NSSWI-TIC

SWI-VAFUNK-BELUNK-GLAUSA-STAYUG-NOS

1980 1985 1990 1995

Initial survey Middle survey Final survey

G10

AUS-NEW

AUS-PER

BEL-GCH

CAN-HALCHN-BEI

CZE-CZE

DEN-GLO

FIN-FIN

FRA-LIL

FRA-STRFRA-TOU

GER-AUG

GER-BRE

GER-EGE

ICE-ICEITA-BRI

ITA-FRI

LTU-KAU

NEZ-AUC

POL-TAR

POL-WARRUS-MOS

RUS-NOV

SPA-CAT

SWE-GOT

SWE-NS

SWI-SWIUNK-BEL

UNK-GLA

USA-STA

YUG-NOS

1980 1985 1990 1995

AUS-NEW

AUS-PER

BEL-GCH

CAN-HALCHN-BEI

CZE-CZE

DEN-GLO

FIN-FIN

FRA-LIL

FRA-STRFRA-TOU

GER-AUG

GER-BRE

GER-EGE

ICE-ICEITA-BRI

ITA-FRI

LTU-KAU

NEZ-AUC

POL-TAR

POL-WARRUS-MOS

RUS-NOV

SPA-CAT

SWE-GOT

SWE-NS

SWI-SWIUNK-BEL

UNK-GLA

USA-STA

YUG-NOS

1980 1985 1990 1995

First coronary event registration period Second coronary event registration period First coronary care recording period Second coronary care recording period

G11

end of presentation A


Graphics B: Coronary Events, Incidence, Case Fatality and Mortality Rates


FIN-NKAFIN-KUO

UNK-GLAUNK-BELFIN-TUL

CAN-HALSWE-NSW

ICE-ICEDEN-GLOAUS-NEWPOL-WARCZE-CZEUSA-STA

RUS-MOCNEZ-AUCLTU-KAURUS-MOIBEL-CHARUS-NOCAUS-PERPOL-TARYUG-NOSSWE-GOT

RUS-NOIGER-BREBEL-GHEGER-EGEFRA-STRSWI-TIC

GER-AUGFRA-LILITA-BRIITA-FRI

SWI-VAFFRA-TOUSPA-CATCHN-BEI

0 200 400 600 800 10000

Average annual event rate per 100 000

Men

UNK-GLAUNK-BEL

AUS-NEWFIN-NKA

USA-STADEN-GLOPOL-WAR

FIN-KUOCAN-HAL

SWE-NSNEZ-AUCRUS-NOIICE-ICE

POL-TARFIN-TUL

RUS-NOCRUS-MOCBEL-CHARUS-MOI

YUG-NOSAUS-PER

SWE-GOTCZE-CZEBEL-GHEGER-BREFRA-STRGER-EGELTU-KAU

FRA-LILGER-AUG

ITA-FRIITA-BRI

FRA-TOUCHN-BEISPA-CAT

0 100 200 300 400 5000


Women

G12

UNK-GLAFIN-NKA

POL-WARFIN-KUOUNK-BELRUS-NOILTU-KAUCZE-CZEBEL-CHARUS-NOC

FIN-TULPOL-TAR

RUS-MOCCAN-HALRUS-MOIDEN-GLOYUG-NOSAUS-NEWSWE-NSW

ICE-ICEGER-EGENEZ-AUCAUS-PERUSA-STAGER-BRESWE-GOTBEL-GHE

FRA-LILSWI-TIC

FRA-STRITA-BRIITA-FRI

GER-AUGFRA-TOUSPA-CATSWI-VAFCHN-BEI

0 200 400 600 800 10000


Men

UNK-GLAUNK-BEL

POL-WARRUS-NOI

CAN-HALDEN-GLORUS-NOCUSA-STA

AUS-NEWBEL-CHAYUG-NOS

FIN-NKACZE-CZEFIN-KUOPOL-TARSWE-NS

NEZ-AUCGER-EGELTU-KAUGER-BRERUS-MOIFIN-TUL

AUS-PERICE-ICE

SWE-GOTRUS-MOCBEL-GHEGER-AUG

FRA-LILFRA-STR

ITA-FRISPA-CAT

ITA-BRICHN-BEIFRA-TOU

0 100 200 300 400 5000


Women

G13

80 82 84 86 88 90 92 94 96

Calender years 19--

0

200

400

600

800

1000

1200

Ave

rag

e an

nu

al e

ven

t ra

te p

er 1

00 0

00

Men

80 82 84 86 88 90 92 94 96

Calendar years 19--

0

200

400

600

800

1000

1200

Ave

rage

ann

ual e

vent

rat

e pe

r 10

0 00

0

Men

FIN-NKA

AUS-NEW

AUS-PERBEL-CHA

BEL-GHE

CAN-HAL

CHN-BEI

DEN-GLO

FIN-KUO

FIN-TUL

FRA-LILFRA-STR

FRA-TOU

GER-AUGGER-BREGER-EGE

ICE-ICE

ITA-BRI

ITA-FRI

LTU-KAUNEZ-AUC

POL-TAR

POL-WAR

RUS-MOCRUS-MOI

RUS-NOC

RUS-NOI

SPA-CAT

SWE-GOT

SWE-NSW

SWI-TIC

SWI-VAF

UNK-BELUNK-GLA

USA-STAYUG-NOS

80 82 84 86 88 90 92 94 96

Calender years 19--

0

50

100

150

200

250

300

350

Ave

rag

e an

nu

al e

ven

t ra

te p

er 1

00 0

00

Women

80 82 84 86 88 90 92 94 96

Calendar years 19--

0

50

100

150

200

250

300

350

Ave

rage

ann

ual e

vent

rat

e pe

r 10

0 00

0

Women

AUS-NEW

AUS-PERBEL-CHA

BEL-GHE

CAN-HAL

CHN-BEI

CZE-CZE

DEN-GLOFIN-KUO

FIN-NKA

FIN-TUL

FRA-LILFRA-STR

FRA-TOU

GER-AUG

GER-BRE

GER-EGE

ICE-ICE

ITA-BRI

ITA-FRILTU-KAU

NEZ-AUCPOL-TAR

POL-WAR

RUS-MOC

RUS-MOI

RUS-NOCRUS-NOI

SPA-CAT

SWE-GOT

SWE-NSW

UNK-BEL

UNK-GLA

USA-STA

YUG-NOS

G14

FIN-NKAFIN-KUOICE-ICE

SWE-NSAUS-NE

NEZ-AUCCAN-HALUNK-BELGER-AURUSA-STAFIN-TUL

DEN-GLOSWE-GOFRA-STRSWI-VAFBEL-GHEAUS-PERRUS-MOIGER-BRE

SWI-TICITA-BRI

FRA-TOUGER-AUUUNK-GLA

FRA-LILRUS-MO

ITA-FRIRUS-NO

GER-EGECZE-CZEBEL-CHA

YUG-NOSPOL-WA

POL-TARLTU-KAUSPA-CATCHN-BEIRUS-NOI

-15 -10 -5 0 5 100

Annual trend per cent

Men

RUS-MOCFRA-STR

AUS-NEWFIN-NKAFIN-TULFIN-KUOICE-ICE

SWE-GOTITA-BRI

NEZ-AUCBEL-GHEDEN-GLOUSA-STAUNK-BELSWE-NS

AUS-PERFRA-TOURUS-MOI

FRA-LILITA-FRI

CHN-BEIGER-AUUGER-BREPOL-TARUNK-GLACAN-HALPOL-WARBEL-CHA

RUS-NOCRUS-NOI

GER-EGESPA-CATCZE-CZELTU-KAU

YUG-NOSGER-AUR

-15 -10 -5 0 5 100


Women

G15

POL-TARPOL-WAR

FRA-LILRUS-NOC

CHN-BEIRUS-MOI

YUG-NOSRUS-MORUS-NOILTU-KAU

GER-AUGFRA-STRNEZ-AUCUSA-STACZE-CZEBEL-GHEDEN-GLOBEL-CHA

ITA-FRIGER-BRE

FIN-NKAUNK-GLA

FIN-TULGER-EGEFIN-KUOUNK-BELFRA-TOU

SWE-GOTAUS-NEW

SWI-VAFICE-ICEITA-BRI

SPA-CATCAN-HALSWE-NS

AUS-PERSWI-TIC

0 20 40 60 80 1000

Average case fatality per cent

Men

POL-TARCHN-BEIFRA-LIL

GER-EGEGER-AUGPOL-WARBEL-GHEFRA-TOURUS-NOCRUS-MOIFRA-STRRUS-NOI

ITA-BRIBEL-CHACZE-CZELTU-KAUUSA-STARUS-MO

ITA-FRIGER-BRE

FIN-TULDEN-GLOYUG-NOSNEZ-AUCUNK-GLA

AUS-NEWSPA-CATAUS-PERUNK-BEL

SWE-GOTFIN-KUOICE-ICEFIN-NKA

CAN-HALSWE-NS

0 20 40 60 80 1000


Women

G16

POL-TARRUS-MOI

RUS-MOCRUS-NOICHN-BEI

POL-WARRUS-NOCGER-AUGLTU-KAU

FRA-LILDEN-GLOYUG-NOSCZE-CZEGER-EGEGER-BREFIN-KUO

NEZ-AUCFIN-TULFIN-NKA

FRA-STRBEL-CHABEL-GHE

ITA-FRIUNK-GLA

SWE-GOTUSA-STA

ITA-BRIUNK-BEL

AUS-NEWSWI-VAFFRA-TOUSPA-CAT

ICE-ICEAUS-PERCAN-HALSWE-NSSWI-TIC

0 20 40 60 80 1000


Men

POL-TARCHN-BEIRUS-NOIFRA-LIL

RUS-MOIRUS-MO

GER-AUGRUS-NO

DEN-GLOGER-EGEYUG-NOSFRA-STRUSA-STAFRA-TOULTU-KAUBEL-GHEPOL-WA

NEZ-AUCCZE-CZEBEL-CHAGER-BRESPA-CATSWE-GO

ITA-FRIITA-BRI

UNK-GLAFIN-NKAAUS-NE

AUS-PERUNK-BELFIN-TULFIN-KUOICE-ICE

SWE-NSCAN-HAL

0 20 40 60 80 1000


Women

G17

SWI-TICFRA-TOUSWI-VAF

SWE-NSWAUS-NEW

ICE-ICEITA-FRI

BEL-CHAFRA-STRSPA-CATUSA-STABEL-GHEAUS-PERCAN-HALUNK-BELUNK-GLAGER-BRE

ITA-BRINEZ-AUCFIN-NKA

POL-WARYUG-NOS

FRA-LILFIN-TUL

RUS-NOCSWE-GOTCZE-CZEFIN-KUOLTU-KAUCHN-BEIPOL-TAR

GER-AUGRUS-NOI

DEN-GLOGER-EGERUS-MOCRUS-MOI

-15 -10 -5 0 5 10

Annual relative trend per cent

Men

ITA-BRICAN-HALFRA-TOUAUS-NEWGER-BREAUS-PERFRA-STRGER-EGEUNK-GLAPOL-WAR

ITA-FRIFIN-TUL

BEL-CHABEL-GHEUNK-BELLTU-KAUCZE-CZE

ICE-ICEPOL-TARUSA-STA

GER-AUGFIN-NKA

RUS-NOCSWE-NSWYUG-NOSNEZ-AUC

FRA-LILFIN-KUO

SWE-GOTCHN-BEI

RUS-MOCSPA-CATRUS-MOIDEN-GLORUS-NOI

-15 -10 -5 0 5 10


Women

G18

MONICA CHDOfficial CHD

Women

Average annual mortality rate per 100 000

UNK-GLAPOL-TARRUS-NOI

POL-WARDEN-GLOUNK-BEL

RUS-NOCUSA-STABEL-CHA

AUS-NEWRUS-MOINEZ-AUCFIN-NKA

CZE-CZERUS-MOCYUG-NOSGER-EGEFIN-KUOCAN-HALFIN-TUL

BEL-GHEFRA-LIL

LTU-KAUGER-BRE

SWE-NSWGER-AUGAUS-PER

SWE-GOTFRA-STR

ICE-ICECHN-BEI

ITA-FRIITA-BRI

FRA-TOUSPA-CAT

0 20 40 60 80 100 120 140

Men


FIN-NKAPOL-TARUNK-GLAPOL-WAR

FIN-KUORUS-MOCRUS-MOIUNK-BELRUS-NOI

RUS-NOCLTU-KAU

DEN-GLOCZE-CZEFIN-TUL

BEL-CHAYUG-NOSNEZ-AUCUSA-STACAN-HAL

AUS-NEWGER-EGE

SWE-NSWGER-BRE

ICE-ICEFRA-LIL

BEL-GHESWE-GOTGER-AUGAUS-PERFRA-STR

ITA-FRIITA-BRI

SWI-TICFRA-TOUSWI-VAFSPA-CATCHN-BEI

0 100 200 300 400 500

G19

MONICA CHDOfficial CHD

Men

SWE-NSWAUS-NEW

FIN-NKASWI-VAF

ICE-ICECAN-HALFRA-TOUUNK-BELSWI-TIC

FRA-STRUSA-STANEZ-AUCFIN-KUOBEL-GHEFIN-TUL

AUS-PERGER-BRE

SWE-GOTITA-BRIITA-FRI

DEN-GLOUNK-GLAGER-AUG

FRA-LILBEL-CHA

YUG-NOSRUS-NOCSPA-CATCZE-CZE

POL-WARGER-EGELTU-KAU

RUS-MOCPOL-TARRUS-MOICHN-BEIRUS-NOI

-15 -10 -5 0 5 10 Annual trend per cent

Women

ITA-BRI

AUS-NEWFRA-STR

FIN-TULFIN-NKA

RUS-MOCBEL-GHEFRA-TOU

ICE-ICEFIN-KUOCAN-HALAUS-PERUNK-BELNEZ-AUCUSA-STA

SWE-GOTITA-FRI

SWE-NSWUNK-GLAGER-BRE

POL-WARBEL-CHAPOL-TAR

FRA-LILRUS-MOIGER-EGEDEN-GLOGER-AUGCHN-BEICZE-CZELTU-KAU

RUS-NOCSPA-CAT

YUG-NOSRUS-NOI

-15 -10 -5 0 5 10 Annual trend per cent

G20

0 0.5 1 1.5 20

Coronary event quality score

-10

-5

0

5Tr

end

in M

ON

ICA

CH

D m

orta

lity

rate

0 0.5 1 1.5 20


-10

-5

0

5

Tren

d in

cor

onar

y ev

ent r

ate

0 0.5 1 1.5 20


-10

-5

0

5

Tren

d in

cas

e fa

talit

y

0 0.5 1 1.5 20


-10

-5

0

5

Tren

d in

MO

NIC

A C

HD

mor

talit

y ra

te

0 0.5 1 1.5 20


-10

-5

0

5Tr

end

in c

oron

ary

even

t rat

e

0 0.5 1 1.5 20


-10

-5

0

5

Tren

d in

cas

e fa

talit

y

Men

Wom

enMortality rate Event rate Case fatality

G21

SWE-NSAUS-NEW

FIN-NKASWI-VAFICE-ICE

CAN-HALFRA-TOUUNK-BELSWI-TIC

FRA-STRUSA-STANEZ-AUCFIN-KUO

BEL-GHEFIN-TUL

AUS-PERGER-BRESWE-GOT

ITA-BRIITA-FRI


FRA-LILBEL-CHA

YUG-NOSRUS-NOCSPA-CATCZE-CZE

POL-WARGER-EGELTU-KAU


-15 -10 -5 0 5 10


Men

AUS-NEWFRA-STR

ITA-BRIFIN-TULFIN-NKA


ICE-ICEFIN-KUO

CAN-HALAUS-PERUNK-BELNEZ-AUCUSA-STA

SWE-GOTITA-FRI

SWE-NSUNK-GLAGER-BREPOL-WARBEL-CHAPOL-TAR

FRA-LILRUS-MOIGER-EGEDEN-GLOGER-AUG

CHN-BEICZE-CZELTU-KAU

RUS-NOCSPA-CAT

YUG-NOSRUS-NOI

-15 -10 -5 0 5 10


Women

G22

SWE-NSWAUS-NEW

FIN-NKASWI-VAFICE-ICE

CAN-HALFRA-TOUUNK-BELSWI-TIC

FRA-STRUSA-STANEZ-AUCFIN-KUOBEL-GHEFIN-TUL

AUS-PERGER-BRE

SWE-GOTITA-BRIITA-FRI


FRA-LILBEL-CHAYUG-NOSRUS-NOCSPA-CATCZE-CZEPOL-WARGER-EGELTU-KAU


-15 -10 -5 0 5 10


Event rate

Case fatality

Men

AUS-NEWFRA-STR

ITA-BRIFIN-TULFIN-NKA


ICE-ICEFIN-KUOCAN-HALAUS-PERUNK-BELNEZ-AUCUSA-STA

SWE-GOTITA-FRI

SWE-NSWUNK-GLAGER-BREPOL-WARBEL-CHAPOL-TAR

FRA-LIL

RUS-MOIGER-EGEDEN-GLOGER-AUGCHN-BEICZE-CZELTU-KAU

RUS-NOCSPA-CAT

YUG-NOSRUS-NOI

-15 -10 -5 0 5 100


Event rate

Case fatality

Women

G23

Change in coronary event rate

Change in MONICA CHD mortality

Change in case fatality

Significant increaseInsignificant changeSignificant decrease

Men

G24

Change in coronary event rate

Change in MONICA CHD mortality

Change in case fatality

WomenSignificant increaseInsignificant changeSignificant decrease

G25

end of presentation B

MONICA Monograph Slide Presentations:

Graphics C: Strokes, Incidence, Case Fatality and Mortality Rates


RUS-NOI

RUS-NOC

FIN-KUOLTU-KAU

FIN-NKA

RUS-MOCCHN-BEI

FIN-TUL

YUG-NOSSWE-NS

DEN-GLO

RUS-MOIPOL-WAR

SWE-GOT

ITA-FRI

0 100 200 300 400 500


RUS-NOI

RUS-NOC

FIN-KUOCHN-BEI

LTU-KAU

RUS-MOCFIN-NKA

SWE-NS

FIN-TULYUG-NOS

RUS-MOI

DEN-GLOPOL-WAR

SWE-GOT

ITA-FRI

0 100 200 300 400 500


RUS-NOI

RUS-NOC

LTU-KAUFIN-KUO

FIN-NKA

CHN-BEIFIN-TUL

RUS-MOI

SWE-NSRUS-MOC

YUG-NOS

POL-WARDEN-GLO

SWE-GOT

ITA-FRI

0 100 200 300 400 500


RUS-NOI

RUS-NOC

CHN-BEILTU-KAU

SWE-NS

FIN-KUOYUG-NOS

FIN-NKA

FIN-TULRUS-MOC

POL-WAR

DEN-GLORUS-MOI

SWE-GOT

ITA-FRI

0 100 200 300 400 500


Men WomenF

irst p

erio

dF

inal

per

iod

G26

82 84 86 88 90 92 94 96

Calendar years 19--

0

100

200

300

400

500

600

Eve

nt r

ate

per

100

000

82 84 86 88 90 92 94 96

Calendar years 19--

0

100

200

300

400

500

600E

vent

rat

e pe

r 10

0 00

0

CHN-BEI

DEN-GLO

FIN-KUOFIN-NKA

FIN-TUL

ITA-FRI

LTU-KAU

POL-WAR

RUS-MOC

RUS-MOI

RUS-NOC

RUS-NOI

SWE-GOT

SWE-NSW

YUG-NOS

Men

CHN-BEI

DEN-GLO

FIN-KUO

FIN-NKA

FIN-TUL

ITA-FRI

LTU-KAU

POL-WAR

RUS-MOC

RUS-MOI

RUS-NOC

RUS-NOI

SWE-GOT

SWE-NSWYUG-NOS

WomenG27

POL-WARRUS-MOI

RUS-NOCYUG-NOS

ITA-FRI

RUS-MOCRUS-NOICHN-BEI

FIN-TULLTU-KAU

FIN-NKAFIN-KUO

SWE-GOT

DEN-GLOSWE-NS

0 20 40 60 80 100


POL-WARYUG-NOS

RUS-MOIITA-FRI

RUS-MOC

RUS-NOCCHN-BEIFIN-KUO

RUS-NOIFIN-TUL

SWE-GOTLTU-KAUFIN-NKA

SWE-NSDEN-GLO

0 20 40 60 80 100


RUS-MOIRUS-MOC

YUG-NOSPOL-WARRUS-NOI

RUS-NOCLTU-KAUCHN-BEI

ITA-FRIDEN-GLO

FIN-NKASWE-GOT

FIN-TUL

FIN-KUOSWE-NS

0 20 40 60 80 100


RUS-MOIRUS-MOC

POL-WARYUG-NOSRUS-NOC

ITA-FRICHN-BEILTU-KAU

SWE-GOTFIN-TUL

RUS-NOIDEN-GLOFIN-NKA

SWE-NSFIN-KUO

0 20 40 60 80 100


Firs

t per

iod

Fin

al p

erio

dMen Women

G28

DEN-GLO

RUS-MOCFIN-KUO

FIN-NKA

FIN-TULRUS-NOC

YUG-NOS

ITA-FRICHN-BEI

SWE-NS

POL-WARRUS-NOI

SWE-GOT

RUS-MOILTU-KAU

-20 -10 0 10 20 30


RUS-MOC

FIN-KUO

RUS-MOI

DEN-GLOFIN-TUL

FIN-NKA

ITA-FRISWE-GOT

RUS-NOC

YUG-NOS

CHN-BEIPOL-WAR

LTU-KAU

RUS-NOI

SWE-NS

-20 -10 0 10 20 30


ITA-FRI

FIN-TUL

POL-WARFIN-NKA

SWE-NS

FIN-KUOCHN-BEI

SWE-GOT

DEN-GLOLTU-KAU

YUG-NOS

RUS-NOIRUS-NOC

RUS-MOC

RUS-MOI

-20 -10 0 10 20 30


FIN-KUO

ITA-FRI

CHN-BEIPOL-WAR

SWE-NS

FIN-NKARUS-NOC

YUG-NOS

RUS-NOISWE-GOT

DEN-GLO

FIN-TULLTU-KAU

RUS-MOC

RUS-MOI

-20 -10 0 10 20 30


Men WomenE

vent

rat

eC

ase

fata

lity

G29

RUS-NOC

RUS-NOI

POL-WARRUS-MOC

YUG-NOS

RUS-MOIFIN-KUO

LTU-KAU

FIN-NKACHN-BEI

FIN-TUL

ITA-FRISWE-NS

DEN-GLO

SWE-GOT

0 40 80 120 160


RUS-NOC

RUS-NOI

YUG-NOSCHN-BEI

RUS-MOC

FIN-KUOPOL-WAR

RUS-MOI

LTU-KAUFIN-NKA

FIN-TUL

ITA-FRISWE-NS

DEN-GLO

SWE-GOT

0 40 80 120 160


RUS-NOI

RUS-MOI

RUS-NOCRUS-MOC

LTU-KAU

YUG-NOSPOL-WAR

CHN-BEI

FIN-NKAFIN-KUO

FIN-TUL

DEN-GLOITA-FRI

SWE-GOT

SWE-NS

0 40 80 120 160


RUS-NOI

RUS-NOC

YUG-NOSCHN-BEI

RUS-MOI

RUS-MOCLTU-KAU

POL-WAR

FIN-TULFIN-NKA

SWE-NS

FIN-KUODEN-GLO

ITA-FRI

SWE-GOT

0 40 80 120 160


Men WomenF

irst p

erio

dF

inal

per

iod

G30

ITA-FRI

FIN-TUL

FIN-KUO

FIN-NKADEN-GLO

POL-WAR

SWE-NSCHN-BEI

YUG-NOS

SWE-GOT

RUS-NOILTU-KAU

RUS-NOC

RUS-MOC

RUS-MOI

-20 -10 0 10 20 30


FIN-KUO

ITA-FRI

RUS-MOC

CHN-BEIDEN-GLO

POL-WAR

FIN-NKARUS-NOC

SWE-NS

YUG-NOS

SWE-GOTRUS-NOI

FIN-TUL

RUS-MOI

LTU-KAU

-20 -10 0 10 20 30


ITA-FRI

FIN-TUL

FIN-KUO

FIN-NKADEN-GLO

POL-WAR

SWE-NSCHN-BEI

YUG-NOS

SWE-GOT

RUS-NOILTU-KAU

RUS-NOC

RUS-MOC

RUS-MOI

-20 -10 0 10 20 30


Event rate

Case fatality

FIN-KUO

ITA-FRI

RUS-MOC

CHN-BEIDEN-GLO

POL-WAR

FIN-NKARUS-NOC

SWE-NS

YUG-NOS

SWE-GOTRUS-NOI

FIN-TUL

RUS-MOI

LTU-KAU

-20 -10 0 10 20 30


Event rate

Case fatality

Men WomenM

orta

lity

rate

Eve

nt r

ate

and

ca

se fa

talit

yG31

Change in stroke event rate

Change in MONICA stroke mortality rate

Change in stroke case fatality

Men

Significant increaseInsignificant changeSignificant decrease

G32

Change in MONICA stroke mortality rate Change in stroke event rate Change in stroke case fatality

WomenSignificant increaseInsignificant changeSignificant decrease

G33

0 0.5 1 1.5 20

Stroke event quality score

-12

-8

-4

0

4

8

12Tr

end

in s

trok

e m

orta

lity

rate

0 0.5 1 1.5 20


-12

-8

-4

0

4

8

12

Tren

d in

str

oke

mor

talit

y ra

te

0 0.5 1 1.5 20


-12

-8

-4

0

4

8

12

Tren

d in

str

oke

even

t rat

e

0 0.5 1 1.5 20


-10

-5

0

5

10

Tren

d in

str

oke

even

t rat

e

0 0.5 1 1.5 20


-12

-8

-4

0

4

8

12

Tren

d in

str

oke

case

fata

lity

0 0.5 1 1.5 20


-12

-8

-4

0

4

8

12

Tren

d in

str

oke

case

fata

lity

Men

Wom

en

Mortality rate Event rate Case fatality

G34

FIN-KUO

FIN-NKA

FIN-TUL

SWE-NS

POL-WAR

LTU-KAU

RUS-MOI

DEN-GLO

SWE-GOT

RUS-MOC

ITA-FRI

YUG-NOS

CHN-BEI

0 10 20 30 40 50


FIN-KUO

SWE-NS

FIN-NKA

FIN-TUL

DEN-GLO

SWE-GOT

POL-WAR

LTU-KAU

ITA-FRI

YUG-NOS

RUS-MOC

RUS-MOI

CHN-BEI

0 10 20 30 40 50


RUS-MOI

RUS-MOC

LTU-KAU

YUG-NOS

FIN-TUL

FIN-NKA

POL-WAR

FIN-KUO

ITA-FRI

DEN-GLO

SWE-NS

SWE-GOT

CHN-BEI

0 20 40 60 80 100


RUS-MOI

RUS-MOC

YUG-NOS

LTU-KAU

FIN-KUO

POL-WAR

DEN-GLO

ITA-FRI

FIN-TUL

SWE-NS

FIN-NKA

SWE-GOT

CHN-BEI

0 20 40 60 80 100


Men WomenE

vent

rat

eC

ase

fata

lity

G35

end of presentation C


Graphics D: Risk Factors



Graphics D: Risk Factors

Part 1. Cigarette Smoking

RUS-NOCPOL-WARPOL-TARRUS-NOIUNK-GLABEL-CHACHN-BEI

YUG-NOSRUS-MOCSPA-CATDEN-GLOGER-BRECZE-CZE

ITA-BRIBEL-GHERUS-MOI

FRA-LILSWI-TIC

LTU-KAUGER-EGEFRA-TOUUSA-STA

GER-AUUITA-FRI

FIN-KUOFRA-STR

AUS-NEWUNK-BELAUS-PERSWI-VAF

SWE-GOTFIN-TUL

GER-AURFIN-NKA

NEZ-AUCCAN-HAL

ICE-ICESWE-NSW

0 20 40 60 80 100

Percentage of daily cigarette smokers

Men

UNK-GLADEN-GLO

ICE-ICESWE-GOTUSA-STA

POL-WARUNK-BELGER-BRECAN-HAL

SWE-NSWYUG-NOS

ITA-FRIBEL-GHENEZ-AUC

SWI-TICBEL-CHA

AUS-NEWAUS-PERCZE-CZESWI-VAF

ITA-BRIGER-AUUFRA-TOU

FIN-TULCHN-BEI

GER-EGEFRA-STR

FRA-LILRUS-MOI

RUS-MOCGER-AURPOL-TARFIN-KUOFIN-NKA

SPA-CATLTU-KAU

RUS-NOCRUS-NOI

0 20 40 60 80 100


WomenG36

CHN-BEIRUS-NOCRUS-NOIPOL-TAR

POL-WARYUG-NOSBEL-CHARUS-MO

GER-BREDEN-GLOBEL-GHERUS-MOISPA-CATUNK-GLACZE-CZESWI-TIC

GER-AUULTU-KAU

ITA-BRIFRA-LIL

CAN-HALFIN-KUOFIN-TULITA-FRI

UNK-BELFIN-NKASWI-VAF

GER-EGESWE-GOTGER-AURFRA-TOUAUS-PERFRA-STR

ICE-ICEUSA-STA

AUS-NEWSWE-NS

NEZ-AUC

0 20 40 60 80 100


Men

DEN-GLOUNK-GLAPOL-WAR

ICE-ICEGER-BREYUG-NOSBEL-CHA

SWE-GOTSWE-NS

BEL-GHESWI-TIC

GER-AUUCAN-HALSWI-VAFUNK-BELCZE-CZE

ITA-BRIITA-FRI

FRA-TOUPOL-TARUSA-STAFIN-TULFRA-LIL

AUS-NEWGER-AURSPA-CATFRA-STRNEZ-AUCRUS-MOIRUS-MOFIN-KUO

AUS-PERFIN-NKA

GER-EGECHN-BEIRUS-NOI

RUS-NOCLTU-KAU

0 20 40 60 80 100


Women

G37

USA-STAITA-BRI

FRA-TOUUNK-GLAFRA-STR

AUS-NEWGER-EGENEZ-AUCAUS-PERSPA-CAT

POL-WARCZE-CZE

SWE-GOTUNK-BELSWI-VAF

ITA-FRIFRA-LIL

GER-AURFIN-KUOSWI-TIC

LTU-KAUFIN-NKA

POL-TARICE-ICE

BEL-CHASWE-NS

RUS-MOCDEN-GLO

FIN-TULBEL-GHERUS-NOCGER-AUUGER-BREYUG-NOSRUS-MOICAN-HALRUS-NOICHN-BEI

-30 -20 -10 0 10 20 30

Ten-year trend in percentage of daily smokers

Men

USA-STAUNK-BELNEZ-AUCUNK-GLA

ICE-ICECHN-BEI

AUS-PERAUS-NEWSWE-GOTGER-EGE

ITA-FRICAN-HALPOL-WARFRA-STRDEN-GLOGER-BRELTU-KAUFIN-TUL

RUS-MOCRUS-MOISWE-NS

RUS-NOCFIN-KUOSWI-TIC

CZE-CZEFIN-NKA

GER-AURYUG-NOSFRA-TOU

FRA-LILSWI-VAF

ITA-BRIBEL-GHERUS-NOI

GER-AUUBEL-CHASPA-CATPOL-TAR

-30 -20 -10 0 10 20 30

Ten-year trend in percentage of daily smokers

Women

G38

Men Women

Significant increaseInsignificant change Significant decrease

G39


Risk Factors

Part 2. Systolic Blood Pressure

FIN-KUOFRA-STRFIN-NKAFIN-TUL

POL-WARRUS-MOI

ITA-FRIGER-EGEGER-BRE

FRA-LILCZE-CZELTU-KAUUNK-GLA

ITA-BRIRUS-MOCGER-AUUGER-AURYUG-NOSRUS-NOIUNK-BELPOL-TARAUS-PER

SWI-TICSWE-GOT

SWI-VAFAUS-NEWRUS-NOCNEZ-AUCFRA-TOUSWE-NSCHN-BEIBEL-CHAUSA-STABEL-GHEDEN-GLO

ICE-ICECAN-HALSPA-CAT

100 110 120 130 140 150

Mean systolic blood pressure in mmHg

Men

FIN-KUORUS-MOIFIN-NKA

POL-WARRUS-MOCGER-EGE

FIN-TULGER-BRE

ITA-FRIFRA-STRLTU-KAUPOL-TARRUS-NOICZE-CZE

YUG-NOSFRA-LIL

UNK-GLARUS-NOC

ITA-BRIGER-AURUNK-BELSWI-TIC

GER-AUUAUS-NEW

CHN-BEISWE-NS

SWE-GOTAUS-PERSWI-VAFFRA-TOUNEZ-AUCBEL-CHADEN-GLOUSA-STASPA-CATBEL-GHE

ICE-ICECAN-HAL

100 110 120 130 140 150


Women

G40

FIN-NKAGER-EGEFIN-KUO

ITA-FRIFIN-TUL

LTU-KAUCZE-CZEGER-AUUYUG-NOSGER-AURFRA-STRRUS-NOIUNK-BEL

FRA-LILAUS-PER

SWE-GOTPOL-TARRUS-MOIUNK-GLAPOL-WARSWI-VAF

GER-BRESWI-TIC

RUS-NOCCHN-BEI

AUS-NEWBEL-CHA

ITA-BRISWE-NSRUS-MO

CAN-HALBEL-GHEUSA-STANEZ-AUCDEN-GLOFRA-TOU

ICE-ICESPA-CAT

100 110 120 130 140 150


Men

FIN-KUOGER-EGE

FIN-NKAYUG-NOSRUS-NOIFIN-TULITA-FRI

LTU-KAUPOL-TARCZE-CZERUS-MOI

RUS-MOCRUS-NOCGER-AUUCHN-BEI

SWE-GOTUNK-BEL

GER-AURFRA-LIL

GER-BREPOL-WARAUS-NEWFRA-STR

ITA-BRIUNK-GLA

SWE-NSWCAN-HALAUS-PERBEL-CHASWI-VAFSWI-TIC

NEZ-AUCBEL-GHEDEN-GLO

ICE-ICEUSA-STASPA-CATFRA-TOU

100 110 120 130 140 150


Women

G41

POL-WARGER-BRERUS-MOIFRA-STR

ITA-BRIFIN-KUO

RUS-MOCFRA-TOU

FRA-LILUNK-GLANEZ-AUC

FIN-TULSPA-CATSWI-TICITA-FRI

FIN-NKADEN-GLO

SWE-NSWCZE-CZEUSA-STA

AUS-NEWAUS-PERRUS-NOC

ICE-ICERUS-NOI

GER-AURPOL-TARSWI-VAFBEL-CHA

YUG-NOSLTU-KAU

GER-EGECHN-BEI

GER-AUUUNK-BEL

SWE-GOTBEL-GHECAN-HAL

-20 -15 -10 -5 0 5 10 15

Ten-year trend in systolic blood pressure in mmHg

Men

POL-WARGER-BRERUS-MOIFRA-STR

RUS-MOCFRA-TOU

SWI-TICUNK-GLA

ITA-BRIFIN-KUOFRA-LILFIN-NKA

SPA-CATITA-FRI

USA-STADEN-GLOSWE-NS

GER-AURSWI-VAFLTU-KAUFIN-TUL

CZE-CZERUS-NOCNEZ-AUCAUS-PERPOL-TARGER-EGEUNK-BEL

AUS-NEWBEL-CHABEL-GHEGER-AUURUS-NOIICE-ICE

SWE-GOTCHN-BEI

YUG-NOSCAN-HAL

-20 -15 -10 -5 0 5 10 15

Ten-year trend in systolic blood pressure in mmHg

Women

G42

Men Women


G43


Risk Factors

Part 3. Total Cholesterol

FRA-LILSWI-VAFFIN-KUOFIN-NKA

CZE-CZESWE-NSW

ITA-FRIGER-AUUUNK-GLA

FIN-TULGER-AURSWE-GOT

ICE-ICEBEL-GHEBEL-CHAGER-BREUNK-BELLTU-KAU

GER-EGEDEN-GLOCAN-HALFRA-TOUAUS-PER

AUS-NEWSPA-CATNEZ-AUCRUS-MOI

ITA-BRIFRA-STR

RUS-NOCSWI-TIC

POL-WARRUS-MOCUSA-STARUS-NOI

YUG-NOSPOL-TARCHN-BEI

4 4.5 5 5.5 6 6.5 7

Mean total cholesterol in mmol/l

Men

UNK-GLACZE-CZEFIN-NKAICE-ICEFRA-LIL

SWE-NSWFIN-KUO

SWE-GOTFIN-TUL

SWI-VAFITA-FRI

GER-BREGER-AUULTU-KAUUNK-BELBEL-CHA

GER-AURBEL-GHE

GER-EGEDEN-GLOCAN-HALRUS-MOIRUS-NOIAUS-PERRUS-NOCNEZ-AUC

AUS-NEWFRA-TOU

RUS-MOCSPA-CAT

YUG-NOSPOL-WARPOL-TAR

ITA-BRIFRA-STRSWI-TIC

USA-STACHN-BEI

4 4.5 5 5.5 6 6.5 7


WomenG44

SWI-TICYUG-NOSSWI-VAFSWE-NSICE-ICE

GER-AUUGER-BREBEL-CHACZE-CZEGER-AURUNK-GLABEL-GHEFIN-NKA

FRA-STRFIN-KUOLTU-KAUDEN-GLO

ITA-BRIUNK-BELFIN-TULITA-FRIFRA-LIL

FRA-TOUGER-EGEAUS-NEWPOL-WARNEZ-AUCCAN-HALSPA-CATPOL-TAR

SWE-GOTAUS-PERUSA-STARUS-NOIRUS-MOIRUS-MO

RUS-NOCCHN-BEI

4 4.5 5 5.5 6 6.5 7


Men

LTU-KAUSWI-TIC

YUG-NOSGER-BRECZE-CZESWE-NSBEL-CHAUNK-GLASWI-VAFICE-ICE

BEL-GHEGER-AURGER-AUUUNK-BELFRA-STR

ITA-BRIFRA-LIL

DEN-GLOGER-EGECAN-HALFIN-KUOFIN-NKAFIN-TULITA-FRI

POL-WARFRA-TOU

AUS-NEWNEZ-AUC

RUS-MOCSPA-CATPOL-TARRUS-MOI

SWE-GOTRUS-NOIAUS-PERRUS-NOCUSA-STACHN-BEI

4 4.5 5 5.5 6 6.5 7


WomenG45

FRA-LILRUS-NOCSWE-GOT

ITA-FRIRUS-MOIFIN-KUO

CAN-HALFIN-NKAFIN-TUL

RUS-NOIRUS-MOCCZE-CZEBEL-GHEUNK-GLAAUS-PERSPA-CATGER-EGEUNK-BELSWI-VAFUSA-STAFRA-TOUGER-AUUGER-AURAUS-NEWLTU-KAUSWE-NS

DEN-GLONEZ-AUCBEL-CHA

ICE-ICEGER-BREPOL-WARPOL-TARCHN-BEIFRA-STR

ITA-BRIYUG-NOS

SWI-TIC

-1.5 -1 -0.5 0 0.5 1 1.5 2

Ten-year trend in total cholesterol in mmol/l

Men

SWE-GORUS-NOFRA-LILFIN-NKAITA-FRI

RUS-NOIFIN-KUOFIN-TUL

RUS-MOIAUS-PERUNK-GLACZE-CZE

ICE-ICERUS-MOUNK-BELNEZ-AUCGER-AUUGER-EGESPA-CATAUS-NE

FRA-TOUSWE-NS

DEN-GLOSWI-VAFCAN-HALGER-AURBEL-GHEUSA-STAPOL-TARLTU-KAUPOL-WA

GER-BREBEL-CHACHN-BEIFRA-STR

YUG-NOSITA-BRISWI-TIC

-1.5 -1 -0.5 0 0.5 1 1.5 2

Ten-year trend in total cholesterol in mmol/l

Women

G46

Men Women


G47


Risk Factors

Part 4 Obesity - Body Mass Index

LTU-KAURUS-NOCRUS-NOI

RUS-MOCCZE-CZERUS-MOI

YUG-NOSPOL-TAR

POL-WARFIN-NKA

SPA-CATBEL-CHAFRA-STR

GER-AURFIN-KUO

ITA-FRIGER-BREBEL-GHE

GER-AUUFIN-TUL

UNK-GLAGER-EGECAN-HAL

FRA-LILUNK-BEL

SWE-NSWAUS-NEW

SWI-TICITA-BRI

SWI-VAFAUS-PER

ICE-ICEUSA-STAFRA-TOUNEZ-AUCCHN-BEI

DEN-GLOSWE-GOT

20 22 24 26 28 30

Mean body mass index (BMI) in kg/m

Women

2

LTU-KAUGER-AURCZE-CZEFRA-STRSWI-TIC

GER-AUUFIN-NKAFIN-TUL

CAN-HALBEL-CHAFIN-KUO

YUG-NOSPOL-WA

GER-BREITA-FRI

AUS-NEGER-EGERUS-MOISWI-VAFRUS-NO

BEL-GHERUS-NOISPA-CATRUS-MOUSA-STASWE-NSUNK-BEL

FRA-LILUNK-GLADEN-GLO

ICE-ICEFRA-TOUAUS-PER

ITA-BRINEZ-AUCPOL-TARSWE-GOCHN-BEI

20 22 24 26 28 30


Men

2

G48

RUS-NOIRUS-NOCPOL-TARLTU-KAU

YUG-NOSCZE-CZECAN-HALPOL-WARSPA-CAT

AUS-NEWFIN-KUOFIN-NKA

UNK-GLAGER-AURBEL-CHAUSA-STAGER-AUURUS-MOFRA-LIL

GER-EGERUS-MOIGER-BRE

ICE-ICEFIN-TUL

FRA-STRAUS-PERBEL-GHE

ITA-FRISWE-NS

NEZ-AUCUNK-BEL

ITA-BRISWI-TIC

SWE-GOTSWI-VAF

DEN-GLOFRA-TOUCHN-BEI

20 22 24 26 28 30


Women

2

AUS-NEWGER-AURCZE-CZECAN-HALFIN-NKA

FRA-STRFIN-KUO

YUG-NOSFIN-TUL

GER-AUUBEL-CHA

POL-WARLTU-KAU

GER-EGEUSA-STA

ITA-FRIICE-ICE

UNK-GLAGER-BRENEZ-AUCSPA-CATSWI-VAFSWI-TICITA-BRI

AUS-PERSWE-NSW

FRA-LILBEL-GHEUNK-BEL

SWE-GOTRUS-NOIFRA-TOUDEN-GLORUS-NOCPOL-TARRUS-MOI

RUS-MOCCHN-BEI

20 22 24 26 28 30


Men

2

G49

RUS-MOISWI-TIC

RUS-MOCLTU-KAU

RUS-NOCFRA-STR

GER-AUURUS-NOICZE-CZEDEN-GLO

FIN-TULSWI-VAF

GER-BREITA-FRI

POL-WARGER-AURFRA-TOUFIN-KUOUNK-BEL

GER-EGEFRA-LIL

POL-TARBEL-CHA

YUG-NOSBEL-GHEFIN-NKA

CAN-HALSWE-NSWSPA-CATAUS-PERCHN-BEI

SWE-GOTITA-BRI

NEZ-AUCICE-ICE

UNK-GLAUSA-STA

AUS-NEW

-4 -3 -2 -1 0 1 2 3 4

Ten-year trend in body mass index (BMI) in kg/m

Men

2

RUS-MOCRUS-MOILTU-KAU

RUS-NOCCZE-CZE

ITA-FRIFRA-STRBEL-CHA

YUG-NOSSWI-VAFRUS-NOIFRA-TOUBEL-GHEFIN-NKASWI-TICCHN-BEIUNK-BELGER-BREPOL-WARGER-AURSWE-NSFIN-TUL

DEN-GLOITA-BRI

SPA-CATGER-AUUGER-EGESWE-GOTPOL-TARFIN-KUO

UNK-GLAFRA-LIL

NEZ-AUCAUS-PER

ICE-ICEAUS-NEWUSA-STACAN-HAL

-4 -3 -2 -1 0 1 2 3 4

Ten-year trend in body mass index (BMI) in kg/m

Women

2

G50

Men Women


G51


Risk Factors

Part 5 Coronary Risk-Factor Scores and Coronary Risk-Factor Quality Scores

FIN-KUOFIN-NKA

CZE-CZEFRA-LILITA-FRI

UNK-GLAFIN-TUL

GER-BREPOL-WARGER-AUULTU-KAUGER-EGESWI-VAF

GER-AURFRA-STRBEL-CHARUS-MOI

RUS-NOCUNK-BEL

SWE-GOTSWE-NSRUS-MORUS-NOI

ITA-BRIBEL-GHEYUG-NOSPOL-TARDEN-GLOFRA-TOU

AUS-NEWAUS-PER

SWI-TICICE-ICE

SPA-CATCAN-HALNEZ-AUCUSA-STACHN-BEI

5 5.5 6 6.5 7 7.5 8

Mean risk-factor score

Men

UNK-GLAFIN-KUOFIN-NKA

GER-BREPOL-WAITA-FRI

RUS-MOICZE-CZEFIN-TUL

GER-EGEUNK-BELRUS-MOSWE-GOFRA-LIL

LTU-KAUSWE-NS

YUG-NOSDEN-GLOGER-AUURUS-NOIFRA-STR

ICE-ICEGER-AURPOL-TARSWI-VAFAUS-NEITA-BRI

AUS-PERBEL-CHARUS-NOSWI-TIC

NEZ-AUCFRA-TOUBEL-GHEUSA-STACAN-HALSPA-CATCHN-BEI

5 5.5 6 6.5 7 7.5 8


WomenG52

YUG-NOSCZE-CZESWI-TICFIN-NKA

GER-AUUFIN-KUO

GER-BREBEL-CHALTU-KAUUNK-GLAGER-AUR

FIN-TULITA-FRI

SWI-VAFPOL-WARGER-EGEFRA-STRBEL-GHEPOL-TAR

FRA-LILUNK-BEL

SWE-NSWRUS-NOI

ITA-BRIDEN-GLO

ICE-ICEAUS-NEWRUS-MOICAN-HAL

SWE-GOTAUS-PERRUS-NOCRUS-MOCFRA-TOUSPA-CATNEZ-AUCUSA-STACHN-BEI

5 5.5 6 6.5 7 7.5 8


Men

YUG-NOSCZE-CZEFIN-KUO

UNK-GLAGER-BRE

FIN-NKAGER-EGE

FIN-TULLTU-KAUGER-AUU

ITA-FRIUNK-BELSWE-NSPOL-TAR

POL-WARSWI-TIC

BEL-CHADEN-GLORUS-NOI

GER-AURITA-BRI

SWI-VAFRUS-MOIRUS-MO

SWE-GOTFRA-LILICE-ICE

FRA-STRCAN-HALBEL-GHE

AUS-NEWRUS-NOCAUS-PERNEZ-AUCFRA-TOUSPA-CATUSA-STACHN-BEI

5 5.5 6 6.5 7 7.5 8


WomenG53

FRA-LILRUS-MOI

RUS-NOCFIN-KUO

RUS-MOCITA-FRI

FRA-TOUSWE-GOTUNK-GLA

POL-WARFIN-TUL

SPA-CATCZE-CZEFIN-NKA

GER-BREAUS-PERUSA-STANEZ-AUCGER-EGEFRA-STRSWI-VAF

AUS-NEWRUS-NOIUNK-BELLTU-KAU

GER-AURDEN-GLO

SWE-NSWCAN-HAL

ITA-BRIGER-AUUBEL-CHABEL-GHE

ICE-ICEPOL-TARCHN-BEI

YUG-NOSSWI-TIC

-0.6 -0.3 0 0.3 0.6

Ten-year trend in risk-factor score

Men

RUS-MOIPOL-WARUNK-GLAGER-BRERUS-MOC

ITA-FRIFIN-KUOFRA-LILFIN-NKA

FRA-TOUAUS-PERUSA-STA

SWE-GOTNEZ-AUCUNK-BEL

RUS-NOCFIN-TUL

GER-EGEAUS-NEWDEN-GLOCZE-CZEFRA-STR

ICE-ICESWE-NSSPA-CATRUS-NOISWI-VAF

GER-AURLTU-KAU

ITA-BRIBEL-GHEGER-AUUCHN-BEIPOL-TARBEL-CHASWI-TIC

CAN-HALYUG-NOS

-0.6 -0.3 0 0.3 0.6

Ten-year trend in risk- factor score

Women

.G54

Men Women


G55

0 0.5 1 1.5 20

Smoking quality score

-20

-10

0

10

20

Tre

nd in

dai

ly s

mok

ing

0 0.5 1 1.5 20

Smoking quality score

-20

-10

0

10

20

Tre

nd in

dai

ly s

mok

ing

0 0.5 1 1.5 20

Blood pressure quality score

-20

-15

-10

-5

0

5

10

15

Tre

nd in

sys

tolic

blo

od p

ress

ure

0 0.5 1 1.5 20

Blood pressure quality score

-20

-15

-10

-5

0

5

10

15

Tre

nd in

sys

tolic

blo

od p

ress

ure

0 0.5 1 1.5 20

Cholesterol quality score

-1

-0.5

0

0.5

1

1.5

Tre

nd in

tota

l cho

lest

erol

0 0.5 1 1.5 20

Cholesterol quality score

-1

-0.5

0

0.5

1

1.5

Tre

nd in

tota

l cho

lest

erol

0 0.5 1 1.5 20

BMI quality score

-3

-2

-1

0

1

2

3

Tre

nd in

BM

I

0 0.5 1 1.5 20

BMI quality score

-3

-2

-1

0

1

2

3

Tre

nd in

BM

I

Men

Daily cigarette smoking

Body mass indexBlood cholesterol concentration

Systolic blood pressure

G56

end of presentation D


Graphics E: Eight Evidence-Based Treatments in Coronary Care

Prepared by Hanna Tolonen and by Hugh Tunstall-Pedoe

AUS-NEWAUS-PERBEL-GCHCAN-HALCHN-BEICZE-CZE

DEN-GLOFIN-FINFRA-LIL

FRA-STRFRA-TOUGER-AUG

GER-BREGER-EGE


LTU-KAUNEZ-AUC

POL-TARPOL-WARRUS-MOSRUS-NOVSPA-CAT

SWE-GOT

SWE-NSSWI-SWIUNK-BELUNK-GLAUSA-STAYUG-NOS

0 10 20 30 40 50

Percentage of beta blocker use in two time periods

Increase

Decrease

No change

Men




GER-BREGER-EGE


LTU-KAU

NEZ-AUCPOL-TAR

POL-WARRUS-MOSRUS-NOVSPA-CAT

SWE-GOTSWE-NSSWI-SWIUNK-BELUNK-GLAUSA-STA

YUG-NOS

0 10 20 30 40 50


Women

*

G57

AUS-NEWAUS-PERBEL-GCHCAN-HAL

CHN-BEICZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STRFRA-TOUGER-AUGGER-BRE

GER-EGEICE-ICEITA-BRIITA-FRI

LTU-KAU

NEZ-AUCPOL-TAR

POL-WARRUS-MOS

RUS-NOVSPA-CAT

SWE-GOTSWE-NSSWI-SWI

UNK-BELUNK-GLAUSA-STAYUG-NOS

0 20 40 60 80 100


Increase

Decrease

No change

Men

AUS-NEWAUS-PERBEL-GCH

CAN-HALCHN-BEICZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STRFRA-TOU


ICE-ICE

ITA-BRIITA-FRI

LTU-KAUNEZ-AUC

POL-TARPOL-WARRUS-MOS

RUS-NOVSPA-CAT

SWE-GOTSWE-NS

SWI-SWIUNK-BELUNK-GLAUSA-STA

YUG-NOS

0 20 40 60 80 100


Women

*

G58

AUS-NEWAUS-PERBEL-GCHCAN-HALCHN-BEI

CZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STR

FRA-TOUGER-AUGGER-BREGER-EGE

ICE-ICE

ITA-BRIITA-FRI


POL-WAR

RUS-MOSRUS-NOVSPA-CAT

SWE-GOTSWE-NS

SWI-SWIUNK-BELUNK-GLAUSA-STAYUG-NOS

0 10 20 30 40 50

Percentage of antiplatelet use in two time periods

Increase

Decrease

No change

Men


CZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STR


ICE-ICEITA-BRI

ITA-FRILTU-KAUNEZ-AUCPOL-TAR

POL-WAR


SWE-GOTSWE-NS


YUG-NOS

0 10 20 30 40 50


Women

*

G59

AUS-NEWAUS-PERBEL-GCH

CAN-HALCHN-BEICZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STRFRA-TOU


ICE-ICE

ITA-BRIITA-FRI

LTU-KAUNEZ-AUC

POL-TARPOL-WARRUS-MOSRUS-NOV

SPA-CATSWE-GOT

SWE-NSSWI-SWI


0 25 50 75 100


Increase

Decrease

No change

Men




GER-BREGER-EGE


LTU-KAU

NEZ-AUCPOL-TAR



YUG-NOS

0 25 50 75 100


Women

*

G60



FIN-FINFRA-LIL



LTU-KAU

NEZ-AUCPOL-TAR

POL-WARRUS-MOS

RUS-NOVSPA-CAT



0 10 20 30 40 50

Percentage of ACE inhibitor use in two time periods

Increase

Decrease

No change

Men

AUS-NEW

AUS-PERBEL-GCHCAN-HALCHN-BEICZE-CZEDEN-GLO

FIN-FIN

FRA-LILFRA-STRFRA-TOUGER-AUGGER-BREGER-EGE

ICE-ICE

ITA-BRIITA-FRI


POL-WARRUS-MOSRUS-NOV

SPA-CATSWE-GOT

SWE-NSSWI-SWIUNK-BELUNK-GLAUSA-STA

YUG-NOS

0 10 20 30 40 50


Women

*

G61



FIN-FINFRA-LIL



LTU-KAU

NEZ-AUCPOL-TAR

POL-WARRUS-MOS

RUS-NOVSPA-CAT



0 20 40 60 80 100


Increase

Decrease

No change

Men


CZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STR


ICE-ICE

ITA-BRIITA-FRI



SWE-GOT

SWE-NSSWI-SWIUNK-BELUNK-GLAUSA-STA

YUG-NOS

0 20 40 60 80 100


Women

*

G62


CZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STR


ICE-ICE

ITA-BRIITA-FRI


POL-WAR


SWE-GOTSWE-NS

SWI-SWIUNK-BELUNK-GLAUSA-STAYUG-NOS

0 10 20 30 40 50

Percentage prior revascularization in two time periods

Increase

Decrease

No change

Men

AUS-NEWAUS-PERBEL-GCHCAN-HALCHN-BEICZE-CZEDEN-GLO

FIN-FINFRA-LIL

FRA-STRFRA-TOUGER-AUGGER-BREGER-EGE





YUG-NOS

0 10 20 30 40 50

Percentage prior revascularization in two time periods

Women

*

G63



FIN-FINFRA-LIL



LTU-KAU

NEZ-AUCPOL-TAR

POL-WARRUS-MOS

RUS-NOVSPA-CAT



0 20 40 60 80 100

Percentage of thrombolytic drug use in two time periods

Increase

Decrease

No change

Men



FIN-FIN

FRA-LILFRA-STRFRA-TOUGER-AUGGER-BRE



POL-WAR


SWE-GOTSWE-NS


YUG-NOS

0 20 40 60 80 100

Percentage of thrombolytic drug use in two time periods

Women

*

G64

AUS-NEW

AUS-PERBEL-GCH

CAN-HALCHN-BEICZE-CZE

DEN-GLOFIN-FIN

FRA-LILFRA-STR

FRA-TOUGER-AUG

GER-BREGER-EGE

ICE-ICEITA-BRI

ITA-FRILTU-KAUNEZ-AUC

POL-TARPOL-WAR

RUS-MOSRUS-NOV

SPA-CATSWE-GOT

SWE-NSSWI-SWI

UNK-BELUNK-GLA

USA-STAYUG-NOS

0 10 20 30 40 50

Mean treatment score in two time periods

Increase

Decrease

No change

Men

AUS-NEW

AUS-PERBEL-GCHCAN-HAL


FIN-FINFRA-LIL


GER-BREGER-EGE



POL-WARRUS-MOS

RUS-NOVSPA-CAT

SWE-GOT

SWE-NSSWI-SWIUNK-BEL

UNK-GLAUSA-STA

YUG-NOS

0 10 20 30 40 50


Women

*

G65

YUG-NOSLTU-KAUCZE-CZERUS-NOVGER-EGECHN-BEIPOL-TAR

RUS-MOSPOL-WARDEN-GLO

SWE-GOTGER-AUG

FIN-FINSPA-CATGER-BREBEL-GCHCAN-HAL

FRA-LILFRA-TOU

ICE-ICEAUS-PER

NEZ-AUCSWI-SWIUSA-STA

ITA-FRIAUS-NEW

ITA-BRIUNK-BELSWE-NS

UNK-GLAFRA-STR

0 10 20 30 40 50


Increase

Decrease

No change

Men

GER-EGE

YUG-NOSCZE-CZE

LTU-KAURUS-NOV

CHN-BEIRUS-MOS

POL-WARPOL-TAR

BEL-GCH

DEN-GLOFIN-FIN

SWE-GOTICE-ICE

CAN-HALGER-AUG

GER-BRENEZ-AUC

USA-STASPA-CAT

FRA-LILAUS-NEW

ITA-BRI

SWE-NSFRA-TOU

AUS-PERUNK-BEL

FRA-STRITA-FRI

UNK-GLA

0 10 20 30 40 50


Women

G66

0 0.5 1 1.5 20

Acute coronary care quality score

-5

0

5

10

15

20

25

30

Cha

nge

in E

quiv

alen

t Tre

atm

ent S

core

Men

0 0.5 1 1.5 20

Acure coronary care quality score

-5

0

5

10

15

20

25

30

Cha

nge

in E

quiv

alen

t Tre

atm

ent S

core

Women

G67

Men Women

< 15% change >= 15% change

G68

end of presentation E


Graphics F: Hypothesis Testing



Part 1 Hypothesis on Coronary Disease and Coronary Risk Factors

RI

FLRO

FK

FU

FT

IF

PW

SP

UG

SG

RC

AN

CZ

AP

FN

LT

NZ

GE

GB

FSUS

BC

GRSN

SV

UB

IB

DN

GU

BG

CA

PT

IC

RTCN

ST

YU

-8 -6 -4 -2 0 2 4 60

Average annual trend percent in risk score

-8

-6

-4

-2

0

2

4

6

Ave

rage

ann

ual p

erce

ntag

e tr

end

in e

vent

rat

e

Men

RI

GBUG

PW

FL

FK

IF

FN

FTUBAP

RC

RO

SG

US

RT

FU

AN

GE

NZ

SP

FS

GR

DN SN

IBIC

CZ

PTGU

LT

CN

BG

BCCA

YU

-8 -6 -4 -2 0 2 4 60


-8

-6

-4

-2

0

2

4

6

Ave

rage

ann

ual p

erce

ntag

e tr

end

in e

vent

rat

e

Women

y = -2.19 + 0.17x y = -0.69 + 0.34x

G69

RI

FLRO

FK

FU

FT

IF

PW

SPUG

SG

RC

AN

CZ

AP

FN

LT

NZ

GE

GB

FS

US

BC

GRSN

SV

UB

IB

DN

GUBGCAPT

IC

RT CN

ST

YU

-8 -6 -4 -2 0 2 4 60


-8

-6

-4

-2

0

2

4

6

Ave

rage

ann

ual p

erce

ntag

e tr

end

in e

vent

rat

e

y = -2.33 + 0.46x

Men

RI

GB

UG

PW

FLFK

IF

FN

FT

UBAP

RC

RO

SG

US

RT

FU

AN

GE

NZ

SP

FS

GRDN

SNIB

IC

CZ

PT

GU

LT

CN

BG

BC

CA YU

-10 -5 0 5 100


-10

-5

0

5

10

Ave

rage

ann

ual %

tren

d in

eve

nt r

ate

y = -0.37 + 0.56x

Women

G70

Wom

en

-2 -1 0 1 20

Average annual trend in smoking (%)

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1 0 1 20


-8

-6

-4

-2

0

2

4

0

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-0.1 -0.05 0 0.05 0.1 0.150

Average annual trend in cholesterol (mmol/l)

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 1 1.5 20

Average annual trend in BP (mm Hg)

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-0.1 -0.05 0 0.05 0.1 0.150


-8

-6

-4

-2

0

2

4

Ave

raga

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 1 1.5 20


-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


Total cholesterol Body mass index

-0.3 -0.2 -0.1 0 0.1 0.2 0.30

Average annual trend in BMI (kg/m )

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

-0.2 -0.1 0 0.1 0.2 0.30


-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

G71

Wom

en

-2 -1 0 1 20


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1 0 1 20


-8

-6

-4

-2

0

2

4

0

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-0.1 -0.05 0 0.05 0.1 0.150


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 1 1.5 20


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-0.1 -0.05 0 0.05 0.1 0.150


-8

-6

-4

-2

0

2

4

Ave

raga

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 1 1.5 20


-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


Total cholesterol Body mass index

-0.3 -0.2 -0.1 0 0.1 0.2 0.30


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

-0.2 -0.1 0 0.1 0.2 0.30


-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

G72


Part 2. Hypothesis on Stroke and Stroke Risk Factors

Men Women

RI

PW

FK

RO

RC

FUIF

LT

SN

FN

DN

SGRTCN

YU

-5 -4 -3 -2 -1 0 1 2 30


-15

-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

y = -0.66 - 0.16x

RI

RC

PWLT

IF

FK

FNRO

RT

FUDN

SN

CNSGYU

-5 -4 -3 -2 -1 0 1 2 30


-15

-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

y = 0.06 + 0.79x

G73

Men Women

RI

PWFK

RORC

FU

IF

LTSN

FNDN

SG

RT

CN

YU

-5 -4 -3 -2 -1 0 1 2 30


-15

-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

y = -0.50 - 0.60x

RI

RC

PWLT

IF

FK

FNRO

RT

FU

DN

SN

CN

SG

YU

-5 -4 -3 -2 -1 0 1 2 30


-15

-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

y = 1.65 + 2.09x

G74

-0.3 -0.2 -0.1 0 0.10


-10

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

Wom

en

-1.5 -1 -0.5 0 0.5 1 1.5 20


-5

-4

-3

-2

-1

0

1

2

3

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-1.5 -1 -0.5 0 0.5 10


-10

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-1.5 -1 -0.5 0 0.5 10


-5

-4

-3

-2

-1

0

1

2

3

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 10

Average annual trend in BP (mmHg)

-10

-8

-6

-4

-2

0

2

4

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

Total cholesterol

-0.1 -0.05 0 0.05 0.10


-5

-4

-3

-2

-1

0

1

2

3

Ave

rag

e an

nu

al t

ren

d (

%)

in e

ven

t ra

te

-0.1 -0.05 0 0.05 0.10


-10

-8

-6

-4

-2

0

2

4

Ave

rag

e an

nu

al t

ren

d (

%)

in e

ven

t ra

te

Body mass index

-0.2 -0.1 0 0.1 0.20


-5

-4

-3

-2

-1

0

1

2

3

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

2

G75

Wom

en

-1.5 -1 -0.5 0 0.5 1 1.5 20


-6

-4

-2

0

2

4

6

8

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-1.5 -1 -0.5 0 0.5 10


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate


-1.5 -1 -0.5 0 0.5 10


-6

-4

-2

0

2

4

6

8

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-2 -1.5 -1 -0.5 0 0.5 10

Average annual trend in BP (mmHg)

-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

Total cholesterol

-0.1 -0.05 0 0.05 0.10


-6

-4

-2

0

2

4

6

8

Ave

rag

e an

nu

al t

ren

d (

%)

in e

ven

t ra

te

-0.1 -0.05 0 0.05 0.10


-10

-5

0

5

10

Ave

rag

e an

nu

al t

ren

d (

%)

in e

ven

t ra

te

Body mass index

-0.2 -0.1 0 0.1 0.20


-6

-4

-2

0

2

4

6

8

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

-0.3 -0.2 -0.1 0 0.10


-10

-5

0

5

10

Ave

rage

ann

ual t

rend

(%

) in

eve

nt r

ate

2

2

G76


Part 3. Hypothesis on Coronary Care

FS UG

SN

UB IB

AN IF US SW

NZ

AP

IC FT

FL

CA BE

GB SP

FI GA

SG

DN

PW

RM

PT CN

GE

RN

CZ LT

YU

0 10 20 300

Change in Equivalent Treatment Score

-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

cas

e fa

talit

y

y = 12.1 - 0.96x

Men

UG IF

FS UB AP FT

SN

IB

AN

FL

SP

US NZ

GB

GA

CA

IC

SG

FI

DN

BE

PT PW

RM

CN

RN

LT

CZ

YU

GE

0 10 20 300


-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

cas

e fa

talit

y

y = 7.8 - 0.8x

Women

G77a

FS

UG

SN UB

IB

AN

IF

US

SW NZ AP

IC

FT FL

CA

BE GB

SP

FI GA SG

DN

PW RM PT

CN

GE RN

CZ LT

YU

0 10 20 300


-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

cor

onar

y-ev

ent r

ate

y = 7.6 - 1.27x

Men

UG IF

FS

UB

AP FT

SN

IB

AN

FL

SP

US

NZ

GB GA

CA

IC

SG

FI

DN BE

PT PW

RM

CN

RN LT

CZ

YU

GE

0 10 20 300


-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

cor

onar

y-ev

ent r

ate

y = 9.0 - 1.14x

Women

G77b

FS

UG

SN

UB

IB

AN

IF

US

SW

NZ AP

IC

FT

FL

CA

BE GB

SP

FI

GA SG

DN PW

RM

PT

CN

GE

RN

CZ

LT

YU

0 10 20 300


-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

CH

D m

orta

lity

rate

y = 18.7 - 2.11x

Men

UG IF

FS

UB AP FT

SN

IB AN

FL

SP

US

NZ

GB

GA

CA

IC

SG

FI

DN

BE

PT

PW RM

CN

RN

LT

CZ

YU

GE

0 10 20 300


-50

-40

-30

-20

-10

0

10

20

30

40

50

0

Per

cent

age

chan

ge in

CH

D m

orta

lity

rate

y = 13.5 - 1.69x

Women

G77c

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