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The authors’ reply:
1 University of Sydney, Sydney, Australia
2 University of New South Wales, Sydney, Australia
Correspondence to:
Dr M Mirzaei, Menzies Centre for Health Policy, Victor Coppleson Bldg (D02), University of Sydney, Camperdown, NSW 2006, Australia; mirzaeim@med.usyd.edu.au
| The first 150 words of the full text of this article appear below. |
In assessing international changes in coronary heart disease (CHD) mortality,1 Lotufo and Bensenor point to the potential of stroke mortality to be a competing factor. A parallel analysis of "stroke" and "non-rheumatic heart disease and hypertension" rubrics would be helpful in achieving greater clarity.
Rodriguez et al reported trends in mortality from CHD and cerebrovascular disease (CVD) (I60–I69) in 12 south American countries, 1970–2000.2 Parallel trends were found for CHD and CVD mortality in men aged 35–64 years in all countries apart from Cuba and Mexico and, to a lesser extent, Ecuador.
Levi et al compared changes in CHD and CVD mortality in 48 countries, 1965 and 1998.3 In seven countries—Singapore, Hong Kong, Mexico, Costa Rica, Spain, Hungary and Greece—the direction of changes was opposite, although marginal in Hungary.
We have calculated the secular trend of CVD mortality in three countries according to our recent paper,1 and found that
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- Coronary heart disease epidemics
- P A Lotufo and I M Bensenor
Heart 2009 95: 1192.[Extract] [Full Text] [PDF]
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