TRENDS IN CEREBROVASCULAR DISEASE MORTALITY BASED ON MULTIPLE CAUSE TABULATION OF DEATH CERTIFICATES 1930–1960

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Abstract
Kuller, L (The Johns Hopkins Univ. Schl. of Hygiene & Public Health, Baltimore, Md. 21205), R. Seltser, R, S. Paffenbarger, Jr. and D. E. Krueger. Trends in cerebro-vascular disease mortality based on multiple cause tabulation of death certificates 1930–1960. A comparison of trends in Memphis and Baltimore. Amer. J. Epid., 1968, 88: 307–317.—A study of trends of cerebrovascular disease mortality in Memphis and Baltimore between 1930–1960 was completed. By basing the study on both the underlying and contributing causes of death and by using standard diagnostic criteria, it was determined that there had been a substantial decline in the cerebrovascular disease rates. This decline was similar in Memphis and Baltimore, and also among all four race-sex groups. The decrease in rates was greatest in the younger age groups, 45–54. There was a decline in the cerebral hemorrhage and an increase in the cerebral thrombosis and infarction rates in both cities. The change in the hemorrhage rates apparently began prior to the introduction of specific anti-hypertensive medication and although there has been an accentuation of the rate of decline since the introduction of such drugs, much of the decline in hemorrhage rates may not be related to specific therapy.

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