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In the U.S. and Europe, rates of coronary heart disease (CHD) have fallen markedly in recent decades. In this population-based, retrospective study, investigators quantified the effects of primary prevention and active treatment on CHD mortality among all adults (age, ≥25) living in Scotland between 2000 and 2010.
During the study period, the age-standardized CHD mortality rate fell by 43% (from 262 to 148 deaths per 100,000 people). Improved uptake of patient-based treatments (especially primary prevention treatment with statins for patients with hyperlipidemia, secondary prevention treatments after myocardial infarction and revascularization, drug treatment for patients with chronic stable CHD, and treating patients with heart failure and …