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April 9, 1997

Trends in Ischemic Heart Disease Deaths— United States, 1990-1994

JAMA. 1997;277(14):1109. doi:10.1001/jama.1997.03540380023010

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IN 1994, a total of 481458 persons died as a result of ischemic heart disease (IHD), which comprises two thirds of all heart disease—the leading cause of death in the United States. This report presents trends in IHD mortality in the United States for 1990-1994 (the latest year for which data are available) and compares these trends by race, sex, and state. These findings indicate IHD death rates decreased from 1990 through 1994; however, the rate of decline was slower than rates of previously observed declines.

Age-adjusted IHD death rates for persons aged ≥35 years were calculated using mortality data tapes compiled by CDC and population estimates from the Bureau of the Census. IHD death rates were directly age-adjusted to the 1980 U.S. standard population aged ≥35 years. IHD deaths were defined as those with the underlying cause of death listed on the