It is relevant that developing countries constitute more than 80% of the world’s population and in these regions, particularly in India and other Asian countries, the incidence of CAD is on the rise. The high incidence of communicable, maternal, perinatal, and nutritional diseases in these countries will fall from approximately 41 to 17%, but cardiovascular diseases will increase from approximately 20 to more than 33% over the next 20 years. Japan is unique among the developed countries in that although the stroke rates were the highest in the world during the 1960s, the incidence of stroke did not rise as sharply as in other developed countries and has actually remained lower. In Japan cardiovascular disease rates have fallen more than 60% since the 1960s largely because of a decrease in stroke rates. Life expectancy for men and women are the highest in the world reaching 77 years for men and 83 years for women.

Table 2 shows cardiovascular and CAD mortality rates per 100,000 people in some countries. Note the very low mortality rates in France, Spain, and Italy, and the high rates in Finland, Scotland, Northern Ireland, and the Ukraine.

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