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Cardiovascular mortality among a cohort of hypertensive and normotensives in Rio de Janeiro - Brazil - 1991-2009.

BMC Public Health · 2015 · PMC4495630 · PMID 26152148

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a decreasing trendno p-value reported
A decreasing trend in cardiovascular disease mortality compared with an increased mortality from ill-defined causes was observed in the last decades in the city of Rio de Janeiro, suggesting that these cardiovascular deaths may have been included among the poorly defined causes [ 17 , 42 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.