The most significant changes in CVD mortality have been observed in the region of the former Soviet Union (USSR). Between the years 1980 and 1990, male premature mortality was relatively stable in all regions of the USSR, and two to three times higher than in EU nations, or average. After the collapse of the USSR, CVD mortality began to rise dramatically in all the new independent states within the territory of the former USSR. In 1994 the male CVD mortality in Russia and Latvia was more than five times higher than the EU average. Women in these countries have been affected to almost the same degree as men, and the CVD mortality trends were strongest among young adults and middle-aged individuals. Cancer mortality was stable during this period, however. In 1994 the life expectancy of Russian men was almost twenty years less than that of men in Japan and some European countries. After 1994, however, there was a sudden drop in mortality both in males and females, followed by a further increase.

