Findings of the Turkish Adult Risk Factor Study pertaining to coronary morbidity and mortality in the past 13.5-year period were assessed. Epidemiological methods applied were as previously described. Total follow-up amounted to 39,540 person-years, during which 410 cases of death were ascertained. Distribution of main causes were coronary heart disease (CHD) death in 39% and cerebrovascular in 11%. Estimated annual all-cause mortality amounted to 10.4 per mille, coronary mortality to 4.0 per mille. In the age-bracket 45-74 years, total mortality was 15.2 and coronary mortality 6.0 per mille, with an insignificant trend towards decline in the latter half of the period. All-cause mortality was slightly but significantly (p=0.046) lower in urban areas with 9.6 per 1000 person-years, compared to 11.6 in rural areas. In the last survey in 2004, a total of 31 cases of new fatal and nonfatal CHD were recorded. When results of the last two surveys are combined, the annual rate of new coronary events were estimated as 11.7 per mille among adults aged >33 years. This pointed to a continued rise of CHD events in the past few years. In conclusion, a high rate of cardiovascular deaths persisted among Turkish adults, but a diminishing trend of age-standardized coronary mortality was noted among women. Nonetheless, the overall incidence of new coronary events apparently continued to rise among adults, probably also secondary to an aging of the population.