Objective: This study aimed to examine the overall and coro- nary mortality in the 2014 Turkish Adult Risk Factor Study sur- vey, and the distribution of cumulative mortality and incidentcoronary heart disease (CHD) across 7 geographic regions. Methods: Information on mode of death was appropriatelyobtained. Information collected from survivors was based onhistory, examination of the cardiovascular system and theMinnesota coding of electrocardiograms. Cox regressionanalyses were performed. Results: Of the 1.323 participants to be surveyed, 87 werelost to follow-up, 753 examined, and 35 ascertained as de- ceased. In 448 subjects, verbal information alone was ob- tained regarding health status. Nineteen deaths were ofcoronary and cerebrovascular origin. Cumulative 24-year as- sessment of the entire cohort in the age bracket 45 74 yearsdisclosed high coronary mortality, at 7.3 per 1000 person- years in men and 3.8 in women, and recorded a limited de- cline of 18% since the year 2000. Age-adjusted Cox regres- sion analysis, comprising 614 deaths and 482 incident CHDover a follow-up of 9.6 years, revealed higher mortality ratesin the Mediterranean region and in men in the Black Sea andMarmara regions. The age-adjusted CHD incidence was sig- nificantly higher in males of the Mediterranean and femalesof the Southeast regions. An estimated 400 420.000 incidentCHD cases develop currently each year in Turkey. Conclusion: The generally high age-adjusted overall mortali- ty in Turkey displays significant differences across geographicregions. Age-adjusted CHD incidence is not regressing suf- ficiently, and is especially high among men of the Mediterra- nean and women of the Southeast regions.