EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Coronary heart disease trends in four United States communities. The Atherosclerosis Risk in Communities (ARIC) study 1987-1996



Coronary heart disease trends in four United States communities. The Atherosclerosis Risk in Communities (ARIC) study 1987-1996



International Journal of Epidemiology 30 Suppl 1(): S17-S22



The objective of this paper is to report trends in mortality due to coronary heart disease (CHD), rates of first and recurrent hospitalized myocardial infarction, and survival after myocardial infarction in the Atherosclerosis Risk in Communities (ARIC) Study from 1987 through 1996. The ARIC study used retrospective community surveillance to monitor admissions to acute care hospitals and deaths due to CHD (both in- and out-of-hospital) among all residents 35-74 years of age. The surveillance areas included over 360 000 men and women in four communities: Forsyth County, North Carolina; the city of Jackson, Mississippi; eight northern suburbs of Minneapolis, Minnesota; and Washington County, Maryland. The annual age-adjusted mortality rate of CHD fell 3.2% (95% CI: 2.0, 4.3) among men and 3.8% (95% CI: 1.9, 5.6) among women. The greater part of the decline took place between 1987 and 1991. Significant declines were observed for both in-hospital and out-of-hospital CHD death. Significant improvements in case-fatality were also observed. Recurrent hospitalized myocardial infarction event rate fell an average of 1.9% per year among men (95% CI: 0.7, 3.1) and 2.1% (95% CI: 0.3, 3.9) among women. Average annual per cent change in incident hospitalized myocardial infarction was not statistically significant, except in blacks where there was evidence of an increase over time. Factors associated with the occurrence of recurrent hospitalized myocardial infarction, as well as those creating a better chance of survival after an event (including reductions in sudden death), were likely the prominent components in the recent decline in CHD mortality in ARIC communities.

(PDF emailed within 1 workday: $29.90)

Accession: 045651536

Download citation: RISBibTeXText

PMID: 11759846



Related references

Coronary heart disease trends in four United States communities. The Atherosclerosis Risk in Communities (ARIC) Study 1987-1996. International Journal of Epidemiology 30(Supplement 1): S17-S22, 2001

Coronary heart disease trends in four Unitied States communities. The Atherosclerosis Risk in Communities (ARIC) Study 1987-1996. International Journal of Epidemiology 30(Suppl 1): S17-S22, 2001

Trends from 1987 to 2004 in sudden death due to coronary heart disease: the Atherosclerosis Risk in Communities (ARIC) study. American Heart Journal 157(1): 46-52, 2009

The association of the ankle-brachial index with incident coronary heart disease: the Atherosclerosis Risk In Communities (ARIC) study, 1987-2001. Bmc Cardiovascular Disorders 7(): 3-3, 2007

Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: the Atherosclerosis Risk in Communities (ARIC) Study, 1987-1993. American Journal of Epidemiology 146(6): 483-494, 1997

Trends in myocardial infarction rates and case fatality by anatomical location in four United States communities, 1987 to 2008 (from the Atherosclerosis Risk in Communities Study). American Journal of Cardiology 112(11): 1714-1719, 2014

Trends in Hospitalizations and Survival of Acute Decompensated Heart Failure in Four US Communities (2005-2014): The Atherosclerosis Risk in Communities (ARIC) Study Community Surveillance. Circulation: -, 2018

Orthostatic hypotension as a risk factor for stroke: The Atherosclerosis Risk in Communities (ARIC) study, 1987-1996. Stroke 31(10): 2307-2313, 2000

Associations of lipoprotein cholesterols, apolipoproteins A-I and B, and triglycerides with carotid atherosclerosis and coronary heart disease: The Atherosclerosis Risk in Communities (ARIC) Study. Arteriosclerosis and Thrombosis 14(7): 1098-1104, 1994

Coronary heart disease risk prediction in the Atherosclerosis Risk in Communities (ARIC) study. Journal of Clinical Epidemiology 56(9): 880-890, 2003

C-Reactive protein and incident coronary heart disease in the Atherosclerosis Risk In Communities (ARIC) study. American Heart Journal 144(2): 233-238, 2002

Is low magnesium concentration a risk factor for coronary heart disease? The atherosclerosis risk in communities (ARIC) study. American Heart Journal 136(3): 480-490, 1998

Postprandial lipemia and the risk of coronary heart disease and stroke: the Atherosclerosis Risk in Communities (ARIC) Study. Bmj Open Diabetes Research & Care 5(1): E000335-E000335, 2017

Serum uric acid and risk of coronary heart disease: Atherosclerosis Risk in Communities (ARIC) Study. Annals of Epidemiology 10(3): 136-143, 2000

CYP2J2 and CYP2C8 polymorphisms and coronary heart disease risk: the Atherosclerosis Risk in Communities (ARIC) study. Pharmacogenetics and Genomics 17(5): 349-358, 2007