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

Twenty-five-year trends in myocardial infarction attack and mortality rates, and case-fatality, in six European populations



Twenty-five-year trends in myocardial infarction attack and mortality rates, and case-fatality, in six European populations



Heart 101(17): 1413-1421



Due to the burden of coronary heart disease (CHD), the monitoring of CHD trends is required. This study sought to examine the acute myocardial infarction (AMI) trends in attack and mortality rates, and in 28-day case-fatality, in six European populations during 1985-2010. Data consisted of 78 128 AMI events included in eight population-based registries from Finland (several populations), Italy (Brianza and Varese), Germany (Augsburg), France (Haute-Garonne), Spain (Girona) and Estonia (Tallinn). AMI event rates and case-fatality trends were analysed using the annual percentage change (APC) obtained by negative binomial and joinpoint regression. AMI attack and mortality rates decreased in most populations. Finland experienced the steepest decline in attack rates (APC=-4.4% (95% CI -5.1 to -2.9) in men; -4.0% (-5.1 to -2.8), in women). Total-hospital and inhospital case-fatality decreased in all populations except in Tallinn. The steepest decline in total case-fatality occurred in Spain (-3.8% (-5.3 to -2.4) in men; -5.1% (-6.9 to -3.3) in women). Prehospital case-fatality trends differed significantly by population and sex. The trends for all included populations showed a significant decline in AMI event rates and case-fatality, in both sexes and all age groups. However, in women aged 65-74 years, a significant increase in total case-fatality occurred in 2005-2010 (4.7% (0.7 to 8.8)). AMI event rates and inhospital case-fatality declined in 1985-2010 in almost all populations analysed. Prehospital case-fatality declined only in certain population groups, showing differences by sex. These results highlight the need of specific strategies in AMI prevention for certain groups and populations.

(PDF emailed within 0-6 h: $19.90)

Accession: 059181285

Download citation: RISBibTeXText

PMID: 25855798

DOI: 10.1136/heartjnl-2014-307310



Related references

Twenty-year community-wide trends in the incidence and in-hosptial case-fatality rates associated with congestive heart failure complicating acute myocardial infarction The Worcester heart attack study. Journal of the American College of Cardiology 31(2 SUPPL A): 304A, 1998

Twenty-two-year trends in incidence of myocardial infarction, coronary heart disease mortality, and case fatality in 4 US communities, 1987-2008. Circulation 125(15): 1848-1857, 2012

Twenty-five year trends (1986-2011) in hospital incidence and case-fatality rates of ventricular tachycardia and ventricular fibrillation complicating acute myocardial infarction. American Heart Journal 208: 1-10, 2018

Twenty-two year (19751997) trends in the incidence, in-hospital and long-term case fatality rates after Q-wave and non-Q-wave myocardial infarction: A multihospital community wide perspective. Acc Current Journal Review 10(6): 18-0, 2001

Temporal trends 1975 1984 in the incidence and case fatality rates of acute myocardial infarction the worcester heart attack study. Circulation 76(4 PART 2): IV-393, 1987

Twenty-two year (1975 to 1997) trends in the incidence, in-hospital and long-term case fatality rates from initial Q-wave and non-Q-wave myocardial infarction: A multi-hospital, community-wide perspective. Journal of the American College of Cardiology 37(6): 1571-1580, 2001

Analysis of trends in myocardial infarction case-fatality, incidence and mortality rates in Girona, Spain, 1990-1999. Revista Espanola de Cardiologia 60(4): 349-356, 2007

Variability of myocardial infarction attack rates, case fatality and medical care in the Warsaw Pol-MONICA register. Journal of the American College of Cardiology 33(2 SUPPL A): 329A, 1999

Attack and case fatality rates for acute myocardial infarction in the Hunter Region of New South Wales, Australia, in 1979. American Journal of Epidemiology 118(1): 42-51, 1983

Incidence and case fatality rates of acute myocardial infarction (1975-1984): the Worcester Heart Attack Study. American Heart Journal 115(4): 761-767, 1988

Time trends of acute myocardial infarction morbidity, mortality, 28-day-case-fatality and acute medical care: Results of the Augsburg myocardial infarction register from 1985-1992. Zeitschrift fuer Kardiologie 84(8): 596-605, 1995

Trends in incidence and case fatality rates of acute myocardial infarction in Denmark and Sweden. Heart 89(5): 507-511, 2003

Ten year trends in medical management and case fatality in acute myocardial infarction. Journal of the American College of Cardiology 27(2 SUPPL A): 278A, 1996

Twenty-year trends in the incidence of stroke complicating acute myocardial infarction: Worcester Heart Attack Study. Archives of Internal Medicine 168(19): 2104-2110, 2008

Myocardial infarction and coronary deaths in the World Health Organization MONICA Project: Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation 90(1): 583-612, 1994