Incidence, recurrence, and case fatality rates for myocardial infarction in southwestern France, 1985 to 1993
Details
Serval ID
serval:BIB_4F9227FADDFB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Incidence, recurrence, and case fatality rates for myocardial infarction in southwestern France, 1985 to 1993
Journal
Heart (british Cardiac Society)
ISSN
1468-201X (Electronic)
ISSN-L
1355-6037
Publication state
Published
Issued date
2000
Volume
84
Number
2
Pages
171-175
Language
english
Notes
Publication types: Cardiovascular Medicine ; research-article
Identifiant PubMed Central: PMC1760902
Identifiant PubMed Central: PMC1760902
Abstract
OBJECTIVE: To assess the impact of incidence, recurrence, and case fatality rates for myocardial infarction on coronary heart disease mortality in southwestern France between 1985 and 1993.
DESIGN: Toulouse-MONICA myocardial infarction register.
SETTINGS AND PATIENTS: All subjects aged 35 to 64 years living in the French department of Haute-Garonne.
INTERVENTIONS: All coronary artery disease events between 1985 and 1993.
MAIN OUTCOME MEASURES: 7210 events collected by the register between 1985 and 1993.
RESULTS: In men, adjusted attack, total, and out of hospital mortality decreased by 2% (95% confidence interval (CI), -3.8% to -0.1%), 6.2% (95% CI -8.4% to -4.0%), and 4.2% (95% CI -7.0% to -1.5%) a year, respectively (p < 0.05). Incidence and recurrence rates decreased by 2% (95% CI -4.1% to -0.1%, p < 0.05) and 1.9% (95% CI -5.9% to 2.2%) a year (NS). In women, attack, total, and out of hospital mortality decreased by 1.7% (95% CI -5.2% to 1.8%), 4.8% (95% CI -9.6% to 0. 1%), and 2.6% (95% CI -9.4% to 4.1%) a year, respectively; incidence decreased by 2% (95% CI -6.5% to 2.5%) and recurrence increased by 1. 4% (95% CI -9.8% to 12.6%) a year (all NS). In men, total, incident, and recurrent 28 day case fatality decreased by 3.8% (95% CI -4.8% to -2.8%), 3.2% (95% CI -4.1% to -2.3%), and 6.4% (95% CI -9.5% to -3.3%) a year, respectively (p < 0.05). For women, the corresponding decreases were 3.3% (95% CI -6.1% to -0.6%), 3.3% (95% CI -13.2% to 6.6%), and 11.7% (95% CI -24.6% to 1.3%) a year, but only the decrease in total 28 day case fatality reached significance. In both sexes, the reduction in case fatality contributed nearly 70% of the decrease in myocardial infarction mortality.
CONCLUSIONS: In southwestern France, the decrease in myocardial infarction mortality mainly reflects improvements in acute management rather than prevention.
DESIGN: Toulouse-MONICA myocardial infarction register.
SETTINGS AND PATIENTS: All subjects aged 35 to 64 years living in the French department of Haute-Garonne.
INTERVENTIONS: All coronary artery disease events between 1985 and 1993.
MAIN OUTCOME MEASURES: 7210 events collected by the register between 1985 and 1993.
RESULTS: In men, adjusted attack, total, and out of hospital mortality decreased by 2% (95% confidence interval (CI), -3.8% to -0.1%), 6.2% (95% CI -8.4% to -4.0%), and 4.2% (95% CI -7.0% to -1.5%) a year, respectively (p < 0.05). Incidence and recurrence rates decreased by 2% (95% CI -4.1% to -0.1%, p < 0.05) and 1.9% (95% CI -5.9% to 2.2%) a year (NS). In women, attack, total, and out of hospital mortality decreased by 1.7% (95% CI -5.2% to 1.8%), 4.8% (95% CI -9.6% to 0. 1%), and 2.6% (95% CI -9.4% to 4.1%) a year, respectively; incidence decreased by 2% (95% CI -6.5% to 2.5%) and recurrence increased by 1. 4% (95% CI -9.8% to 12.6%) a year (all NS). In men, total, incident, and recurrent 28 day case fatality decreased by 3.8% (95% CI -4.8% to -2.8%), 3.2% (95% CI -4.1% to -2.3%), and 6.4% (95% CI -9.5% to -3.3%) a year, respectively (p < 0.05). For women, the corresponding decreases were 3.3% (95% CI -6.1% to -0.6%), 3.3% (95% CI -13.2% to 6.6%), and 11.7% (95% CI -24.6% to 1.3%) a year, but only the decrease in total 28 day case fatality reached significance. In both sexes, the reduction in case fatality contributed nearly 70% of the decrease in myocardial infarction mortality.
CONCLUSIONS: In southwestern France, the decrease in myocardial infarction mortality mainly reflects improvements in acute management rather than prevention.
Keywords
France/epidemiology, Myocardial Infarction/epidemiology, Myocardial Infarction/mortality, Myocardial Infarction/therapy
Pubmed
Web of science
Open Access
Yes
Create date
01/12/2016 16:01
Last modification date
20/08/2019 15:05