Declining trend in the in-hospital case-fatality rate from acute myocardial infarction in Miyagi Prefecture from 1980 to 1999

J. Watanabe, K. Iwabuchi, Y. Koseki, M. Fukuchi, T. Shinozaki, M. Miura, T. Komaru, Y. Kagaya, K. Shirato, S. Kitaoka, N. Ishide, T. Takishima

研究成果: Article査読

20 被引用数 (Scopus)

抄録

The case-fatality rate from acute myocardial infarction (AMI) appears to have been declining in recent decades, so the present study reviewed the trend in in-hospital case-fatalities from AMI in Miyagi Prefecture, Japan, 1980-1999. The causes of death and the effects of gender and age on the trend were also analyzed. From the AMI registration database of the Miyagi Study Group for AMI, 12,961 cases of AMI were analyzed. The 30-day in-hospital case-fatality was calculated from the data for 1980-1999: data for causes of death were available for 1980-1997, and the data concerning primary percutaneous transluminal coronary angioplasty (PTCA) for AMI were available for 1997-1999. The in-hospital case-fatality rate declined from 17.0% in the early 80s to 7.3% in the late 90s (approximately 57% reduction). The in-hospital case-fatality rate was higher in female patients. Rhythm failure substantially decreased in the late 1980s. Pump failure is decreasing, but is still the biggest problem. The in-hospital case-fatality rate was significantly lower in patients received PTCA. The declining trend in the in-hospital case-fatality rate suggests the benefits of current therapeutic procedures, including primary PTCA, for AMI. Pump failure is an important target for further decreasing the trend.

本文言語English
ページ(範囲)941-946
ページ数6
ジャーナルJAPANESE CIRCULATION JOURNAL
65
11
DOI
出版ステータスPublished - 2001

ASJC Scopus subject areas

  • 生理学
  • 循環器および心血管医学

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