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Population Trends in the Incidence and Outcomes of Acute Myocardial Infarction
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Population Trends in the Incidence and Outcomes of Acute Myocardial Infarction
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Journal Article
Population Trends in the Incidence and Outcomes of Acute Myocardial Infarction
2010
Overview
In this large community-based study, the incidence of acute myocardial infarction decreased significantly after the year 2000, with an especially marked decrease in ST-segment elevation myocardial infarction. A reduction in the case fatality rate was attributed both to the reduction in ST-segment elevation myocardial infarctions and a decrease in the rate of death from non–ST-segment elevation myocardial infarction.
In this large community-based study, the incidence of acute myocardial infarction decreased significantly after the year 2000, with an especially marked decrease in ST-segment elevation myocardial infarction.
Many primary and secondary prevention strategies for acute myocardial infarction that have been shown to be efficacious in randomized trials
1
–
9
have been implemented by physicians and health systems, resulting in improved control of cardiovascular risk factors in several populations.
10
–
14
However, although better management of risk factors is an important quality benchmark, reductions in the incidence of myocardial infarction and adjusted case fatality rates are better measures of quality.
Previous studies of the incidence of myocardial infarction and case fatality rates have often focused on selected subgroups (e.g., the elderly) in populations with limited diversity with respect to race . . .
Publisher
Massachusetts Medical Society
Subject
/ Aged
/ Angioplasty, Balloon, Coronary
/ Biological and medical sciences
/ Cardiovascular Agents - therapeutic use
/ Female
/ Heart
/ Humans
/ Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
/ Male
/ Myocardial Infarction - blood
/ Myocardial Infarction - epidemiology
/ Myocardial Infarction - mortality
/ Myocardial Infarction - therapy
/ Outcome Assessment (Health Care)
