ArticleHeart (British Cardiac Society)2000
Incidence, recurrence, and case fatality rates for myocardial infarction in southwestern France, 1985 to 1993.
Article in Heart (British Cardiac Society), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Incidence, Characteristics, and Management of Patients with Recurrent Myocardial Infarctions: Insights from the EYESHOT POST-MI.Journal of interventional cardiology · 2022Observational
- Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study.BMJ (Clinical research ed.) · 2012Article
- Short term impact of smoke-free legislation in England: retrospective analysis of hospital admissions for myocardial infarction.BMJ (Clinical research ed.) · 2010Article
- Temporal decline in the prognostic impact of a recurrent acute myocardial infarction 1985 to 2002.Heart (British Cardiac Society) · 2007Article
- Triggering of acute coronary syndromes after a chemical plant explosion.Heart (British Cardiac Society) · 2006Article
- Reduced between-hospital variation in short term survival after acute myocardial infarction: the result of improved cardiac care?Heart (British Cardiac Society) · 2005Article
- Hospital discharge rates for suspected acute coronary syndromes between 1990 and 2000: population based analysis.BMJ (Clinical research ed.) · 2004Article
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Abstract
objectiveTo 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.
designToulouse-MONICA myocardial infarction register. SETTINGS AND PATIENTS: All subjects aged 35 to 64 years living in the French department of Haute-Garonne.
interventionsAll coronary artery disease events between 1985 and 1993.
main outcome measures7210 events collected by the register between 1985 and 1993.
resultsIn 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.
conclusionsIn southwestern France, the decrease in myocardial infarction mortality mainly reflects improvements in acute management rather than prevention.
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