ArticleMayo Clinic proceedings2015
Acute coronary syndromes in the community.
Article in Mayo Clinic proceedings, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Incidence, Trends, and Outcomes of Type 2 Myocardial Infarction in a Community Cohort.Circulation · 2020Trial
- Electronic Medical Record-Based Case Phenotyping for the Charlson Conditions: Scoping Review.JMIR medical informatics · 2021Article
- Coronary Disease Surveillance in the Community: Angiography and Revascularization.Journal of the American Heart Association · 2020Article
- Changing Trends in the Landscape of Patients Hospitalized With Acute Myocardial Infarction (2001 to 2011) (from the Worcester Heart Attack Study).The American journal of cardiology · 2020Article
- Sudden cardiac arrest and ventricular arrhythmias following first type I myocardial infarction in the contemporary era.Journal of cardiovascular electrophysiology · 2019Article
- Frailty Among Older Adults With Acute Myocardial Infarction and Outcomes From Percutaneous Coronary Interventions.Journal of the American Heart Association · 2019Article
- Practical Care Support During the Early Recovery Period After Acute Coronary Syndrome.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2018Article
- Exclusion of Elderly People from Randomized Clinical Trials of Drugs for Ischemic Heart Disease.Journal of the American Geriatrics Society · 2017Article
- Gender-specific and age-specific differences in unstable angina pectoris admissions: a population-based registry study in Finland.BMJ open · 2015Article
- Trends in the magnitude of chronic conditions in patients hospitalized with a first acute myocardial infarction.Journal of multimorbidity and comorbidityArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo measure the incidence of acute coronary syndrome (ACS), defined as first-ever myocardial infarction (MI) or unstable angina (UA); evaluate recent temporal trends; and determine whether survival after ACS has changed over time and differs by type. PATIENTS AND
methodsThis was a population surveillance study conducted in Olmsted County, Minnesota (population: 144,248). All persons hospitalized with incident ACS between January 1, 2005, and December 31, 2010, were identified using International Classification of Diseases, Ninth Revision codes, natural language processing of the medical records, and biomarkers. Myocardial infarction was validated by epidemiologic criteria and UA by the Braunwald classification. Patients were followed through June 30, 2013, for death.
resultsOf 1244 incident ACS cases, 35% (n=438) were UA and 65% (n=806) were MI. The standardized rates (per 100,000) of ACS were 284 (95% CI, 248-319) in 2005 and 184 (95% CI, 157-210) in 2010 (2010 vs 2005: rate ratio, 0.62; 95% CI, 0.53-0.73), indicating a 38% decline (similar for MI and UA). The 30-day case fatality rates did not differ by year of diagnosis but were worse for MI (8.9%; 95% CI, 6.9%-10.9%) compared with UA (1.9%; 95% CI, 0.6%-3.1%). Among 30-day survivors, the risk of death did not differ by ACS type or diagnosis year.
conclusionIn the community, UA constitutes 35% of ACS. The incidence of ACS has declined in recent years, and trends were similar for UA and MI, reaffirming a substantial decline in all acute manifestations of coronary disease. Survival after ACS did not change over time, but 30-day survival was worse for MI compared with UA.
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