Evidence map›Paper›PMID 34935456›Full record

ArticleJournal of the American Heart Association2022

Trends in Premature Mortality From Acute Myocardial Infarction in the United States, 1999 to 2019.

Sourbha S Dani, Ahmad N Lone, Zulqarnain Javed, Muhammad S Khan, Muhammad Zia Khan, Edo Kaluski, Salim S Virani, Michael D Shapiro, Miguel Cainzos-Achirica, Khurram Nasir and 1 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sourbha S DaniDivision of Cardiology Lahey Hospital, and Medical CenterBeth Israel Lahey Health Burlington MA.ORCID 0000-0002-3434-6136
Ahmad N LoneDepartment of Cardiology Guthrie Health System/Robert Packer Hospital Sayre PA.
Zulqarnain JavedDivision of Health Equity & Disparities Research, Center for Outcomes Research Houston Methodist Houston TX.ORCID 0000-0002-4137-9198
Muhammad S KhanDepartment of Cardiovascular Medicine Duke University Durham NC.
Muhammad Zia KhanDepartment of Cardiovascular Medicine West Virginia University Morgantown WV.ORCID 0000-0003-1250-6351
Edo KaluskiDepartment of Cardiology Guthrie Health System/Robert Packer Hospital Sayre PA.ORCID 0000-0002-1400-3988
Salim S ViraniMichael E. DeBakey Veterans Affair Medical Center & Section of Cardiovascular Research Department of Medicine Baylor College of Medicine Houston TX.ORCID 0000-0001-9541-6954
Michael D ShapiroSection on Cardiovascular Medicine Wake Forest University School of Medicine Winston-Salem NC.ORCID 0000-0002-9071-3287
Miguel Cainzos-AchiricaCenter for Outcomes Research Houston Methodist Houston TX.ORCID 0000-0002-8073-2337
Khurram NasirDivision of Health Equity & Disparities Research, Center for Outcomes Research Houston Methodist Houston TX.ORCID 0000-0001-5376-2269
Safi U KhanCenter for Outcomes Research Houston Methodist Houston TX.ORCID 0000-0003-1559-6911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Evaluating premature (<65 years of age) mortality because of acute myocardial infarction (AMI) by demographic and regional characteristics may inform public health interventions. Methods and Results We used the Centers for Disease Control and Prevention's WONDER (Wide-Ranging Online Data for Epidemiologic Research) death certificate database to examine premature (<65 years of age) age-adjusted AMI mortality rates per 100 000 and average annual percentage change from 1999 to 2019. Overall, the age-adjusted AMI mortality rate was 13.4 (95% CI, 13.3-13.5). Middle-aged adults, men, non-Hispanic Black adults, and rural counties had higher mortality than young adults, women, NH White adults, and urban counties, respectively. Between 1999 and 2019, the age-adjusted AMI mortality rate decreased at an average annual percentage change of -3.4 per year (95% CI, -3.6 to -3.3), with the average annual percentage change showing higher decline in age-adjusted AMI mortality rates among large (-4.2 per year [95% CI, -4.4 to -4.0]), and medium/small metros (-3.3 per year [95% CI, -3.5 to -3.1]) than rural counties (-2.4 per year [95% CI, -2.8 to -1.9]). Age-adjusted AMI mortality rates >90th percentile were distributed in the Southern states, and those with mortality <10th percentile were clustered in the Western and Northeastern states. After an initial decline between 1999 and 2011 (-4.3 per year [95% CI, -4.6 to -4.1]), the average annual percentage change showed deceleration in mortality since 2011 (-2.1 per year [95% CI, -2.4 to -1.8]). These trends were consistent across both sexes, all ethnicities and races, and urban/rural counties. Conclusions During the past 20 years, decline in premature AMI mortality has slowed down in the United States since 2011, with considerable heterogeneity across demographic groups, states, and urbanicity. Systemic efforts are mandated to address cardiovascular health disparities and outcomes among nonelderly adults.

Indexed as

Mortality, PrematureMyocardial InfarctionEthnicityFemaleHumansMaleMiddle AgedRacial GroupsRural PopulationUnited StatesYoung Adultacute myocardial infarctionepidemiologymortality

Identifiers

PMID34935456
PMCPMC9075205

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.