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

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  • Additional Information
    • Source:
      Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 7806868 Publication Model: Print Cited Medium: Print ISSN: 0047-1828 (Print) Linking ISSN: 00471828 NLM ISO Abbreviation: Jpn Circ J Subsets: MEDLINE
    • Publication Information:
      Original Publication: Kyoto, Japanese Circulation Society.
    • Subject Terms:
      Hospital Mortality/*trends ; Myocardial Infarction/*mortality; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Angioplasty, Balloon, Coronary/mortality ; Angioplasty, Balloon, Coronary/statistics & numerical data ; Cause of Death/trends ; Equipment Failure/statistics & numerical data ; Humans ; Japan/epidemiology ; Middle Aged ; Myocardial Infarction/epidemiology ; Sex Factors
    • Abstract:
      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.
    • Publication Date:
      Date Created: 20011122 Date Completed: 20021122 Latest Revision: 20190817
    • Publication Date:
      20221213
    • Accession Number:
      10.1253/jcj.65.941
    • Accession Number:
      11716243