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Circulation, Vol 80, 564-572, Copyright © 1989 by American Heart Association
MB Codd, DD Sugrue, BJ Gersh and LJ Melton 3d
Using the records linkage system of the Mayo Clinic and of the Rochester
Epidemiology Project, which accesses diagnostic data on the entire
population of Olmsted County, Minnesota, we identified 45 new cases of
idiopathic dilated cardiomyopathy (DCM) and 19 new cases of hypertrophic
cardiomyopathy (HCM) among county residents for the years 1975-1984.
Overall age- and sex-adjusted incidence rates were 6.0/100,000 and
2.5/100,000 person-years, respectively. The incidence of DCM doubled from
3.9/100,000 in the first 5 years to 7.9/100,000 person-years in the last 5
years of study. The corresponding change for HCM was from 1.4 to
3.6/100,000 person-years. Age- and sex-adjusted prevalence rates as of
January 1, 1985, for DCM and HCM were 36.5/100,000 and 19.7/100,000
population, respectively. The prevalence of DCM in persons less than 55
years old was 17.9/100,000, over a third of whom were New York Heart
Association functional Class III or IV at diagnosis. These estimates may be
of value in determining the potential use of health care resources,
particularly cardiac transplantation.
ARTICLES
Epidemiology of idiopathic dilated and hypertrophic cardiomyopathy. A population-based study in Olmsted County, Minnesota, 1975-1984
Department of Health Sciences Research, Mayo Clinic, Rochester, MN 55905.
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