Circulation, Vol 85, 172-179, Copyright © 1992 by American Heart Association
PG McGovern, AR Folsom, JM Sprafka, GL Burke, KM Doliszny, J Demirovic, JD Naylor and H Blackburn
BACKGROUND. The Minnesota Heart Survey is a population-based study designed
to monitor and explain trends in cardiovascular mortality, morbidity, and
risk factors. As part of this effort, a 50% sample of patients hospitalized
for myocardial infarction (MI) in the seven- county Twin Cities
(Minneapolis and St. Paul) metropolitan area was reviewed in 1970, 1980,
and 1985. Those with a validated definite MI were followed for 4-year
mortality. The purpose was to determine whether the improved survival
observed between 1970 and 1980 was extended to the 1980-1985 period.
METHODS AND RESULTS. Crude 28-day mortality in men changed from 18% in 1970
to 12% in 1980 to 13% in 1985; in women it changed from 27% in 1970 to 22%
in 1980 to 18% in 1985. After adjustment for severity factors (e.g., age,
previous MI, and admission heart rate and systolic blood pressure), 28-day
mortality was significantly lower in 1980 than in 1970 in men (RR, 0.66;
95% CI, 0.47, 0.92) and in women (RR, 0.69; 95% CI, 0.46, 1.04), but no
change occurred from from 1980 to 1985 (p greater than 0.25). After
adjustment for severity indicators, 4-year survival was better in 1980 than
in 1970 for men (RR, 0.67; 95% CI, 0.54, 0.83) and for women (RR, 0.72; 95%
CI, 0.54, 0.98), but there was no significant change from 1980 to 1985 (p
greater than 0.25). CONCLUSIONS. These results suggest that improvements in
survival among hospitalized MI patients contributed to the overall decline
in coronary heart disease mortality in the Twin Cities area between 1970
and 1980 but not between 1980 and 1985.
ARTICLES
Trends in survival of hospitalized myocardial infarction patients between 1970 and 1985. The Minnesota Heart Survey
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis.
This article has been cited by other articles:
 |
|
 |
|
  V. L. Roger, J. M. Killian, S. A. Weston, A. S. Jaffe, J. Kors, P. J. Santrach, H. Tunstall-Pedoe, and S. J. Jacobsen Redefinition of Myocardial Infarction: Prospective Evaluation in the Community Circulation, August 22, 2006; 114(8): 790 - 797. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Crow, P. J. Hannan, D. R. Jacobs Jr., S.-M. Lee, H. Blackburn, and R. V. Luepker Eliminating Diagnostic Drift in the Validation of Acute In-Hospital Myocardial Infarction--Implication for Documenting Trends across 25 Years: The Minnesota Heart Survey Am. J. Epidemiol., February 15, 2005; 161(4): 377 - 388. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Peeters, L. Bonneux, J. J. Barendregt, and J. P. Mackenbach Improvements in Treatment of Coronary Heart Disease and Cessation of Stroke Mortality Rate Decline Stroke, July 1, 2003; 34(7): 1610 - 1614. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Y. Goraya, S. J. Jacobsen, T. E. Kottke, R. L. Frye, S. A. Weston, and V. L. Roger Coronary Heart Disease Death and Sudden Cardiac Death: A 20-Year Population-based Study Am. J. Epidemiol., May 1, 2003; 157(9): 763 - 770. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Goldman, K. A. Phillips, P. Coxson, P. A. Goldman, L. Williams, M. G. M. Hunink, and M. C. Weinstein The effect of risk factor reductions between 1981 and 1990 on coronary heart disease incidence, prevalence, mortality and cost J. Am. Coll. Cardiol., October 1, 2001; 38(4): 1012 - 1017. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. G. McGovern, D. R. Jacobs Jr, E. Shahar, D. K. Arnett, A. R. Folsom, H. Blackburn, and R. V. Luepker Trends in Acute Coronary Heart Disease Mortality, Morbidity, and Medical Care From 1985 Through 1997 : The Minnesota Heart Survey Circulation, July 3, 2001; 104(1): 19 - 24. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. I. Furman, H. L. Dauerman, R. J. Goldberg, J. Yarzbeski, D. Lessard, and J. M. Gore Twenty-two year (1975 to 1997) trends in the incidence, in-hospital and long-term case fatality rates from initial q-wave and non-q-wave myocardial infarction: a multi-hospital, community-wide perspective J. Am. Coll. Cardiol., May 1, 2001; 37(6): 1571 - 1580. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F.C Lampe, P.H Whincup, S.G Wannamethee, A.G Shaper, M Walker, and S Ebrahim The natural history of prevalent ischaemic heart disease in middle-aged men Eur. Heart J., July 1, 2000; 21(13): 1052 - 1062. [Abstract] [PDF]
|
|
|
|
 |
|
 W. J. Elliott, D. R. Weir, and H. R. Black Cost-effectiveness of the Lower Treatment Goal (of JNC VI) for Diabetic Hypertensive Patients Arch Intern Med, May 8, 2000; 160(9): 1277 - 1283. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Goldberg, J. Yarzebski, D. Lessard, and J. M. Gore A two-decades (1975 to 1995) long experience in the incidence, in-hospital and long-term case-fatality rates of acute myocardial infarction: a community-wide perspective J. Am. Coll. Cardiol., May 1, 1999; 33(6): 1533 - 1539. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Herzog, J. Z. Ma, and A. J. Collins Poor Long-Term Survival after Acute Myocardial Infarction among Patients on Long-Term Dialysis N. Engl. J. Med., September 17, 1998; 339(12): 799 - 805. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Chambless, U. Keil, A. Dobson, M. Mahonen, K. Kuulasmaa, A.-M. Rajakangas, H. Lowel, and H. Tunstall-Pedoe Population Versus Clinical View of Case Fatality From Acute Coronary Heart Disease : Results From the WHO MONICA Project 1985–1990 Circulation, December 2, 1997; 96(11): 3849 - 3859. [Abstract] [Full Text]
|
|
|
|
|
|
J. M. Lightwood and S. A. Glantz Short-term Economic and Health Benefits of Smoking Cessation : Myocardial Infarction and Stroke Circulation, August 19, 1997; 96(4): 1089 - 1096. [Abstract] [Full Text]
|
|
|
|
 |
|
 N. Brown, T. Young, D. Gray, A. M Skene, and J. R Hampton Inpatient deaths from acute myocardial infarction, 1982-92: analysis of data in the Nottingham heart attack register BMJ, July 19, 1997; 315(7101): 159 - 164. [Abstract] [Full Text]
|
|
|
|
|
|
C. Morrison, M. Woodward, W. Leslie, and H. Tunstall-Pedoe Effect of socioeconomic group on incidence of, management of, and survival after myocardial infarction and coronary death: analysis of community coronary event register BMJ, February 22, 1997; 314(7080): 541 - 541. [Abstract] [Full Text]
|
|
|
|
|
|
P. G. McGovern, J. S. Pankow, E. Shahar, K. M. Doliszny, A. R. Folsom, H. Blackburn, R. V. Luepker, and The Minnesota Heart Survey Investigators Recent Trends in Acute Coronary Heart Disease -- Mortality, Morbidity, Medical Care, and Risk Factors N. Engl. J. Med., April 4, 1996; 334(14): 884 - 890. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P Wilkinson, K Laji, K Ranjadayalan, L Parsons, and A D Timmis Acute myocardial infarction in women: survival analysis in first six months BMJ, September 3, 1994; 309(6954): 566 - 569. [Abstract] [Full Text]
|
|