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Trends in severity of hospitalized myocardial infarction: the atherosclerosis risk in communities (ARIC) study, 1987-1994.

TitleTrends in severity of hospitalized myocardial infarction: the atherosclerosis risk in communities (ARIC) study, 1987-1994.
Publication TypeJournal Article
Year of Publication2000
AuthorsGoff DC, Howard G, Wang CH, Folsom AR, Rosamond WD, Cooper LS, Chambless LE
JournalAm Heart J
Volume139
Issue5
Pagination874-80
Date Published2000 May
ISSN0002-8703
KeywordsAdult, Aged, Coronary Artery Disease, Female, Hospitalization, Humans, Male, Middle Aged, Myocardial Infarction, Population Surveillance, Risk Assessment, Severity of Illness Index, Survival Rate, United States
Abstract

BACKGROUND: Declining mortality rates of coronary heart disease in the United States could be attributable to declining incidence, declining severity, and/or improvements in treatment.

METHODS: We examined trends in severity of patients hospitalized for myocardial infarction to characterize its contribution to this decline by using data from the Atherosclerosis Risk in Communities (ARIC) study.

RESULTS: No significant change in the proportion having systolic blood pressure

CONCLUSIONS: With stable hemodynamic indicators, worsening electrocardiographic indicators, and improving enzymatic indicators, these results provide mixed support for decreases in the severity of myocardial infarction.

DOI10.1016/s0002-8703(00)90020-6
Alternate JournalAm Heart J
PubMed ID10783222
Grant ListN01HC55015 / HC / NHLBI NIH HHS / United States
N01HC55016 / HC / NHLBI NIH HHS / United States
N01HC55018 / HC / NHLBI NIH HHS / United States