Title | Trends in severity of hospitalized myocardial infarction: the atherosclerosis risk in communities (ARIC) study, 1987-1994. |
Publication Type | Journal Article |
Year of Publication | 2000 |
Authors | Goff DC, Howard G, Wang CH, Folsom AR, Rosamond WD, Cooper LS, Chambless LE |
Journal | Am Heart J |
Volume | 139 |
Issue | 5 |
Pagination | 874-80 |
Date Published | 2000 May |
ISSN | 0002-8703 |
Keywords | Adult, 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. |
DOI | 10.1016/s0002-8703(00)90020-6 |
Alternate Journal | Am Heart J |
PubMed ID | 10783222 |
Grant List | N01HC55015 / HC / NHLBI NIH HHS / United States N01HC55016 / HC / NHLBI NIH HHS / United States N01HC55018 / HC / NHLBI NIH HHS / United States |