Registration of myocardial infarction in the city of Göteborg, Sweden

Elmfeldt, Dag; Wilhelmsen, Lars; Tibblin, Gösta; Vedin, J. A.; Wilhelmsson, C; Bengtsson, Calle

doi:10.1016/0021-9681(75)90005-3

Cited by 148 publications

(54 citation statements)

References 18 publications

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“…Myocardial infarction was de®ned as a hospital discharge diagnosis according to standardized criteria (Elmfeldt et al, 1975). Stroke was de®ned as a sudden onset of focal neurological signs of presumed vascular origin and hospitalized by the diagnosis of cerebral thrombosis, cerebral embolus or cerebral haemorrhage.…”

Section: Endpoint De®nitionsmentioning

confidence: 99%

High fruit intake may reduce mortality among middle-aged and elderly men. The Study of Men Born in 1913

et al. 2000

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Objective: A number of long-term population-based studies have tried to study fruit and vegetable consumption in relation to cardiovascular disease, cancer and total mortality. Few of these studies are based on randomly selected population samples. The aim of the study was to investigate the long-term effect of fruit and vegetable consumption on mortality, cardiovascular disease, cardiovascular death, cancer morbidity and cancer death among middle-aged and elderly men. Design: Prospective cohort study. Setting: General community. The Study of Men Born in 1913. Subjects: 792 men at age 54 who participated in a screening examination in 1967. Main outcome measures: A food frequency questionnaire was used to obtain information of the dietary habits in 730 of the men (92%). All men were followed up with repeated examinations until the age of 80. Results: Cardiovascular as well as total mortality was signi®cantly lower among men with high fruit consumption in univariate analysis. There was no correlation between fruit or vegetable consumption in relation to cancer incidence, cancer death and cardiovascular disease. In multivariate survival analysis where smoking, cholesterol and hypertension were taken into account, there was a signi®cantly lower mortality among men with a high fruit consumption during 16 y follow up until the age of 70 (P 0.042), but this ®nding was no longer statistically signi®cant during 26 y follow-up at the age of 80 (P 0.051). Conclusions. Daily fruit consumption seems to have positive effect on long-term survival independently of other traditional cardiovascular risk factors like smoking, hypertension and cholesterol. Sponsorship: This study was supported by grants from the Swedish Medical Research Council (K98-274-06276-17) King Gustav V and Queen Victoria's Foundation, and the Go Èteborg University.

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Section: Endpoint De®nitionsmentioning

confidence: 99%

High fruit intake may reduce mortality among middle-aged and elderly men. The Study of Men Born in 1913

et al. 2000

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“…Morbidity data for coronary heart disease and stroke were obtained by interview, from death certificates, from the Myocardial Infarction Register, 27 and from the Stroke Register 28 covering the city of Göteborg. The criteria for stroke were hospital admission with the diagnosis of stroke or a fresh cerebral thrombosis or hemorrhage at postmortem examination.…”

Section: Follow-upmentioning

confidence: 99%

“…Never smoked, n (%) 12 (31) 0 (0)* 12 (25) 107 (31) During follow-up, n (%) Diabetes 9 (23) 4 (44)* 13 (27) 58 (17) Ischemic heart disease 9 (23) 3 (33) 12 (25) 70 (20) Myocardial infarction 8 (21) 2 (22) 10 (21) 58 (17) Congestive heart failure 7 (18) 1 (11) 8 (17) 33 (10) Abbreviations as in Table 4. *PϽ0.05, †PϽ0.01 vs no BBB.…”

Section: Relationship With Coronary Heart Diseasementioning

confidence: 99%

Bundle-Branch Block in a General Male Population

et al. 1998

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Background-Interest in bundle-branch block has focused primarily on its role as a predictor of mortality and coexisting cardiovascular diseases. Previous studies of prevalence, correlation to cardiovascular disease, and mortality have produced conflicting results. Methods and Results-We studied a random-sampled population of 855 men who were 50 years old in 1963 and followed them up for 30 years with repeated examinations. Men who developed bundle-branch block were studied with regard to cumulative incidence, relationship with cardiovascular disease/risk factors, and survival. The prevalence of bundle-branch block increases from 1% at age 50 years to 17% at age 80 years, resulting in a cumulative incidence of 18%. No significant relationship with ischemic heart disease or mortality was found. Men who would develop bundle-branch block had a bigger heart volume at age 50 years and developed diabetes mellitus and congestive heart disease during follow-up more often than control subjects. Conclusions-Bundle-branch block correlates strongly to age and is common in elderly men. Our results support the theory that bundle-branch block is a marker of a slowly progressing degenerative disease that also affects the myocardium.(Circulation. 1998;98:2494-2500.)

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“…There were 686 coronary deaths (5·1/1000 person years) and 2104 deaths from any cause (15·5/1000 person years). During the first 11·8 years of the follow-up, there were 314 first non-fatal myocardial infarctions (3·9/1000 person years) registered by the Gö teborg Myocardial Register in the study population [22] . As this register only records events in persons younger than 65 years of age there are no data concerning non-fatal events during the latter part of the follow-up.…”

Section: Follow-up Proceduresmentioning

confidence: 99%

Body weight and weight gain during adult life in men in relation to coronary heart disease and mortality A prospective population study

Rosengren

Wedel

Wilhelmsen

1999

European Heart Journal

178

101

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Aims To assess the risk of death from coronary disease, and all causes associated with body mass index and weight gain from age 20 to middle age. Methods and ResultsIn this study, 6874 men aged 47 to 55 years at baseline and free of a history of myocardial infarction were followed with respect to mortality from coronary disease and from all causes over an average follow-up of 19·7 years, and with respect to non-fatal myocardial infarction for 11·8 years. High body mass index predicted death from coronary disease, but only at levels above 27·5 m . kg 2 . Men with stable weight (defined as 4% change from age 20) had the lowest death rate from coronary disease and the lowest risk of non-fatal myocardial infarction. Relative risk of coronary death increased with increasing weight gain, from 1·57 (1·14-2·15) (after adjustment for age, physical activity, and smoking) in the group who gained 4 to 10%, to 2·76 (1·97-3·85) in men with a weight gain of more than 35% (P for trend 0·0001), compared to men who remained stable. After further adjustment for serum cholesterol, systolic blood pressure, and diabetes, relative risks were reduced but still significantly elevated in all weight gain groups (P for trend 0·004). Data concerning non-fatal myocardial infarction were available for the first 11·8 years and showed a relative risk of 3·35 (2·05-5·47) after adjustment for age, physical activity, and smoking in men with a weight gain of more than 35%. ConclusionWeight gain from age 20, even a very moderate increase, is strongly associated with an increased risk of coronary death and non-fatal myocardial infarction. (Eur Heart J 1999; 20: 269-277)

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Registration of myocardial infarction in the city of Göteborg, Sweden

Cited by 148 publications

References 18 publications

High fruit intake may reduce mortality among middle-aged and elderly men. The Study of Men Born in 1913

High fruit intake may reduce mortality among middle-aged and elderly men. The Study of Men Born in 1913

Bundle-Branch Block in a General Male Population

Body weight and weight gain during adult life in men in relation to coronary heart disease and mortality A prospective population study

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