Twenty-five-year trends in myocardial infarction attack and mortality rates, and case-fatality, in six European populations

Dégano, Irene R.; Salomaa, Veikko; Veronesi, Giovanni; Ferrières, Jean; Kirchberger, Inge; Laks, Toivo; Havulinna, Aki S.; Ruidavets, Jean‐Bernard; Ferrario, Marco; Meisinger, Christa; Elosúa, Roberto; Marrugat, Jaume

doi:10.1136/heartjnl-2014-307310

Cited by 177 publications

(112 citation statements)

References 31 publications

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“…[8][9][10] However, a recent review of 8 community-based incidence studies in 6 European countries (Finland, Italy, Germany, France, Spain, and Estonia), which accounted for the increased use of these biomarkers over time, described a decline in acute MI attack rates (defined as incidence and recurrence combined) between 1985 and 2010 in all populations. 11 The annual reduction in rates over this period at age 35 to 74 years for these countries combined was 4.0% (95% confidence interval [CI] 3.7%-4.4%) for men and 4.2% (3.6%-4.8%) for women (ie, nearly a 70% reduction in MI rates over 25 years), with some regional variation. These MI rate decreases are similar to those described in studies in the United States and the United Kingdom.…”

Section: Global Burden Of Ihdmentioning

confidence: 99%

Epidemiology of Atherosclerosis and the Potential to Reduce the Global Burden of Atherothrombotic Disease

Herrington

Lacey

Sherliker

et al. 2016

Circulation Research

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621

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Atherosclerosis is a leading cause of vascular disease worldwide. Its major clinical manifestations include ischemic heart disease, ischemic stroke, and peripheral arterial disease. In high-income countries, there have been dramatic declines in the incidence and mortality from ischemic heart disease and ischemic stroke since the middle of the 20th century. For example, in the United Kingdom, the probability of death from vascular disease in middle-aged men (35-69 years) has decreased from 22% in 1950 to 6% in 2010. Most low-and middle-income countries have also reported declines in mortality from stroke over the last few decades, but mortality trends from ischemic heart disease have been more varied, with some countries reporting declines and others reporting increases (particularly those in Eastern Europe and Asia). Many major modifiable risk factors for atherosclerosis have been identified, and the causal relevance of several risk factors is now well established (including, but not limited to, smoking, adiposity, blood pressure, blood cholesterol, and diabetes mellitus). Widespread changes in health behaviors and use of treatments for these risk factors are responsible for some of the dramatic declines in vascular mortality in high-income countries. In order that these declines continue and are mirrored in less wealthy nations, increased efforts are needed to tackle these major risk factors, particularly smoking and the emerging obesity epidemic. (Circ Res. 2016;118:535-546.

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Section: Global Burden Of Ihdmentioning

confidence: 99%

Epidemiology of Atherosclerosis and the Potential to Reduce the Global Burden of Atherothrombotic Disease

Herrington

Lacey

Sherliker

et al. 2016

Circulation Research

1,000

621

View full text Add to dashboard Cite

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“…3,4 However, MI prevention is challenging, in part because known risk factors explain only a fraction of cases. Determinants such as advanced age, smoking and diabetes are well established, 2,5 but environmental risk factors, including the contribution of weather, are not well characterized. Many countries with a high incidence of MI have climates where extreme weather is common.…”

mentioning

confidence: 99%

Association between quantity and duration of snowfall and risk of myocardial infarction

Auger

Potter

Smargiassi

et al. 2017

CMAJ

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BACKGROUND: Although aggregate data suggest a link between snowfall and myocardial infarction (MI), individual risk has yet to be assessed. We evaluated the association between quantity and duration of snowfall and the risk of MI using nonaggregated administrative health data. METHODS:We used a case-crossover study design to investigate the association between snowfall and hospital admission or death due to MI in the province of Quebec, Canada, between November and April during 1981-2014. The main exposure measures were quantity (in centimetres) and duration (in hours) of snowfall by calendar day. We computed odds ratios (ORs) and 95% confidence intervals (CIs) for the association between daily snowfall and MI, adjusted for minimum daily temperatures. RESULTS:In all, 128 073 individual hospital admissions and 68 155 deaths due to MI were included in the analyses. The likelihood of MI was increased the day after a snowfall among men but not among women. Compared with 0 cm, 20 cm of snowfall was associated with an OR of 1.16 for hospital admission (95% CI 1.11-1.21) and 1.34 for death (95% CI 1.26-1.42) due to MI the following day among men. Corresponding ORs among women were 1.01 (95% CI 0.95-1.07) and 1.04 (95% CI 0.96-1.13). Similar but smaller associations were observed for snowfall duration (0 h v. 24 h) and MI. INTERPRETATION:Both the quantity and duration of snowfall were associated with subsequent risk of hospital admission or death due to MI, driven primarily by an effect in men. These data have implications for public health initiatives in regions with snowstorms.

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“…However, the dis ease is not as rare in this population as previ ously thought. As mentioned in the Review by Andersson and Vasan 1 , previous stud ies have shown a gradual reduction in AMI events in patients aged 35-64 years 5 , whereas Gupta and colleagues 6 reported an absence of significant reductions in hospitalization rates among patients aged <55 years, indicating a potential shift of AMI to the younger popu lation. Our findings suggest that this shift has even spread to very young adults aged <30 years, who show suboptimal outcome despite increased utilization of percutane ous coronary intervention.…”

Section: I N K To O R I G I N a L A Rt I C L Ementioning

confidence: 97%

Trends in rate of acute myocardial infarction among patients aged <30 years

et al. 2017

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Twenty-five-year trends in myocardial infarction attack and mortality rates, and case-fatality, in six European populations

Cited by 177 publications

References 31 publications

Epidemiology of Atherosclerosis and the Potential to Reduce the Global Burden of Atherothrombotic Disease

Epidemiology of Atherosclerosis and the Potential to Reduce the Global Burden of Atherothrombotic Disease

Association between quantity and duration of snowfall and risk of myocardial infarction

Trends in rate of acute myocardial infarction among patients aged <30 years

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