| Trends in coronary heart disease morbidity and mortality and acute coronary care and case fatality from 1985-1989 in southern Germany and south-western France. | |
| | |
MedLine Citation:
|
PMID: 9152652 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Although it has been shown that coronary heart disease mortality rates are decreasing in industrialized countries, little is known about time trends in coronary heart disease incidence. Further, although a number of randomized clinical trials have shown that percutaneous transluminal coronary angioplasty and thrombolysis improve survival of acute myocardial infarction patients, it is not known if widespread use of these therapeutic procedures has contributed to a decrease in in-hospital case fatality on a population basis. METHODS: The change over time of coronary heart disease attack, incidence and mortality rates was assessed in men and women (35 to 64 years) using data collected between 1985 and 1989 by the Augsburg (Germany) and Toulouse (France) MONICA Centres. Acute coronary care and 28-day case fatality for hospitalized 24-h survivors were also assessed. RESULTS: Men and women from Augsburg had higher age-standarized attack, incidence and mortality rates than their Toulouse counterparts. In both centres, attack, incidence and mortality rates declined in men, but increased in women. Patients in Toulouse received more percutaneous transluminal coronary angioplasty and thrombolysis and had lower 28-day case fatality than patients in Augsburg. The therapeutic procedures, percutaneous transluminal coronary angioplasty and thrombolysis increased in both centres; however, only in Toulouse was this increase associated with a decrease (non significant) in 28-day hospital case fatality. CONCLUSION: The increase in morbidity and mortality rates of coronary heart disease in women stresses the need for preventive measures in this group. The absence of a favourable effect of acute coronary care on 28-day fatality for hospitalized 24-h survivors in the Augsburg centre will be further investigated. |
| | |
Authors:
|
P Marques-Vidal; J Ferrières; M H Metzger; J P Cambou; B Filipiak; H Löwel; U Keil |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: European heart journal Volume: 18 ISSN: 0195-668X ISO Abbreviation: Eur. Heart J. Publication Date: 1997 May |
Date Detail:
|
Created Date: 1997-07-25 Completed Date: 1997-07-25 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8006263 Medline TA: Eur Heart J Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 816-21 Citation Subset: IM |
Affiliation:
|
Monica-Toulouse, C.H.U. Purpan, France. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Angioplasty, Transluminal, Percutaneous Coronary / utilization Coronary Care Units / statistics & numerical data* Coronary Disease / mortality* Cross-Cultural Comparison* Cross-Sectional Studies Female France / epidemiology Germany / epidemiology Hospital Mortality / trends* Humans Incidence Male Middle Aged Survival Analysis Thrombolytic Therapy / utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of mental and physical stress on platelet function in patients with stable angina pectoris a...
Next Document: Submaximal early exercise test compared to clinical findings for evaluation of short- and long-term ...