scholarly journals Acute myocardial infarction in the elderly: Treatment strategies and 28-day-case fatality from the MONICA/KORA myocardial infarction registry

2015 ◽  
Vol 87 (4) ◽  
pp. 680-688 ◽  
Author(s):  
Ute Amann ◽  
Inge Kirchberger ◽  
Margit Heier ◽  
Wolfgang von Scheidt ◽  
Bernhard Kuch ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Treatment Strategies ◽  
Case Fatality ◽  
The Elderly ◽  
Day Case

Abstract P155: Low Socioeconomic Status Relates to Short-term Mortality Risk After Acute Myocardial Infarction, Especially in Men: Results From a Nationwide Study

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Louise van Oeffelen ◽  
Charles Agyemang ◽  
Carla Koopman ◽  
Michiel Bots ◽  
Karien Stronks ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Low Socioeconomic Status ◽  
Case Fatality ◽  
Day Case ◽  
Short Term ◽  
Low Socioeconomic ◽  
Nationwide Study ◽  
Short Term Mortality ◽  
Age And Sex

Introduction Previous studies show poorer short-term prognosis after an acute myocardial infarction (AMI) in subjects with a low socioeconomic status (SES). Yet, the magnitude of these relations may differ by age and sex. Data on these issues are however scarce. Methods A nationwide Dutch cohort of first AMI patients between January 1 st 1998 and December 31 st 2007 was identified through linkage of national registers. SES was defined as the standardized disposable income on household level in 1997. For every SES quintile, age- and sex- specific short-term mortality rates were quantified. Logistic regression models were used to estimate differences between SES quintiles in out-of-hospital mortality and 28-day case-fatality. Results We identified 70.368 first AMI patients with income data available, of which 55.860 were men and 14.508 were women. There were strong inverse associations between SES and both short-term mortality outcomes when comparing the lowest with the highest income quintile (out-of-hospital mortality: Odds Ratio (OR) 1.26; 95% Confidence Interval (95% CI) 1.18–1.34), 28-day case-fatality: OR 1.26; 95% CI 1.15–1.37). For men graded relations were found across quintiles of SES, whereas for women only differences between the lowest and the highest quintile were seen. These relations remained consistent across all age categories, except for women below 55 years of age. Conclusion The results from our nationwide study show an increased risk of short-term mortality after a first AMI in subjects with a low SES of all ages, which is most pronounced in men.

Trends in event rates of first and recurrent, fatal and non-fatal acute myocardial infarction, and 28-day case fatality in the Northern Sweden MONICA area 1985 - 98

2003 ◽  
Vol 31 (61_suppl) ◽  
pp. 51-59 ◽  
Author(s):  
Torbjörn Messner ◽  
Vivan Lundberg ◽  
Stina Boström ◽  
Fritz Huhtasaari ◽  
Bo Wikström
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Event Rate ◽  
Disease Incidence ◽  
Age Groups ◽  
Case Fatality ◽  
Northern Sweden ◽  
Day Case ◽  
Men And Women ◽  
Event Rates

Aims: This study looks at trends in event rates of first and recurrent fatal and non-fatal acute myocardial infarction (AMI), and 28-day case fatality in AMI within the Northern Sweden MONICA area. Methods: The AMI event rate and 28-day case fatality in acute myocardial infarction were registered between 1985 and 1998 in the two northernmost counties in Sweden in men and women in the age groups 25 - 64 years. Results: Statistically significant mean annual decreases were found in fatal and non-fatal combined event rates (4% for men and 2.3% for women), fatal event rate (7.1% for men and 5% for women), fatal first acute myocardial infarction (7.1% for men and 4.4% for women), and both non-fatal and fatal recurrent AMI for both sexes (5.5% for both men and women for non-fatal and, for fatal AMI, 7.1% for men and 5.7% for women). In addition, there were significant decreases for men in non-fatal event rate (2.4%), and non-fatal first AMI (1.4%). The decreases in case fatality were small, especially so for women. Conclusions: There is a trend of decreasing event rates in both fatal and non-fatal AMI, and first and recurrent AMI, most pronounced for men. The case fatality also decreased although to a lesser degree, suggesting that the decreasing mortality in ischaemic heart disease mainly is caused by reduced disease incidence.

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