scholarly journals Mortalidade por infarto agudo do miocárdio

2018 ◽  
Vol 12 (2) ◽  
pp. 565
Author(s):  
Tatiana Laís Fonsêca de Medeiros ◽  
Paloma Cibelle do Nascimento Silva de Andrade ◽  
Rejane Marie Barbosa Davim ◽  
Nicelha Maria Guedes dos Santos
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
High Mortality ◽  
Age Groups ◽  
Mortality Rates ◽  
Men And Women ◽  
Southeast Region ◽  
Chagas Cardiomyopathy ◽  
The North ◽  
Unified Health System

RESUMOObjetivo: descrever a mortalidade por infarto agudo do miocárdio. Método: estudo quantitativo, descritivo, exploratório, ecológico de série temporal, com a população de 30 a 59 anos de idade nas regiões do Brasil, no período de 2008 a 2016, de acordo com dados no Departamento de Informática do Sistema Único de Saúde. Resultados: verificou-se elevadas taxas de mortalidade por infarto agudo do miocárdio em homens e mulheres entre 30 e 59 anos. A região Sudeste com maior percentual de óbitos (47,9%), a Nordeste vem em seguida (20,2%), a região Sul com 14,8%, Centro-Oeste 9,1% e a Norte com 8%. Conclusão: os resultados mostram elevadas taxas de mortalidade por infarto agudo do miocárdio em homens e mulheres nas faixas etárias entre 30 e 59 anos revelando a região Sudeste com maior percentual (47,9%), liderando todas as regiões e faixas etárias. Conclui-se que o infarto agudo do miocárdio é uma doença desencadeada por fatores intrínsecos e que estes fatores podem ser modificados a partir de programas e medidas preventivas. Descritores: Cardiopatias Congênitas; Infarto do Miocárdio; Cardiopatia Chagásica; Doença Crônica; Dor no Peito; Fibrilação Ventricular.ABSTRACTObjective: To describe mortality due to an acute myocardial infarction. Method: this is a quantitative, descriptive, exploratory, ecological, time series study with the population aged 30 to 59 years old in the Brazilian Region from 2008 to 2016 according to data from the Department of Information Technology of the Unified Health System. Results: high mortality rates due to acute myocardial infarction in men and women between 30 and 59 years old was verified. The Southeast Region had the highest percentage of deaths (47.9%), then the Northeast followed (20.2%), the South Region (14.8%), the Central West (9.1%) and the North (8%). Conclusion: the results show high mortality rates due to acute myocardial infarction in men and women in the age groups between 30 and 59 years old, revealing the Southeast Region with the highest percentage (47.9%), leading all regions and age groups. It is concluded that acute myocardial infarction is a disease triggered by intrinsic factors and these factors can be modified from preventive programs and measures. Descriptors: Hearth Congenital; Myocardial Infarction; Chagas Cardiomyopathy; Chronic Disease; Chest Pain; Ventricular Fibrillation.RESUMENObjetivo: describir la mortalidad por infarto agudo del miocardio. Método: estudio cuantitativo, descriptivo, exploratorio, ecológico de serie temporal, con la población de 30 a 59 años de edad en las Regiones de Brasil en el período de 2008 a 2016 de acuerdo con datos en el Departamento de Informática del Sistema Único de Salud. Resultados: se verificaron elevadas tasas de mortalidad por infarto agudo del miocardio en hombres y mujeres entre 30 y 59 años. La Región Sudeste tuvo la mayor porcentaje de óbitos (47,9%), el Nordeste viene en seguida (20,2%), Região Sur con 14,8%, Centro-Oeste 9,1% y Norte con 8%. Conclusión: los resultados muestran elevadas tasas de mortalidad por infarto agudo del miocardio en hombres y mujeres en las edades entre 30 y 59 años revelando la Región Sudeste con mayor porcentaje (47,9%), liderando todas las regiones y eddades. Se concluye que el infarto agudo del miocardio es una enfermedad desencadenada por factores intrinsecos y estos factores pueden ser modificados a partir de programas y medidas preventivas. Descriptores: Cardiopatias Congénitas; Infarto del Miocardio; Cardiomiopatia Chagásica; Enfermedad Crónica; Dolor del Pecho; Fibrilación Ventricular.

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.

scholarly journals Trends in incident acute myocardial infarction in Norway: An updated analysis to 2014 using national data from the CVDNOR project

2018 ◽  
Vol 25 (10) ◽  
pp. 1031-1039 ◽  
Author(s):  
Gerhard Sulo ◽  
Jannicke Igland ◽  
Stein Emil Vollset ◽  
Marta Ebbing ◽  
Grace M Egeland ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Confidence Interval ◽  
Incidence Rate ◽  
Rate Ratio ◽  
Incidence Rate Ratio ◽  
Age Groups ◽  
Incidence Rates ◽  
Myocardial Infarctions ◽  
Men And Women

Background We updated the information on trends of incident acute myocardial infarction in Norway, focusing on whether the observed trends during 2001–2009 continued throughout 2014. Methods All incident (first) acute myocardial infarctions in Norwegian residents age 25 years and older were identified in the Cardiovascular Disease in Norway 1994–2014 project. We analysed overall and age group-specific (25–64 years, 65–84 years and 85 + years) trends by gender using Poisson regression analyses and report the average annual changes in rates with their 95% confidence intervals. Results During 2001–2014, 221,684 incident acute myocardial infarctions (59.4% men) were identified. Hospitalised cases accounted for 79.9% of all incident acute myocardial infarctions. Overall, incident acute myocardial infarction rates declined on average 2.6% per year (incidence rate ratio 0.974, 95% confidence interval 0.972–0.977) in men and 2.8% per year (incidence rate ratio 0.972, 95% confidence interval 0.971–0.974) in women, contributed by declining rates of hospitalisations (1.8% and 1.9% per year in men and women, respectively) and deaths (6.0% and 5.8% per year in men and women, respectively). Declining rates were observed in all three age groups. The overall acute myocardial infarction incidence rates continued to decline from 2009 onwards, with a steeper decline compared to 2001–2009. During 2009–2014, gender-adjusted acute myocardial infarction incidence among adults age 25–44 years declined 5.3% per year, contributed mostly by declines in hospitalisation rates (5.1% per year). Conclusion Acute myocardial infarction incidence rates continued to decline after 2009 in Norway in both men and women. The decline started to involve individuals aged 25–44 years, marking a turning point in the previously reported stagnation of rates during 2001–2009.

Abstract 13052: Stability of Hospital Rankings for Acute Myocardial Infarction

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Saket Girotra ◽  
Gary Rosenthal ◽  
Xin Lu ◽  
Mary Vaughan-Sarrazin ◽  
Peter Cram
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Quality Improvement ◽  
Hospital Mortality ◽  
High Mortality ◽  
Marked Improvement ◽  
Mortality Rates ◽  
Composite Score ◽  
Baseline Performance ◽  
Over Time

Background: Although hospital mortality for acute myocardial infarction (AMI) varies widely, little is known regarding the trajectory of mortality over time at hospitals with high and low mortality at baseline. Methods: We studied 623,488 Medicare AMI patients at 1923 hospitals during 2007-2010. We used 30-day risk-standardized mortality rates (RSMR) to stratify hospitals as bottom 25% and top 25% in 2007 (baseline) and compared their performance on AMI mortality during next 3 years. We also ranked top 25% and bottom 25% hospitals into quartiles of RSMR, each year during 2008-2010 (0 = worst mortality quartile, to 3 = lowest mortality quartile), and summed quartile ranks for each year to yield a composite score (CS: range = 0 to 9). We examined which bottom 25% and top 25% hospitals achieved low ( < 1) and high CS (≤ 8). Results: Average RSMR in 2007 was 15.5% (range: 11.2%-21.6%). During 2008-2010, there was considerable overlap in AMI mortality at 481 hospitals that were top 25% (blue bars) and bottom 25% (red bars), respectively (Figure). Of bottom 25% hospitals, only 107 (22%) had persistently high mortality over next 3 years (CS < 1) where as 37 (8%) hospitals had marked improvement in AMI mortality (CS ≤ 8). Similarly, only 127 (26%) of top 25% hospitals had persistently low mortality over next 3 years (CS ≤ 8) and 37 (8%) had marked worsening in AMI mortality (CS < 1). Average RSMR at hospitals with persistently high mortality was 18.5% vs. 13.7% at hospitals with persistently low mortality, which led to an additional 834 Medicare deaths at high mortality hospitals. Patient and hospital characteristics were limited in differentiating hospitals with persistently high and persistently low mortality. Conclusions: Among hospitals with high and low mortality at baseline, performance on AMI mortality does not persist during subsequent years. Concentrating quality improvement efforts at a few hospitals with persistently high mortality could avoid a substantial number of AMI deaths.

Contemporary Determinants of Delayed Benchmark Timelines in Acute Myocardial Infarction in Men and Women

2017 ◽  
Vol 120 (10) ◽  
pp. 1715-1719 ◽  
Author(s):  
Hilmi Alnsasra ◽  
Doron Zahger ◽  
Diklah Geva ◽  
Shlomi Matetzky ◽  
Roy Beigel ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Men And Women

Abstract 327: Gender Differences In The Association Between Hemoglobin Change After Acute Myocardial Infarction And Outcomes

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Lauren E Thompson ◽  
Frederick A Masoudi ◽  
Kensey L Gosch ◽  
Pamela N Peterson ◽  
Adam C Salisbury ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Similar Magnitude ◽  
Men And Women ◽  
Absolute Change ◽  
Hospitalization Rates ◽  
Lower Baseline ◽  
The Relationship ◽  
Baseline Hemoglobin

Background: Hemoglobin decline following acute myocardial infarction (AMI) is associated with long-term morbidity. Since women have lower baseline hemoglobin levels than men, whether the same absolute change in hemoglobin after AMI similarly affects outcomes in women and men is unknown. Methods: We examined patients discharged after AMI in the TRIUMPH registry between 2005 and 2008 who had admission and discharge hemoglobin levels. We compared the relationship between absolute change in hemoglobin during hospitalization with 6- and 12-month mortality and re-hospitalization by gender after adjusting for clinical variables including admission hemoglobin. Results: Of the 4,243 patients with AMI, 33% (1,400 of 4,243) were women. Women were older, had more co-morbidities, and were less likely to present with STEMI, or receive catheterization. Women had lower admission hemoglobin (12.9 g/dL ± 1.9 vs 14.5 ± 2.0, p= <0.01) and a smaller mean absolute change in hemoglobin during hospitalization (-1.5 g/dL ± 1.8 vs -1.6 ±1.8, p = 0.01) compared to men. The association between hemoglobin declines during hospitalization and mortality and re-hospitalization rates at 6 and 12-months were of a similar magnitude between men and women (all interaction p > 0.05). (Figure 1) Conclusion: Although women with AMI had lower admission hemoglobin values, similar declines in hemoglobin during hospitalization were associated with increases in mortality and re-hospitalization in women and men. These findings suggest that absolute change in hemoglobin is equally important at predicting outcomes in women and men, regardless of admission hemoglobin levels.

Sign in / Sign up

Export Citation Format

Share Document