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November 15, 2000European Heart JournalOpen Access

Trends in case-fatality in 117718 patients admitted with acute myocardial infarction in Scotland

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Population

117,718 patients admitted with acute myocardial infarction in Scotland

Design

Cohort

Authors

SCSimon CapewellUniversity of Liverpool

Discussion

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Implication

AMI survival gains warrant updated short-term counseling; leaves open targeted strategies to close the persistent longevity gap.

Key Points

  • To analyze trends in case-fatality rates among patients with acute myocardial infarction in Scotland since 1986.
  • Population-based analysis of 117718 patients admitted with acute myocardial infarction in Scotland.
  • Assessment of changes in case-fatality rates over the years and correlating factors such as age.
  • Case-fatality rates have dropped dramatically since 1986, especially in men.
  • Despite improved survival rates, an individual's life expectancy is still halved after an acute myocardial infarction.
  • Age emerged as the most significant predictor of prognosis.

Structured PICO

P
Population
117,718 patients admitted with acute myocardial infarction in Scotland
O
Outcome
Case-fatality rates and life expectancyhard clinical

Real-world data from Scotland demonstrates that modern therapies have dramatically reduced AMI case-fatality rates since 1986, though post-AMI life expectancy remains significantly compromised.

Cite This Study

Simon Capewell (2000) studied this question.

synapsesocial.com/papers/69d5767e62196bac97d9bb69https://doi.org/10.1053/euhj.2000.2318
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Also Consider

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  1. 1Inpatient deaths from acute myocardial infarction, 1982-92: analysis of data in the Nottingham heart attack register1997 · 70 citations
  2. 2Coronary event and case fatality rates in an English population: results of the Oxford myocardial infarction incidence study1998 · 140 citations
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  4. 4Trends in the Incidence of Myocardial Infarction and in Mortality Due to Coronary Heart Disease, 1987 to 19941998 · 835 citations
  5. 5Effect of socioeconomic group on incidence of, management of, and survival after myocardial infarction and coronary death: analysis of community coronary event register1997 · 182 citations