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This analysis investigates the declining rates of deaths and hospitalization due to coronary heart disease and acute myocardial infarction.

Sudden Death and Acute Myocardial Infarction in a Metropolitan Area, 1970–1980

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This analysis investigates the declining rates of deaths and hospitalization due to coronary heart disease and acute myocardial infarction.
Enumerated coronary deaths among persons aged 30 to 74 in Minneapolis-St. Paul from 1970 to 1980.
Assessed hospitalization rates and case fatality for acute myocardial infarction during this period.
Compared trends in mortality and hospitalization rates between men and women.
Coronary death rates outside the hospital decreased by 43% in men and 40% in women between 1970–1978; emergency room rates increased by 311% in men and 200% in women.
Hospitalization rates for acute myocardial infarction declined by 8% in men and 26% in women from 1970 to 1980.
In-hospital case fatality rates for acute myocardial infarction dropped by 29% in men and 27% in women aged 45 to 74.

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Randomized trial examines causes of declining coronary deaths in a metropolitan area, suggesting improved care effects.

Gillum et al. (1983) studied this question.

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