Key result
Between 1985 and 1998, combined fatal and non-fatal AMI event rates significantly decreased annually by 4% for men and 2.3% for women in Northern Sweden.
Population
Men and women aged 25-64 years in the two northernmost counties in Sweden (Northern Sweden MONICA area)
Design
Cohort
Follow-up
1985 to 1998
Authors
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Declining AMI rates in Northern Sweden suggest incidence reduction drives IHD mortality drops; leaves open generalizability to other populations and eras.
Observational
Yes
Effect estimate: 4% mean annual decrease for men, 2.3% for women
Between 1985 and 1998 in Northern Sweden, there was a significant trend of decreasing event rates in both fatal and non-fatal AMI, suggesting that decreasing mortality in ischemic heart disease is mainly driven by reduced disease incidence.
Messner et al. (2003) conducted an observational in Acute myocardial infarction. Calendar year (1985-1998) was evaluated on Event rates of first and recurrent fatal and non-fatal acute myocardial infarction (AMI), and 28-day case fatality (4% mean annual decrease for men, 2.3% for women). Between 1985 and 1998, combined fatal and non-fatal AMI event rates significantly decreased annually by 4% for men and 2.3% for women in Northern Sweden.
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