Acute Myocardial Infarction Population Incidence and Mortality Rates, and 28-day Case-fatality in Older Adults. The REGICOR Study.
Rev Esp Cardiol (Engl Ed)
; 71(9): 718-725, 2018 Sep.
Article
em En, Es
| MEDLINE
| ID: mdl-29174866
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Our aims were to determine acute myocardial infarction (AMI) incidence and mortality rates, and population and in-hospital case-fatality in the population older than 74 years; variability in clinical characteristics and AMI management of hospitalized patients, and changes in the incidence and mortality rates, case-fatality, and management by age groups from 1996 to 1997 and 2007 to 2008.METHODS:
A population-based AMI registry in Girona (Catalonia, Spain) including individuals with suspected AMI older than 34 years.RESULTS:
The incidence rate increased with age from 169 and 28 cases/100 000 per year in the group aged 35 to 64 years to 2306 and 1384 cases/100 000 per year in the group aged 85 to 94 years, in men and women, respectively. Population case-fatality also increased with age, from 19% in the group aged 35 to 64 years to 84% in the group aged 85 to 94 years. A lower population case-fatality was observed in the second period, mainly explained by a lower in-hospital case-fatality. The use of invasive procedures and effective drugs decreased with age but increased in the second period in all ages up to 84 years.CONCLUSIONS:
Acute myocardial infarction incidence, mortality, and case-fatality increased exponentially with age. There is still a gap in the use of invasive procedures and effective drugs between younger and older patients.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Sistema de Registros
/
Vigilância da População
/
Infarto do Miocárdio
Idioma:
En
/
Es
Ano de publicação:
2018
Tipo de documento:
Article