論文

査読有り
2017年3月24日

Age-Specific Trends in the Incidence and In-Hospital Mortality of Acute Myocardial Infarction Over 30 Years in Japan - Report From the Miyagi AMI Registry Study.

Circulation journal : official journal of the Japanese Circulation Society
  • Yuanji Cui
  • ,
  • Kiyotaka Hao
  • ,
  • Jun Takahashi
  • ,
  • Satoshi Miyata
  • ,
  • Tomohiko Shindo
  • ,
  • Kensuke Nishimiya
  • ,
  • Yoku Kikuchi
  • ,
  • Ryuji Tsuburaya
  • ,
  • Yasuharu Matsumoto
  • ,
  • Kenta Ito
  • ,
  • Yasuhiko Sakata
  • ,
  • Hiroaki Shimokawa

81
4
開始ページ
520
終了ページ
528
記述言語
英語
掲載種別
DOI
10.1253/circj.CJ-16-0799

BACKGROUND: We are now facing rapid population aging in Japan, which will affect the actual situation of cardiovascular diseases. However, age-specific trends in the incidence and mortality of acute myocardial infarction (AMI) in Japan remain to be elucidated.Methods and Results:We enrolled a total of 27,220 AMI patients (male/female 19,818/7,402) in our Miyagi AMI Registry during the past 30 years. We divided them into 4 age groups (≤59, 60-69, 70-79 and ≥80 years) and examined the temporal trends in the incidence and in-hospital mortality of AMI during 3 decades (1985-1994, 1995-2004 and 2005-2014). Throughout the entire period, the incidence of AMI steadily increased in the younger group (≤59 years in both sexes), while in the elderly groups (≥70 years in both sexes), the incidence significantly decreased during the last decade (all P<0.01). In-hospital cardiac mortality significantly decreased during the first 2 decades in elderly groups of both sexes (all P<0.01), whereas no further improvement was noted in the last decade irrespective of age or sex, despite improved critical care of AMI. CONCLUSIONS: These results provide the novel findings that the incidence of AMI has been increasing in younger populations and decreasing in the elderly, and that improvement in the in-hospital mortality of AMI may have reached a plateau in all age groups in Japan.

リンク情報
DOI
https://doi.org/10.1253/circj.CJ-16-0799
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28154296
ID情報
  • DOI : 10.1253/circj.CJ-16-0799
  • ISSN : 1346-9843
  • PubMed ID : 28154296

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