Trends in myocardial infarction case fatality in new jersey 2000-2014

Myocardial Infarction Data Acquisition System (MIDAS 37) Study Group

Research output: Contribution to journalArticlepeer-review

Abstract

There has been a remarkable decline in mortality from myocardial infarction (MI) for the past several decades. However, scant data are available on whether this decline has increased, diminished, or remained stable over a recent 15-year period. Using the Myocardial Infarction Data Acquisition System (MIDAS), a statewide database of all cardiovascular hospital admissions in New Jersey, we identified 168,966 patients with a primary diagnosis of MI. We examined time trends in MI mortality in-hospital, 1 year and 5 years after an MI from the year 2000 to the year 2014. A decline in in-hospital MI case fatality was observed in all age groups, most pronounced in the oldest age group. Females had a greater decline than males and after 2013 had a lower case fatality than males. Similar findings were seen in 1-year mortality, but no significant difference was seen in MI mortality at 5 years. A leveling off of this decline was seen after 2008. In conclusion, this study shows a decline in MI mortality that leveled off after 2008.

Original languageEnglish (US)
Pages (from-to)135-144
Number of pages10
JournalWorld Heart Journal
Volume12
Issue number2
StatePublished - Dec 2020

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Keywords

  • Epidemiology
  • Mortality
  • Myocardial infarction

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