![]() ![]() 13 Burke GL, Sprafka JM, Folsom AR, Luepker RV, Norsted SW, Blackburn H.Secular trends in Q-wave and non–Q-wave acute MI: the Minnesota Heart Survey. 12 Edlavitch SA, Crow R, Burke GL, Baxter J.Age-related trends in short-and long-term survival after acute myocardial infarction: a 20-year population-based perspective (1975–1995). 11 Goldberg RJ, McCormick D, Gurwitz JH, Yarzebski J, Lessard D, Gore JM.Mortality after first myocardial infarction: search for a secular trend. 10 Weinblatt E, Goldberg JD, Ruberman W, Frank CW, Monk MA, Chaudhary BS.Time trends in prognosis of patients with myocardial infarction: a population-based study. 9 Goldberg R, Szklo M, Tonascia JA, Kennedy HL.Recent trends in acute coronary heart disease. 8 McGovern PG, Pankow JS, Shahar E, Doliszny KM, Folsom AR, Blackburn H, Luepker RV, for the Minnesota Heart Survey Investigators.Improvement in long-term survival among patients hospitalized with acute myocardial infarction, 1970 to 1980: the Minnesota Heart Survey. 7 Gomez-Marin O, Folsom AR, Kottke TE, Wu SH, Jacobs DR, Gillum RF, Edlavitch SA, Blackburn H.Incidence and case fatality rates of acute myocardial infarction (1975–1984): the Worcester Heart Attack Study. 6 Goldberg RJ, Gore JM, Alpert JS, Dalen JE.Did prognosis after myocardial infarction change during the past 30 years? A meta-analysis. 5 deVreede JJM, Gorgels AP, Verstratten GM, Vermeer F, Dassen WR, Wellens HJ.Trends in the incidence of myocardial infarction and in mortality due to coronary heart disease, 1987 to 1994. 4 Rosamond WD, Chambless LE, Folsom AR, Cooper LS, Conwill DE, Clegg L, Wang C, Heiss G.The decline in ischemic heart disease mortality rates. The recent decline in ischemic heart disease mortality. Bethesda, Md: National Institutes of Health 1998. Morbidity and Mortality: Chartbook on Cardiovascular, Lung, and Blood Diseases. 1 National Heart, Lung, and Blood Institute.The absence of a decline in CHF incidence may be due to improved post-MI survival of individuals with depressed left ventricular systolic function who are at high risk for CHF. There were no significant temporal changes in the risks for recurrent MI or CHF.Ĭonclusions-Substantial reductions in risk of CHD death and all-cause mortality occurred over these 4 decades, coincident with improvements in post-MI therapies. Trend analyses across the 3 time periods were performed for each outcome. With 1950 through 1969 as the reference period, hazards ratios (HRs) for these outcomes were determined for the 1970s and 1980s. Methods and Results-In 546 Framingham Heart Study subjects (388 men with a mean age of 60 years 158 women with a mean age of 69 years) with an initial recognized Q-wave MI from 1950 through 1989, we investigated time trends in risk for coronary heart disease (CHD) death (n=199), all-cause mortality (n=287), reinfarction (n=108), and congestive heart failure (CHF n=121). Customer Service and Ordering Informationīackground-Short-term ( ![]()
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