Trends in acute myocardial infarction and coronary heart disease death in the United States.

Coronary heart disease accounted for 489,171 deaths in 1990. Age-adjusted death rates decreased faster between 1976 and 1990 for white men than for white women or blacks. Out of hospital death rates for coronary heart disease decreased in the 1980s. Hospital fatality rates for acute myocardial infarction continued a long-term decrease through 1990. Trends in risk factors and invasive procedures support the conclusion that risk factor reduction has resulted in reduced incidence of acute myocardial infarction and sudden coronary death and that improvements in medical care have resulted in a continued decrease in acute myocardial infarction fatalities and overall coronary deaths.

[1]  J. Cleeman,et al.  Prevalence of high blood cholesterol among US adults. An update based on guidelines from the second report of the National Cholesterol Education Program Adult Treatment Panel. , 1993, JAMA.

[2]  R. Heidel,et al.  Healthy People 2000: national health promotion and disease prevention objectives (excerpts). US Public Health Service. , 1991, Journal of allied health.

[3]  T. Hodgson,et al.  Cigarette smoking and lifetime medical expenditures. , 1992, Milbank Quarterly.

[4]  L. Melton,et al.  Coronary heart disease in residents of Rochester, Minnesota. VII. Incidence, 1950 through 1982. , 1986, Mayo Clinic proceedings.

[5]  E. Ford,et al.  Coronary arteriography and coronary bypass survey among whites and other racial groups relative to hospital-based incidence rates for coronary artery disease: findings from NHDS. , 1989, American journal of public health.

[6]  E. Ford,et al.  In-hospital mortality rates from acute myocardial infarction by race in U.S. hospitals: findings from the National Hospital Discharge Survey. , 1987, Circulation.

[7]  R. Gillum,et al.  Geographic variation in sudden coronary death. , 1990, American heart journal.

[8]  J Z Ayanian,et al.  Differences in the use of procedures between women and men hospitalized for coronary heart disease. , 1991, The New England journal of medicine.

[9]  D. Hosmer,et al.  A Communitywide Perspective of Sex Differences and Temporal Trends in the Incidence and Survival Rates After Acute Myocardial Infarction and Out‐of‐Hospital Deaths Caused by Coronary Heart Disease , 1993, Circulation.

[10]  C. Sempos,et al.  Divergence of the recent trends in coronary mortality for the four major race-sex groups in the United States. , 1988, American journal of public health.

[11]  J. Whittle,et al.  Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system. , 1993, The New England journal of medicine.

[12]  D. Gordon,et al.  Declining serum total cholesterol levels among US adults. The National Health and Nutrition Examination Surveys. , 1993, JAMA.

[13]  J. A. Martin,et al.  ADVANCE REPORT OF FINAL NATALITY STATISTIC, 1992 , 1994 .

[14]  R. Califf,et al.  Trends in physician management of uncomplicated acute myocardial infarction, 1970 to 1987. , 1988, The American journal of cardiology.

[15]  A. Folsom,et al.  Sudden death and acute myocardial infarction in a metropolitan area, 1970-1980. The Minnesota Heart Survey. , 1983, The New England journal of medicine.

[16]  J. Alpert,et al.  Gender differences in the treatment of patients with acute myocardial infarction. A multihospital, community-based perspective. , 1993, Archives of internal medicine.

[17]  R. Gillum,et al.  Coronary heart disease and related procedures. National Hospital Discharge Survey data. , 1989, Circulation.

[18]  J S Alpert,et al.  A community-wide perspective of gender differences and temporal trends in the use of diagnostic and revascularization procedures for acute myocardial infarction. , 1993, The American journal of cardiology.

[19]  R. Gillum.  Coronary artery bypass surgery and coronary angiography in the United States, 1979-1983. , 1987, American heart journal.

[20]  L. Haywood,et al.  Task force 1: Scope of the problem , 1992 .

[21]  J. Mckenney,et al.  Summary of the second report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II) , 1993, JAMA.

[22]  A. Folsom,et al.  Decline in coronary heart disease mortality. Old questions and new facts. , 1984, The American journal of medicine.

[23]  R. Gillum,et al.  Sudden coronary death in the United States: 1980-1985. , 1989, Circulation.

[24]  R. Gillum.  Acute myocardial infarction in the United States, 1970-1983. , 1987, American heart journal.