National trends in rates of death and hospital admissions related to acute myocardial infarction, heart failure and stroke, 1994–2004
Reads0
Chats0
TLDR
The rates of death and hospital admissions for acute myocardial infarction, heart failure and stroke in Canada changed at different rates over the 10-year study period, with improvements observed across most age and sex groups.Abstract:
Background: Rates of death from cardiovascular and cerebrovascular diseases have been steadily declining over the past few decades. Whether such declines are occurring to a similar degree for common disorders such as acute myocardial infarction, heart failure and stroke is uncertain. We examined recent national trends in mortality and rates of hospital admission for these 3 conditions. Methods: We analyzed mortality data from Statistic Canada’s Canadian Mortality Database and data on hospital admissions from the Canadian Institute for Health Information’s Hospital Morbidity Database for the period 1994–2004. We determined age- and sex-standardized rates of death and hospital admissions per 100 000 population aged 20 years and over as well as in-hospital case-fatality rates. Results: The overall age- and sex-standardized rate of death from cardiovascular disease in Canada declined 30.0%, from 360.6 per 100 000 in 1994 to 252.5 per 100 000 in 2004. During the same period, the rate fell 38.1% for acute myocardial infarction, 23.5% for heart failure and 28.2% for stroke, with improvements observed across most age and sex groups. The age- and sex-standardized rate of hospital admissions decreased 27.6% for stroke and 27.2% for heart failure. The rate for acute myocardial infarction fell only 9.2%. In contrast, the relative decline in the inhospital case-fatality rate was greatest for acute myocardial infarction (33.1%; p Interpretation: The rates of death and hospital admissions for acute myocardial infarction, heart failure and stroke in Canada changed at different rates over the 10-year study period. Awareness of these trends may guide future efforts for health promotion and health care planning and help to determine priorities for research and treatment.read more
Citations
More filters
Journal ArticleDOI
Epidemiology and risk profile of heart failure
TL;DR: Key features of the epidemiology and risk profile of HF are discussed, including ischemic heart disease, hypertension, smoking, obesity, and diabetes, among others, that both predict the incidence of HF as well as its severity.
Journal ArticleDOI
Critical care and the global burden of critical illness in adults
TL;DR: Investigators in this discipline will need to measure the global burden of critical illness and available critical-care resources, and develop both preventive and therapeutic interventions that are generalisable across countries.
Journal ArticleDOI
Epidemiology of coronary heart disease and acute coronary syndrome
TL;DR: The aim of this review is to summarize the incidence, prevalence, trend in mortality, and general prognosis of coronary heart disease and a related condition, acute coronary syndrome, and identify risk groups and areas for possible improvement.
Reference EntryDOI
National Institute of Neurological Disorders and Stroke
Milton Budoff,Tamara J. Martin +1 more
TL;DR: Marmosets are poised to be a central player to advance the core mission of the NINDS, as their brains retain the typical anatomical and functional organization of the primate brain and the species exhibits the breadth of cognitive sophistication that distinguishes primates from other taxonomic groups.
Journal ArticleDOI
Factors Influencing the Decline in Stroke Mortality A Statement From the American Heart Association/American Stroke Association
Daniel T. Lackland,Edward J. Roccella,Anne Deutsch,Myriam Fornage,Mary G. George,George Howard,Brett M. Kissela,Steven J. Kittner,Judith H. Lichtman,Lynda D. Lisabeth,Lee H. Schwamm,Eric E. Smith,Amytis Towfighi +12 more
TL;DR: There is strong evidence that the decline in stroke mortality can be attributed to a combination of interventions and programs based on scientific findings and implemented with the purpose of reducing stroke risks, the most likely being improved control of hypertension.
References
More filters
Journal ArticleDOI
Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.
James C. Grotta,M Kothari,K.M.A. Welch,Joseph P. Broderick,Barbara C. Tilley,Thomas G. Brott,Marler,Patrick D. Lyden,Paul M. O'Byrne +8 more
Journal ArticleDOI
Heart Disease and Stroke Statistics—2007 Update A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Wayne D. Rosamond,Katherine M. Flegal,Gary Friday,Karen L. Furie,Alan S. Go,Kurt J. Greenlund,Nancy Haase,Michael Ho,Virginia J. Howard,Bret Kissela,Steven J. Kittner,Donald M. Lloyd-Jones,Mary M. McDermott,James B. Meigs,Claudia S. Moy,Graham Nichol,Christopher J. O'Donnell,Véronique L. Roger,John S. Rumsfeld,Paul D. Sorlie,Julia Steinberger,Thomas Thom,Sylvia Wasserthiel-Smoller,Yuling Hong +23 more
TL;DR: This chapter describes the most important sources and the types of data the AHA uses from them and other government agencies to derive the annual statistics in this Update.
Journal ArticleDOI
Heart Disease and Stroke Statistics—2008 Update A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Wayne Rosamond,Katherine M. Flegal,Karen L. Furie,Alan S. Go,Kurt J. Greenlund,Nancy Haase,Susan M. Hailpern,Michael Ho,Virginia J. Howard,Bret Kissela,Steven J. Kittner,Donald M. Lloyd-Jones,Mary M. McDermott,James B. Meigs,Claudia S. Moy,Graham Nichol,Christopher J. O'Donnell,Véronique L. Roger,Paul D. Sorlie,Julia Steinberger,Thomas Thom,Matthew Wilson,Yuling Hong +22 more
TL;DR: Each year the American Heart Association brings together the most up-to-date statistics on heart disease, stroke, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update.
Journal ArticleDOI
Myocardial infarction redefined--a consensus document of The Joint European Society of Cardiology/American College of Cardiology Committee for the redefinition of myocardial infarction.
Elliott M. Antman,Jean-Pierre Bassand,Werner Klein,Magnus Ohman,José Luis López Sendón,Lars Rydén,Maarten L. Simoons,Michal Tendera +7 more
TL;DR: In this paper, the authors defined the definition of MI and established the following criteria for acute, evolving or recent MI: 1) Typical rise and gradual fall (troponin) or more rapid rise and fall (CK-MB) of biochemical markers of myocardial necrosis with at least one of the following: a) ischemic symptoms; b) development of pathologic Qwaves on the ECG; c) ECG changes indicative of ischemia (ST segment elevation or depression); or d) coronary artery intervention (e.g., coronary ang
Journal ArticleDOI
Myocardial infarction redefined - A consensus document of the Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction
Joseph S. Alpert,Elliott M. Antman,Fred S. Apple,Paul W. Armstrong,J. P. Bassand,A. B. De Luna,George A. Beller,Günter Breithardt,Bernard R. Chaitman,Peter Clemmensen,Erling Falk,Michael C. Fishbein,Marcello Galvani,A Jr Garson,Cindy L. Grines,Christian W. Hamm,B. Nauheim,Uta C. Hoppe,Allan S. Jaffe,Hugo A. Katus,J. Kjeksus,Werner Klein,P. Klootwijk,C. Lenfant,Daniel Levy,R. I. Levy,Russell V. Luepker,F. Marcus,Ulf Näslund,Magnus Ohman,O. Pahlm,P. A. Poole-Wilson,R. Popp,Kalevi Pyörälä,Jan Ravkilde,N. Rehnquist,W. Roberts,Robert Roberts,J. Roelandt,Lars Rydén,Susana Sans,M. L. Simoons,Kristian Thygesen,Hugh Tunstall-Pedoe,Richard Underwood,Barry F. Uretsky,F. Van de Werf,L. M. Voipio-Pulkki,Galen S. Wagner,Lars Wallentin,William Wijns,David R. Wood +51 more
TL;DR: Biochemical markers of myocardial necrosis may have normalized, depending on the length of time that has passed since the infarct developed, and one of the following criteria satisfies the diagnosis for established MI: development of new pathologic Q waves on serial ECGs.