Sudden death and acute myocardial infarction in a metropolitan area, 1970-1980. The Minnesota Heart Survey.
Sudden death and acute myocardial infarction in a metropolitan area, 1970-1980. The Minnesota Heart Survey.
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1970-1980 年大都市区的猝死和急性心肌梗塞。
DOI：
10.1056/nejm198312013092203
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发表时间：
1983
期刊：
影响因子：
--
通讯作者：
Blackburn,H
中科院分区：
文献类型：
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作者：
Gillum,RF;Folsom,A;Luepker,RV;JacobsJr,DR;Kottke,TE;Gomez-Marin,O;Prineas,RJ;Taylor,HL;Blackburn,H
为了确定全国范围内冠心病死亡率下降的原因，明尼苏达州心脏调查列举了明尼阿波利斯-圣保罗30岁至74岁人群的冠心病死亡人数。调查还确定了急性心肌梗死住院期间的住院率和病死率。在1970年至1978年期间因冠心病死亡的病例中，院外死亡率下降了43%，男性下降了40%，医院急诊室的死亡率上升了311%，女性上升了200%。在这两年中，大约三分之二的此类死亡发生在医院病房外。1970年至1980年期间，30岁至74岁的人急性心肌梗塞的住院率在男性中下降了8%，在女性中下降了26%，45岁至74岁的人在医院的病死率下降了29%，女性下降了27%。这些变化可能是由于人群中危险因素的变化以及住院前和住院期间改善对急性心肌梗死患者的护理的共同影响。《英国医学杂志》1983；309：1353-8。
To determine the causes of the nationwide decline in deaths due to coronary heart disease, the Minnesota Heart Survey enumerated coronary deaths among persons 30 to 74 years old in Minneapolis–St. Paul. The survey also ascertained rates of hospitalization and case fatality during hospitalization for acute myocardial infarction. For deaths occurring between 1970 and 1978 that were due to coronary heart disease, the rates outside the hospital declined by 43 per cent in men and 40 per cent in women, and the rates in hospital emergency rooms increased by 311 per cent in men and 200 per cent in women. In both these years about two thirds of all such deaths occurred outside hospital wards. Between 1970 and 1980, hospitalization rates for acute infarction in persons 30 to 74 years old declined 8 per cent among men and 26 per cent among women, and case fatality in the hospital in persons 45 to 74 years old declined 29 per cent in men and 27 per cent in women. These changes are probably due to the combined influence of changes in risk factors in the population and improved care of patients with acute myocardial infarction before and during hospitalization. (N Engl J Med 1983; 309:1353–8.)