Incidence of acute myocardial infarction in Takashima, Shiga, Japan
Incidence of acute myocardial infarction in Takashima, Shiga, Japan
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DOI：
10.1253/circj.69.404
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发表时间：
2005-04-01
影响因子：
3.3
通讯作者：
Ueshima, H
中科院分区：
文献类型：
--
作者：
Yoshida, M;Kita, Y;Ueshima, H
背景 日本缺血性心脏病（IHD）的发病率和死亡率似乎是所有工业化国家中最低的，但对急性心肌梗死（AMI）的可靠登记却很少。 方法和结果 评估日本滋贺县高岛县 1988 年至 1998 年 AMI 的发病率，并将数据与世界上类似的登记数据进行比较，推测 AMI 或猝死病例 记录心肌缺血。 AMI 的标准基于 WHO MONICA 项目。调查了县内外所有医院的病历、卫生院的原始死亡记录以及县内的救护车记录，登记病例291例（男性190例，女性101例；平均年龄（mean SD）69.5+/-12.2）。 28天和24小时病死率分别为38.1%和33.0%。每 10 万名 25 至 74 岁人口中，年龄调整后的 AMI 年发病率男性为 58.2，女性为 18.0。 1988年至1998年AMI发病率呈持续趋势。结论结果证实日本AMI发病率在工业化国家中是最低的。
Background The incidence and mortality from ischemic heart disease (IHD) in Japan seem to be among the lowest of all the industrialized countries, but there are few reliable registers of acute myocardial infarction (AMI).Methods and Results To assess the incidence of AMI in Takashima County, Shiga, Japan, from 1988 to 1998 and compare the data with similar registers in the world, cases of AMI or sudden death presumed from myocardial ischemia were registered. The criteria of AMI were based on the WHO MONICA Projects. The medical records of all the hospitals inside as well as outside the county, the original death records in the health center, and the ambulance records in the county were investigated and 291 cases were registered (190 males, 101 females; average age (mean SD), 69.5 +/- 12.2). The 28-day and 24-h case fatality was 38.1% and 33.0%, respectively. Age-adjusted annual incidence of AMI per 100,000 population aged between 25 and 74 years were 58.2 for men and 18.0 for women. The incidence of AMI showed a constant trend from 1988 to 1998.Conclusion The results confirmed that Japan has the lowest incidence of AMI among the industrialized countries.