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European Heart Journal 1997 18(4):582-587;
Copyright © 1997 by the European Society of Cardiology.
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© 1997 The European Society of Cardiology

Gender differences in the decline of mortality rates of acute myocardial infarction in West Germany*

K.-H. Ladwig{dagger}, and W. Scheuermann{ddagger}

{dagger}Institut und Poliklinik für Psychosomatische Medizin, Med. Psychologie und Psychotherapie des Klinikums Rechts der Isar der Technischen Universität München; MEDIS-Institut der GSF-Forschungs-Zentrum für Umwelt und Gesundhert München-Neuherberg, Germany
{ddagger}Abteilung Klinische Sozialmedizin des Klinikums der Ruprecht-Karls-Universität Heidelberg Germany

revised 16 October 1996; accepted 16 October 1996.

Correspondence: K.-H. Ladwig, Institut und Poliklinik fur Psychosomatische Medizin, Med. Psychologie und Psychotherapie des Klinikums Rechts des Isar der Technischen Universitat München, Langerstrasse 3, 81675 München, Germany

Abstract

In Germany in 1994, 86915 people died from acute myocardial infarction; 56·3% of these cases were male. The corresponding mortality rates per 100000 were 1l6·1 in men and 87·9 in women. The male-female mortality ratio in 1994 was most pronounced for males aged 45–54 years with a relative risk of 5·7 (95% CI, 5·2 to 6·2). The mean age of death was 70·5 years in men and 78·6 years in women, reflecting a difference of 8·1 years.

In both genders, mortality rates of acute myocardial infarction in the former Federal Republic of Germany (West Germany) started to decline in 1980. This decline summed up to –37·8% (95% CI, –38·9 to –36·8) in men and –25·7% (95% CI, –27·1 to –24·3) in women until 1994. The difference in gender-specific decline was significant. The steepest decline was achieved for men in the 25–44 year age group and for middle-aged women of 45–64 years. An increase could be observed for both genders over 85 years. The mean age of death from myocardial infarction, however, increased in the same time period by 2 years in men and 4 years in women.

Key Words: Acute myocardial infarction • mortality • gender difference


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