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European Heart Journal 1998 19(3):429-434; doi:10.1053/euhj.1997.0766
Copyright © 1998 by the European Society of Cardiology.
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The incidence of suspected myocardial infarction in Dutch general practice in the period 1978–1994

K.M. van der Pal-de Bruin, H. Verkleijf1, J. Jansen, A. Bartelds and D. Kromhout

Netherlands Institute of Primary Health Care, Utrecht, The Netherlands
National Institute of Public Health and the Environment, Bilthoven, The Netherlands

accepted August 14, 1997

Aim

To evaluate how the incidence of suspected myo-cardial infarction has developed from 1978 to 1994 and to study the incidence of confirmed acute myocardial infarction in Dutch general practices during the period 1991–1994.

Methods

In three periods (1978, 1983–1985 and 1991–1994) the incidence of suspected myocardial infarction has been registered by the ‘Dutch Sentinel Practice Network’. This is a registration system that obtains data from general practitioners covering about 150000 persons. During the period 1991–1994 the incidence of confirmed myocardial infarction was also registered.

Results

For men, the incidence rate of suspected myo-cardial infarction decreased by 28% from 4·7 per 1000 in 1978 to 3·4 per 1000 in the period 1991–1994. For women, the incidence fell by 23% from 2·6 per 1000 in 1978 to 2·0 per 1000 in the period 1983–1985 and stabilized thereafter. The most pronounced decrease in the incidence of suspected myocardial infarction during the period 1978—1994 occurred in both men and women aged 45–64. In the period 1991–1994, the standardized incidence rate of confirmed myocardial infarction is 1·7 per 1000 for men and 0·9 per 1000 for women.

Conclusions

These data suggest that the incidence of suspected myocardial infarction has declined substantially between 1978 and 1994 both for men and for women; this decline is most pronounced in the age group 45–64.

Key Words: Myocardial infarction • incidence • trends • general practice • The Netherlands

f1 Correspondence: Dr H. Verkleij, Department for Public Health Forecasting, National Institute of Public Health and the Environment, P.O. Box 1, 3720 BA Bilthoven, The Netherlands.


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