Skip Navigation



European Heart Journal Advance Access published online on December 15, 2004
European Heart Journal, doi:10.1093/eurheartj/ehi068
This Article
Right arrow Full Text (Rapid PDF)
Right arrow All Versions of this Article:
26/5/505    most recent
ehi068v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Sans, S.
Right arrow Articles by Balaguer-Vintró, I.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sans, S.
Right arrow Articles by Balaguer-Vintró, I.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

European Heart Journal © The European Society of Cardiology 2004; all rights reserved

Clinical research

Increasing trends of acute myocardial infarction in Spain: the MONICA-Catalonia Study

Susana Sans 1*, Ana Puigdefábregas 1, Guillermo Paluzie 1, David Monterde 2, and Ignacio Balaguer-Vintró 1

1 Institute of Health Studies, Department of Health, P. Claret 167, Barcelona 08025, Spain
2 Saint Paul's Hospital Research Institute, Barcelona 08025, Spain

* To whom correspondence should be addressed.
Susana Sans, E-mail: susana.sans{at}uab.es


  Abstract

Aims To assess coronary mortality and morbidity secular trends in Spain.

Methods and results Acute coronary events occurring in both sexes at ages 35-74 years between 1985 and 1997, were monitored in a geographical area of Catalonia, through a population-based registry. Information was collected from annual discharge lists of 78 hospitals and from death certificates, and validated following the methods and quality control of the World Health Organization MONItoring Trends and Determinants in CArdiovascular Disease Project (MONICA). Registration included 19 119 valid events (14 221 in men, 4898 in women) of which 30% were fatal and 41% were definite acute myocardial infarctions. Average attack rates were 315 per 100 000 (95% CI 300-329) and 80 (75-86) in men and women, respectively. Incidence (first-ever event) rates were 209 (194-224) and 56 (52-60) per 100 000. Attack rates increased annually by 2.1% (0.3-4.1) and 1.8% (-0.9 to +4.6). Average 28-day case fatality was 46% (44-47) in men decreasing significantly by 1.4 and 53% (51-55) in women with no change. Fatal trends remained stable. Nationwide morbidity statistics showed similar trends.

Conclusion Acute coronary syndromes are rising in Spanish men.

Keywords: Acute myocardial infarction; Incidence; Mortality; Trends; Women; MONICA.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 QJMHome page
A. Gikas, A. Sotiropoulos, D. Panagiotakos, V. Pastromas, A. Papazafiropoulou, and S. Pappas
Prevalence trends for myocardial infarction and conventional risk factors among Greek adults (2002-06)
QJM, September 1, 2008; 101(9): 705 - 712.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
A Cordero and E Alegria
Sex differences and cardiovascular risk
Heart, February 1, 2006; 92(2): 145 - 146.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.