Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic

Aims. Studies on the incidence, acute and subsequent mortality from myocardial infarction are limited mostly to selected clinical cohorts and populations and cover relatively short periods. Our aim was to describe and analyse long-term trends on a national scale. Methods. Acute myocardial infarction...

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Autores principales:	Jan Bruthans, Otto Mayer, Jiri Jarkovsky, Miroslav Zvolsky
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	acute myocardial infarction ami incidence and fatality trends post-ami mortality trends ami intervention and treatmen primary and secondary prevention of ami Medicine R
Acceso en línea:	https://doaj.org/article/7e32e925981a4ffe9ffa48a5b72bbb93
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spelling	oai:doaj.org-article:7e32e925981a4ffe9ffa48a5b72bbb932021-11-29T08:47:12ZLong-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic1213-81181804-752110.5507/bp.2020.014https://doaj.org/article/7e32e925981a4ffe9ffa48a5b72bbb932021-09-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202103-0008_long-term-trends-in-the-incidence-treatment-hospital-fatality-and-subsequent-mortality-from-acute-myocardial.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Aims. Studies on the incidence, acute and subsequent mortality from myocardial infarction are limited mostly to selected clinical cohorts and populations and cover relatively short periods. Our aim was to describe and analyse long-term trends on a national scale. Methods. Acute myocardial infarction (AMI) was defined by the International Classification of Diseases (ICD)10; codes I21 and I22. Our natiowide 1994-2016 data on AMI mortality were obtained from the official mortality statistics (Czech Bureau of Statistics), data on morbidity (hospitalizations) from the National Register of Hospitalizations (Institute for Health Information and Statistics). For further analyses, data from the Czech EUROASPIRE I-V and Czech IMPACT studies were used. Results. Over the 1994-2016 period the total number of AMI cases per year decreased from 34,084 to 19,015, that of patients hospitalized for AMI from 22,373 to 15,419, the total number of deaths due to AMI from 14,834 to 4,673, in those treated because of AMI from 3,794 to 1,137, and hospital fatality in patients treated for AMI decreased from 17% to 7.5%. Over the years 1997-2016, the one-year all-cause mortality rate after AMI declined from 25.1 to 17.9%, cardiovascular (CV) mortality from 22.3 to 14.2%, five-year all-cause mortality from 41.7 to 34%, and CV mortality from 34.1 to 23.6%. Conclusion. The Czech Republic has witnessed a pronounced decrease in AMI incidence and fatality and, consequently, long-term mortality. The decreasing incidence and improving course of AMI are due to progress in primary prevention, in acute coronary care and interventional cardiology, and in secondary coronary heart disease (CHD) prevention.Jan BruthansOtto MayerJiri JarkovskyMiroslav ZvolskyJan BruthansPalacký University Olomouc, Faculty of Medicine and Dentistryarticleacute myocardial infarctionami incidence and fatality trendspost-ami mortality trendsami intervention and treatmenprimary and secondary prevention of amiMedicineRENBiomedical Papers, Vol 165, Iss 3, Pp 283-290 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute myocardial infarction ami incidence and fatality trends post-ami mortality trends ami intervention and treatmen primary and secondary prevention of ami Medicine R
spellingShingle	acute myocardial infarction ami incidence and fatality trends post-ami mortality trends ami intervention and treatmen primary and secondary prevention of ami Medicine R Jan Bruthans Otto Mayer Jiri Jarkovsky Miroslav Zvolsky Jan Bruthans Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
description	Aims. Studies on the incidence, acute and subsequent mortality from myocardial infarction are limited mostly to selected clinical cohorts and populations and cover relatively short periods. Our aim was to describe and analyse long-term trends on a national scale. Methods. Acute myocardial infarction (AMI) was defined by the International Classification of Diseases (ICD)10; codes I21 and I22. Our natiowide 1994-2016 data on AMI mortality were obtained from the official mortality statistics (Czech Bureau of Statistics), data on morbidity (hospitalizations) from the National Register of Hospitalizations (Institute for Health Information and Statistics). For further analyses, data from the Czech EUROASPIRE I-V and Czech IMPACT studies were used. Results. Over the 1994-2016 period the total number of AMI cases per year decreased from 34,084 to 19,015, that of patients hospitalized for AMI from 22,373 to 15,419, the total number of deaths due to AMI from 14,834 to 4,673, in those treated because of AMI from 3,794 to 1,137, and hospital fatality in patients treated for AMI decreased from 17% to 7.5%. Over the years 1997-2016, the one-year all-cause mortality rate after AMI declined from 25.1 to 17.9%, cardiovascular (CV) mortality from 22.3 to 14.2%, five-year all-cause mortality from 41.7 to 34%, and CV mortality from 34.1 to 23.6%. Conclusion. The Czech Republic has witnessed a pronounced decrease in AMI incidence and fatality and, consequently, long-term mortality. The decreasing incidence and improving course of AMI are due to progress in primary prevention, in acute coronary care and interventional cardiology, and in secondary coronary heart disease (CHD) prevention.
format	article
author	Jan Bruthans Otto Mayer Jiri Jarkovsky Miroslav Zvolsky Jan Bruthans
author_facet	Jan Bruthans Otto Mayer Jiri Jarkovsky Miroslav Zvolsky Jan Bruthans
author_sort	Jan Bruthans
title	Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
title_short	Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
title_full	Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
title_fullStr	Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
title_full_unstemmed	Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic
title_sort	long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the czech republic
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/7e32e925981a4ffe9ffa48a5b72bbb93
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Long-term trends in the incidence, treatment, hospital fatality and subsequent mortality from acute myocardial infarction in the Czech Republic

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