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Regional Variability in Population Acute Myocardial Infarction Cumulative Incidence and Mortality Rates in Spain 1997 and 1998

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Abstract

Background: Myocardial infarction (MI) incidence and mortality display a high geographic variation. Aims: The objective of the present study was to analyze MI mortality, cumulative incidence rate variability in seven regions of Spain from 1997 to 1998. Methods and Results: Standardized methods were used to identify, find, register, and classify MI cases that were classified as definite, possible, insufficient-dataMI, and non-MI. The total population of the seven monitored regions was 7,364,682 inhabitants. Of the 11,256 cases fulfilling eligibility criteria to investigate, 10,660 were selected to calculate MI rates: 6554 (61.5%)non-fatal definite MI, 1179 (11.1%)fatal definite MI, 1859 (17.4%)fatal possible MI, 1068 (10.0%)fatal cases with insufficient data. The IBERICA 25–74 years age-standardized cumulative incidence rates for men and women, were 207 (range: 175–252) and 45 (range: 36–65) per 100,000, respectively. The age-standardized mortality rates for men and women, were 73 (range: 62–94) and 20 (range: 13–29) per 100,000, respectively. Age-standardized case-fatality was 31.4 and 24.2% in men aged 25–74 and 35–64 years, respectively, and 32.7 and 27.0%, respectively, in women. Conclusions: MI cumulative incidence and mortality rates are low compared with other industrialized countries but, vary considerably among regions in a Mediterranean country like Spain.

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Authors and Affiliations

  1. Unitat de lipids i Epidemiologia Cardiovascular, Institut Municipal d'Investigació Mèdica (IMIM), Carrer Dr. Aiguader 80, E-08003, Barcelona, Spain

    Jaume Marrugat & Roberto Elosua

  2. Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz

    Elena Aldasoro

  3. Departamento de Epidemiología, Consejería de Sanidad y Consumo, Murcia

    María José Tormo, Lluis Cirera & José García

  4. Conselleria de Sanitat, Generalitat Valenciana, Valencia

    Hermelinda Vanaclocha & Oscar Zurriaga

  5. Instituto de Ciencias de la Salud, Consejería de Sanidad de Castilla-La Mancha, Talavera de la Reina

    Antonio Segura

  6. Unitat Coronaria, Hospital Son Dureta, Palma de Mallorca

    Miquel Fiol & José Ignacio Ayestarán

  7. Instituto de Salud Pública de Navarra, Pamplona

    Concepción Moreno-Iribas & Vega García

  8. Departament de Sanitat i Seguretat Social, Servei d'Informació i Estudis, Barcelona

    Gloria Pérez

  9. Departamento de Sanidad, Gobierno Vasco, Vitoria-Gasteiz

    José María Arteagoitia & Iraida Hurtado-de-Saracho

  10. Unidad de cuidados Intensivos, Hospital la Fe, Valencia

    Adolfo Cabadés

  11. Unidad de Cuidados Intensivos, Complejo Hospitalario de Albacete, Valencia

    Gema Vega

  12. Asociación de Estudios Biomédicos de Galicia e, Instituto Universitario de Ciencias de la Salud, A Coruña

    Javier Muñiz

  13. Unitat Coronària, Hospital Josep Trueta, Gerona, Spain

    Joan Sala

Authors
  1. Jaume Marrugat
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  2. Roberto Elosua
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  3. Elena Aldasoro
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  4. María José Tormo
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  5. Hermelinda Vanaclocha
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  6. Antonio Segura
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  7. Miquel Fiol
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  8. Concepción Moreno-Iribas
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  9. Gloria Pérez
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  10. José María Arteagoitia
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  11. Lluis Cirera
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  12. Adolfo Cabadés
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  13. Gema Vega
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  14. José Ignacio Ayestarán
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  15. Vega García
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  16. Iraida Hurtado-de-Saracho
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  17. José García
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  18. Oscar Zurriaga
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  19. Javier Muñiz
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  20. Joan Sala
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Marrugat, J., Elosua, R., Aldasoro, E. et al. Regional Variability in Population Acute Myocardial Infarction Cumulative Incidence and Mortality Rates in Spain 1997 and 1998. Eur J Epidemiol 19, 831–839 (2004). https://doi.org/10.1023/B:EJEP.0000040531.77638.17

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  • DOI: https://doi.org/10.1023/B:EJEP.0000040531.77638.17

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