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Title

Recent trends in the incidence, treatment, and outcomes of patients with STEMI and NSTEMI

Authors

David D. McManus, University of Massachusetts Medical SchoolFollow
Joel M. Gore, University of Massachusetts Medical SchoolFollow
Jorge L. Yarzebski, University of Massachusetts Medical SchoolFollow
Frederick A. Spencer, McMaster University
Darleen M. Lessard, University of Massachusetts Medical SchoolFollow
Robert J. Goldberg, University of Massachusetts Medical SchoolFollow

UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine; Department of Quantitative Health Sciences; Meyers Primary Care Institute

Publication Date

2011-01-29

Document Type

Article

Subjects

Myocardial Infarction; Outcome Assessment (Health Care)

Disciplines

Biostatistics | Cardiovascular Diseases | Epidemiology | Health Services Research

Abstract

BACKGROUND: despite the widespread use of electrocardiographic changes to characterize patients presenting with acute myocardial infarction, little is known about recent trends in the incidence rates, treatment, and outcomes of patients admitted for acute myocardial infarction further classified according to the presence of ST-segment elevation. The objectives of this population-based study were to examine recent trends in the incidence and death rates associated with the 2 major types of acute myocardial infarction in residents of a large central Massachusetts metropolitan area.

METHODS: We reviewed the medical records of 5383 residents of the Worcester (MA) metropolitan area hospitalized for either ST-segment elevation acute myocardial infarction (STEMI) or non-ST-segment acute myocardial infarction (NSTEMI) between 1997 and 2005 at 11 greater Worcester medical centers.

RESULTS: the incidence rates (per 100,000) of STEMI decreased appreciably (121 to 77), whereas the incidence rates of NSTEMI increased slightly (126 to 132) between 1997 and 2005. Although in-hospital and 30-day case-fatality rates remained stable in both groups, 1-year postdischarge death rates decreased between 1997 and 2005 for patients with STEMI and NSTEMI.

CONCLUSIONS: the results of this study demonstrate recent decreases in the magnitude of STEMI, slight increases in the incidence rates of NSTEMI, and decreases in long-term mortality in patients with STEMI and NSTEMI. Our findings suggest that acute myocardial infarction prevention and treatment efforts have resulted in favorable decreases in the frequency of STEMI and death rates from the major types of acute myocardial infarction.

Keywords

UMCCTS funding

DOI of Published Version

10.1016/j.amjmed.2010.07.023

Source

Am J Med. 2011 Jan;124(1):40-7. Link to article on publisher's site

Journal/Book/Conference Title

The American journal of medicine

PubMed ID

21187184

Related Resources

Link to Article in PubMed

Repository Citation

McManus, David D.; Gore, Joel M.; Yarzebski, Jorge L.; Spencer, Frederick A.; Lessard, Darleen M.; and Goldberg, Robert J., "Recent trends in the incidence, treatment, and outcomes of patients with STEMI and NSTEMI" (2011). Quantitative Health Sciences Publications and Presentations. 956.
https://escholarship.umassmed.edu/qhs_pp/956