Author + information
- Ehab Tuppoa,b,
- Mihir Trivedia,b,
- Julian Daevmera,b,
- Javier Cabreraa,b,
- William J. Kostisa,b,
- John Pantazopoulosa,b,
- John B. Kostisa,b,
- George Rhoadsa,b,
- for the Myocardial Infarction Data Acquisition System (MIDAS) Study Group
Background: The incidence of myocardial infarction (MI) has been decreasing for several decades. However, scant data are available on whether this decline has been magnified, diminished, or remained stable over the recent 15 year period.
Methods: Using the Myocardial Infarction Data Acquisition System (MIDAS), a statewide database of all cardiovascular hospital admissions in New Jersey, we identified 201,571 patients with a primary diagnosis of MI. We examined time trends in incidence from the year 2000 to the year 2014.
Results: A steep decline in MI incidence was observed in all age groups. The incidence in the 40-54 age group dropped from 153.3 per 100,000 in 2000 to 125.0 per 100,000 in 2008 for a decline of 18.5%, in the 55-69 age group it dropped from 454.2 per 100,000 in 2000 to 324.0 per 100,000 in 2008 for a decline of 28.7% and in the 70-84 age group it dropped from 998.0 per 100,000 in 2000 to 704.5 per 100,000 in 2008 for a decline of 29.4%. The rate of decline began to level off after 2008.
Conclusions: A steep decline in MI incidence was observed in all age groups but was more pronounced in the older age groups. The decline began to level off after 2008. This remarkable pattern of incidence decline may be related to the increase in use of interventional and pharmacological therapies that plateaued after 2008.
Poster Hall, Hall C
Saturday, March 18, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Acute Coronary Syndromes, Diagnosis, Management and Outcomes
Abstract Category: 2. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 1253-323
- 2017 American College of Cardiology Foundation