BACKGROUND: Much of what is known about the occurrence of myocardial infarction (MI) in populations is derived from mortality data. International heart disease registries and recent population-based studies provide only limited incidence data from selected areas of the United States. METHODS: The Marshfield Epidemiologic Study Area (MESA), a defined geographic region where nearly all residents receive their health care from the Marshfield Clinic and affiliated hospitals, is a resource for estimating disease incidence in a general population. MI incidence rates and time trends from 1992 to 1998 were evaluated in MESA. RESULTS: A total of 1691 MESA residents had their first MI during the study period (age-adjusted rate, 292.4 per 100,000 per year). Rates in MESA were similar to some, and higher than other, incidence rates reported from US populations. About 20% of first MIs were detected only on death certificates. Overall incidence did not change much over time (-0.4% per year, P = 0.68), although rates declined 2.3% per year among women (P = 0.07). CONCLUSIONS: This is the first report of MI incidence in a general population from Wisconsin. The fairly steady incidence trend and the large number of incident events detected through death certificates demonstrate the continued need for primary prevention.
BACKGROUND: Much of what is known about the occurrence of myocardial infarction (MI) in populations is derived from mortality data. International heart disease registries and recent population-based studies provide only limited incidence data from selected areas of the United States. METHODS: The Marshfield Epidemiologic Study Area (MESA), a defined geographic region where nearly all residents receive their health care from the Marshfield Clinic and affiliated hospitals, is a resource for estimating disease incidence in a general population. MI incidence rates and time trends from 1992 to 1998 were evaluated in MESA. RESULTS: A total of 1691 MESA residents had their first MI during the study period (age-adjusted rate, 292.4 per 100,000 per year). Rates in MESA were similar to some, and higher than other, incidence rates reported from US populations. About 20% of first MIs were detected only on death certificates. Overall incidence did not change much over time (-0.4% per year, P = 0.68), although rates declined 2.3% per year among women (P = 0.07). CONCLUSIONS: This is the first report of MI incidence in a general population from Wisconsin. The fairly steady incidence trend and the large number of incident events detected through death certificates demonstrate the continued need for primary prevention.
Authors: Kristi Reynolds; Alan S Go; Thomas K Leong; Denise M Boudreau; Andrea E Cassidy-Bushrow; Stephen P Fortmann; Robert J Goldberg; Jerry H Gurwitz; David J Magid; Karen L Margolis; Catherine J McNeal; Katherine M Newton; Rachel Novotny; Charles P Quesenberry; Wayne D Rosamond; David H Smith; Jeffrey J VanWormer; Suma Vupputuri; Stephen C Waring; Marc S Williams; Stephen Sidney Journal: Am J Med Date: 2016-10-14 Impact factor: 4.965
Authors: James G Donahue; Burney A Kieke; Paul M Gargiullo; Aisha O Jumaan; Nicholas R Berger; Jeremy S McCauley; Edward A Belongia Journal: Am J Public Health Date: 2010-01-14 Impact factor: 9.308
Authors: Qiping Feng; Lan Jiang; Richard L Berg; Melissa Antonik; Erin MacKinney; Jennifer Gunnell-Santoro; Catherine A McCarty; Russell A Wilke Journal: PLoS One Date: 2010-12-31 Impact factor: 3.240