Earl S Ford1, Wayne H Giles. 1. Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA. esf2@cdc.gov
Abstract
OBJECTIVE: To examine temporal trends in the prevalence of nonfatal coronary heart disease in the United States. DESIGN: Four national cross-sectional health surveys: National Health and Nutrition Examination Survey (NHANES) I (1971-1975), NHANES II (1976-1980), NHANES III (1988-1994), and Hispanic HANES (HHANES) (1982-1984). SETTING: United States. PARTICIPANTS: Persons aged 40-74 years. MAIN OUTCOME MEASUREMENTS: Prevalence of angina, self-reported myocardial infarction, and electrocardiographically defined myocardial infarction (ECG-MI). RESULTS: Generally, the age-adjusted prevalence of angina pectoris was higher among women than men, but the reverse was true for self-reported myocardial infarction and ECG-MI. Increases in the prevalence of angina pectoris occurred for Mexican-American men and women, and African-American women, but were not statistically significant for the latter. Age-adjusted rates of self-reported myocardial infarction increased among African-American men (P=.019) and women (P=.005) and Mexican-American men (P>.05), but decreased among White men (P>.05) and women (P>.05). The prevalence of age-adjusted ECG-MI decreased among African-American men and women, White women, and to a lesser degree, White men; however, none of these decreases were statistically significant. Relative standard errors for ECG-MI prevalence in NHANES I and II among African Americans were large; therefore, prevalence trends need to be interpreted cautiously. CONCLUSIONS: The decreases in ECG-MI could be due either to decreased incidence of coronary heart disease or myocardial infarction, or increases in the rates of timely cardiac interventions that minimize damage to the myocardium.
OBJECTIVE: To examine temporal trends in the prevalence of nonfatal coronary heart disease in the United States. DESIGN: Four national cross-sectional health surveys: National Health and Nutrition Examination Survey (NHANES) I (1971-1975), NHANES II (1976-1980), NHANES III (1988-1994), and Hispanic HANES (HHANES) (1982-1984). SETTING: United States. PARTICIPANTS: Persons aged 40-74 years. MAIN OUTCOME MEASUREMENTS: Prevalence of angina, self-reported myocardial infarction, and electrocardiographically defined myocardial infarction (ECG-MI). RESULTS: Generally, the age-adjusted prevalence of angina pectoris was higher among women than men, but the reverse was true for self-reported myocardial infarction and ECG-MI. Increases in the prevalence of angina pectoris occurred for Mexican-American men and women, and African-American women, but were not statistically significant for the latter. Age-adjusted rates of self-reported myocardial infarction increased among African-American men (P=.019) and women (P=.005) and Mexican-American men (P>.05), but decreased among White men (P>.05) and women (P>.05). The prevalence of age-adjusted ECG-MI decreased among African-American men and women, White women, and to a lesser degree, White men; however, none of these decreases were statistically significant. Relative standard errors for ECG-MI prevalence in NHANES I and II among African Americans were large; therefore, prevalence trends need to be interpreted cautiously. CONCLUSIONS: The decreases in ECG-MI could be due either to decreased incidence of coronary heart disease or myocardial infarction, or increases in the rates of timely cardiac interventions that minimize damage to the myocardium.
Authors: Véronique L Roger; Alan S Go; Donald M Lloyd-Jones; Emelia J Benjamin; Jarett D Berry; William B Borden; Dawn M Bravata; Shifan Dai; Earl S Ford; Caroline S Fox; Heather J Fullerton; Cathleen Gillespie; Susan M Hailpern; John A Heit; Virginia J Howard; Brett M Kissela; Steven J Kittner; Daniel T Lackland; Judith H Lichtman; Lynda D Lisabeth; Diane M Makuc; Gregory M Marcus; Ariane Marelli; David B Matchar; Claudia S Moy; Dariush Mozaffarian; Michael E Mussolino; Graham Nichol; Nina P Paynter; Elsayed Z Soliman; Paul D Sorlie; Nona Sotoodehnia; Tanya N Turan; Salim S Virani; Nathan D Wong; Daniel Woo; Melanie B Turner Journal: Circulation Date: 2011-12-15 Impact factor: 29.690
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Authors: Alan S Go; Dariush Mozaffarian; Véronique L Roger; Emelia J Benjamin; Jarett D Berry; William B Borden; Dawn M Bravata; Shifan Dai; Earl S Ford; Caroline S Fox; Sheila Franco; Heather J Fullerton; Cathleen Gillespie; Susan M Hailpern; John A Heit; Virginia J Howard; Mark D Huffman; Brett M Kissela; Steven J Kittner; Daniel T Lackland; Judith H Lichtman; Lynda D Lisabeth; David Magid; Gregory M Marcus; Ariane Marelli; David B Matchar; Darren K McGuire; Emile R Mohler; Claudia S Moy; Michael E Mussolino; Graham Nichol; Nina P Paynter; Pamela J Schreiner; Paul D Sorlie; Joel Stein; Tanya N Turan; Salim S Virani; Nathan D Wong; Daniel Woo; Melanie B Turner Journal: Circulation Date: 2012-12-12 Impact factor: 29.690
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