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Titolo:
MILD MYOCARDIAL-INFARCTION - A CLASSIFICATION PROBLEM IN EPIDEMIOLOGIC STUDIES
Autore:
HOBBS MST; JAMROZIK K; THOMPSON PL; PARSONS RW; HOCKEY RL; ARMSTRONG BK; DOBSON A; LEEDER S; ALEXANDER H; HELLER R; GIBBERD R; STEELE P; DEBACKER G; VANONSEM F; DEHENAUW S; DEBACQUER D; KORNITZER M; BERGHMANS L; LANNOY M; DESQUEVE R; BARA L; BERIOT I; CANDEUR M; DESMET P; JEANJEAN M; BROHET C; MAUDOIGT C; DEGRE G; BERTRAND F; KULBERTUS HE; GREGOR RD; MACKENZIE BR; RAUTAHARJU PM; WOLF HK; WU ZS; WU YK; YAO CH; HONG ZG; SKODOVA Z; PISA Z; HEJL Z; VOJTISEK P; CICHA Z; BERKA L; HOKE M; PIKHARTOVA J; WIESNER E; SCHROLL M; KIRCHOFF M; HANSEN B; LUND SQ; SCHNACK H; MADSEN M; TUOMILEHTO J; PUSKA P; ARSTILA M; IMMONENRAIHA P; KAARSALO E; KETONEN M; LEHTO S; MIETTINEN H; MUSTANIEMI H; NIEMELA M; PALOMAKI P; PYORALA K; ROMO M; BRASSALOMAA V; TORPPA J; VUORENMAA T; RICHARD J; BINGHAM A; CAMBOU JP; RUIDAVETS JB; MARQUESVIDAL P; ROUCHE V; BELLON M; DOUSTEBLAZY PH; ARVEILER D; SCHAFFER P; FACELLO A; BARJOAN EM; UETTWILLER E; JACQUES D; AMOUYEL P; MONTAYEFAIVRE M; SALMONEZ JL; NUTTENS MC; GRAUX C; MARECAUX N; GREISER E; HERMAN B; STUDEMANN G; NUSSEL E; OSTORLAMM E; SCHEIDT R; MORGENSTERN W; STADLER M; GANOWA M; KEIL U; LOWEL H; LEWIS M; HORMANN A; GOSTOMZYK J; BOLTE HD; BARTH W; HEINEMANN L; QUIETZSCH D; BRASCHE S; BOTHIG S; CLASSEN E; SIGFUSSON N; GUDMUNDSDOTTIR II; STEFANSDOTTIR I; THORSTEINSSON T; SIGVALDASON H; MENOTTI A; GIAMPAOLI S; VERDECCHIA A; FERUGLIO GA; VANUZZO D; PILOTTO L; SCARPA M; CIGNACCO GB; SPANGHERO M; PALMIERI M; CESANA GC; FERRARIO M; DEVITO G; BRAVI C; GUSSONI MT; SEGA R; ZANETTINI R; AGOSTONI O; BLUZHAS J; GRINIUS V; GRAZULEVICIENE R; RASTENIENE D; RASTENYTE D; BEAGLEHOLE R; JACKSON RT; STEWART AW; PAJAK A; SZNAJD J; MALCZEWSKAMALEC M; KAWALEC E; PAZUCHA T; IDZIORWALUS B; RYWIK S; BRODA G; KURJATA P; WGROWSKA H; PALAKOWSKA M; KUPSC W; VARLAMOVA T; NAUMOVA V; OSSOKINA M; SERDYUCHENKO N; POPOVA N; BOLSHAKOVA E; SANS S; PUIGDEFABREGAS A; PALUZIE G; BALAGUERVINTRO I; WILHELMSEN L; JOHANNSSON S; FALKMAN M; LAPPAS G; LASARETT K; HUHTASAARI F; LUNDBERG V; WESTER PO; GUTZWILLER F; RICKENBACH M; WIETLISBACH V; BARAZZONI F; PACCAUD F; EVANS AE; MATHEWSON ZM; MCCRUM EE; HALL A; FALCONER T; MCILMOYLE EL; TUNSTALLPEDOE H; BROWN C; SHEWRY M; MORRISON C; WATT G; LESLIE W; FITZPATRICK B; FORTMANN SP; WINKLEBY M; VARADY A; JATULIS D; HULL M; PLANOJEVIC M; JAKOVLJEVIC D; DAPIC T; STOJSIC D; KRCO M; SOLAK Z; GYARFAS I; DODU SRA; MARTIN I; WATSON JJ; HILL M; KUULASMAA K; RAJAKANGAS AM; RUOKOKOSKI E; MOLTCHANOV V; OFNER P; MADAI A; BARRETT K; EVANS A; HOBBS M; SHATCHKUTE A; WILLIAMS OD;
Indirizzi:
NATL PUBL HLTH INST,DEPT EPIDEMIOL & HLTH PROMOT,MANNERHEIMINTIE 166 FIN-00300 HELSINKI FINLAND UNIV NEWCASTLE,CTR CLIN EPIDEMIOL & BIOSTAT NEWCASTLE NSW 2308 AUSTRALIA UNIV KUOPIO FIN-70210 KUOPIO FINLAND
Titolo Testata:
Journal of clinical epidemiology
fascicolo: 1, volume: 50, anno: 1997,
pagine: 3 - 13
SICI:
0895-4356(1997)50:1<3:MM-ACP>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
FINMONICA AMI REGISTER; DIAGNOSTIC-CRITERIA; MONICA; RATES;
Keywords:
MYOCARDIAL INFARCTION; CORONARY HEART DISEASE; WHO MONICA PROJECT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M.S.T. Hobbs et al., "MILD MYOCARDIAL-INFARCTION - A CLASSIFICATION PROBLEM IN EPIDEMIOLOGIC STUDIES", Journal of clinical epidemiology, 50(1), 1997, pp. 3-13

Abstract

In studies assessing the trends in coronary events, such as the WorldHealth Organization (WHO) MONICA Project (multinational MONItoring oftrends and determinants of CArdiovascular disease), the main emphasishas been on coronary deaths and non-fatal definite myocardial infarctions (MI). It is, however, possible that the proportion of milder MIs may be increasing because of improvements in treatment and reductions in levels of risk factors. We used the MI register data of the WHO MONICA Project to investigate several definitions for mild non-fatal MIs that would be applicable in various settings and could be used to assess trends in milder coronary events. Of 38 populations participating in the WHO MONICA MI register study, more than half registered a sufficiently wide spectrum of events that it was possible to identify subsets of milder cases. The event rates and case fatality rates of MI are clearly dependent on the spectrum of non-fatal MIs, which are included. On clinical grounds we propose that the original MONICA category ''non-fatal possible MI'' could bt:divided into two groups: ''non fatal probable MI'' and ''prolonged chest pain. '' Non-fatal probable MIs are cases, which in addition to ''typical symptoms'' have electrocardiogram(EGG) or enzyme changes suggesting cardiac ischemia, but not severe enough to fulfil the criteria for non-fatal definite MI In more than half of the MONICA Collaborating Centers, the registration of MI covers these milder events reasonably well. Proportions of non-fatal probableMIs vary less between populations than do proportions of non fatal possible MIs. Also rates of non-fatal probable MI are somewhat more highly correlated with rates of fatal events and non-fatal definite MI. These findings support the validity of the category of non-fatal probable MI. In each center the increase in event rates and the decrease in case-fatality due to the inclusion of non-fatal probable MI was lar er for women than men. For the WHO MONICA Project and other epidemiological studies the proposed category of non-fatal probable MIs can be usedfor assessing trends in rates of milder MI. Copyright (C) 1997 Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 13:36:28