Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2012;65:1079-85 - Vol. 65 Num.12 DOI: 10.1016/j.rec.2012.02.025

Trends in Mortality From Myocardial Infarction. A Comparative Study Between Spain and the United States: 1990-2006

Domingo Orozco-Beltran a, Richard S. Cooper b, Vicente Gil-Guillen a, Vicente Bertomeu-Martinez c, Salvador Pita-Fernandez d, Ramón Durazo-Arvizu b, Concepción Carratala-Munuera a, Luis Cea-Calvo a, Vicente Bertomeu-Gonzalez c,, Teresa Seoane-Pillado c, Luis E. Rosado e

a Medicina de Familia, Universidad Miguel Hernández, San Juan de Alicante, Alicante, Spain
b Department of Preventive Medicine and Epidemiology, Loyola Stritch School of Medicine, Chicago, Illinois, United States
c Servicio de Cardiología, Hospital Universitario de San Juan, Universidad Miguel Hernández, San Juan de Alicante, Alicante, Spain
d Unidad de Epidemiología Clínica, Complejo Hospitalario Universitario A Coruña (CHUAC), SERGAS, Universidade de A Coruña, A Coruña, Spain
e Departamento de Sanidad, Gobierno de Valencia, Valencia, Spain

Refers to

Keywords

Mortality. Myocardial Infarction. Coronary artery disease.

Abstract

Introduction and objectives

Mortality from myocardial infarction is declining in high income countries, but the magnitude of this decline could differ between countries. We sought to compare the mortality trends from myocardial infarction between Spain and the United States.

Methods

This was an observational retrospective study. Crude data were obtained from public databases. Standardized mortality rates were calculated for the last 17 years available for both countries (1990 to 2006), and stratified by age and sex. Joinpoint regression analysis was used for the trends analysis and projections.

Results

There has been a steady decline in mortality from myocardial infarction in both countries from 1990 to 2006. However, the magnitude of this decline was greater in the United States (relative reductions in men: 42.7% [Spain] and 59.7% [United States], and in women: 40% [Spain] and 57.4% [United States]). The estimated annual percentages of decline in mortality were greater in the United States (men: −10.7%, women: −5.1%) than in Spain (men: −1.9%, women: −5.1%). Projections for 2012 suggest that the mortality from myocardial infarction will be lower in men in the United States (53.33/100 000) than in Spain (81.52/100 000), while for women it will be equal (32.56/100 000 in the United States and 33.56/100 000 in Spain).

Conclusions

The decline in mortality from myocardial infarction has been more pronounced in the United States than in Spain, and projections for upcoming years suggest in the United States it will evolve to rates below those expected in Spain for men and equal rates for women.

1885-5857/© 2012 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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