Abstract
Objectives: To examine the regional variation in incidence and case fatality of myocardial infarction among young women.
Design: Cross sectional survey, using population based incidence data. Setting - England, Scotland and Wales. Subjects - Subjects were women aged 16-44 with a diagnosis of myocardial infarction between 1 October 1993 and 15 October 1995.
Outcome measures: Incidence of myocardial infarction per 100,000 women years, with case fatality as a percentage of total cases.
Results: Incidence of myocardial infarction rose steeply from age 33 upwards, (maximum = 20.2 cases per 100,000 women years at age 44). The adjusted incidence rate for myocardial infarction was 3.7 (95% CI 3.2, 4.2) times greater in Scotland than in southern England. In contrast, case fatality was significantly lower in Scotland: 18.5% (95% CI 13.1%, 25.0%), compared with 31.0% (95% CI 25.9%, 36.0%) in southern England.
Conclusions: The incidence of myocardial infarction varied widely within the United Kingdom. Case fatality variation may reflect differences in ambulance response, or in diagnostic acumen, within the regions.
Original language | English |
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Pages (from-to) | 293-298 |
Number of pages | 6 |
Journal | Journal of Epidemiology and Community Health |
Volume | 54 |
Issue number | 4 |
DOIs | |
Publication status | Published - 1 Apr 2000 |
ASJC Scopus subject areas
- Epidemiology
- Public Health, Environmental and Occupational Health