Tanabe Naohito, Saito Reiko, Sato Tadashi, Hayashi Senji, Toyoshima Hideaki, Seki Nao, Miyanishi Kunio, Izumi Tohru, Suzuki Hiroshi, Aizawa Yoshifusa, Namekata Tsukasa
Division of Health Promotion, Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan.
Circ J. 2003 Jan;67(1):40-5. doi: 10.1253/circj.67.40.
Mortality from coronary heart disease in Japan is the among lowest recorded in the industrialized nations; however, little is known about the rate of events including nonfatal cases. A survey of event registration and a review of death certificates was carried out to estimate event rates of acute myocardial infarction (AMI) and coronary deaths in the largest 2 cities of the Niigata prefecture where there are 480,720 residents aged between 15 and 65 years. The definitions for these cardiac events used for the WHO-MONICA project were: (1)'definite AMI', (2) 'possible AMI or coronary death' (not including unclassifiable fatal events), and (3) 'unclassifiable fatal events'. Age-adjusted rates for AMI and coronary deaths (per 100,000/year) according to the registration survey were 54.6 for men and 7.2 for women according to definition 1 and 41.9 for men, and 5.3 for women according to definition 2. When data from the death certificate review were taken into account for the estimation, these rates increased to 80.6 for men and 14.2 for women according to definition 1, and 50.0 for men and 9.0 for women according to definition 2. These estimated rates are considerably lower than those in other industrialized nations surveyed in the WHO-MONICA project, and these findings are consistent with those from other studies conducted in Japan.
日本冠心病死亡率在工业化国家中是有记录的最低之一；然而，对于包括非致命病例在内的发病情况却知之甚少。在新泻县最大的两个城市开展了一项发病情况登记调查并审查了死亡证明，以估算15至65岁的480,720名居民中急性心肌梗死（AMI）和冠心病死亡的发病率。用于世界卫生组织MONICA项目的这些心脏事件的定义为：（1）“确诊AMI”，（2）“可能的AMI或冠心病死亡”（不包括无法分类的致命事件），以及（3）“无法分类的致命事件”。根据登记调查，按照定义1，AMI和冠心病死亡的年龄调整发病率（每10万/年）男性为54.6，女性为7.2；按照定义2，男性为41.9，女性为5.3。在估算时考虑到死亡证明审查的数据后，按照定义1，这些发病率男性升至80.6，女性升至14.2；按照定义2，男性为50.0，女性为9.0。这些估算发病率远低于世界卫生组织MONICA项目所调查的其他工业化国家，这些发现与日本开展的其他研究结果一致。
