日本滋贺县高岛市急性心肌梗死的发病率

Incidence of acute myocardial infarction in Takashima, Shiga, Japan.

作者信息

Yoshida Michiaki, Kita Yoshikuni, Nakamura Yasuyuki, Nozaki Akihiko, Okayama Akira, Sugihara Hideki, Kasamatsu Takayuki, Hirose Kunihiko, Kinoshita Masahiko, Ueshima Hirotsugu

机构信息

Division of Cardiology, Department of Medicine, Shiga University of Medical Science, Otsu, Japan.

出版信息

Circ J. 2005 Apr;69(4):404-8. doi: 10.1253/circj.69.404.

DOI:10.1253/circj.69.404

PMID:15791033

Abstract

BACKGROUND

The incidence and mortality from ischemic heart disease (IHD) in Japan seem to be among the lowest of all the industrialized countries, but there are few reliable registers of acute myocardial infarction (AMI).

METHODS AND RESULTS

To assess the incidence of AMI in Takashima County, Shiga, Japan, from 1988 to 1998 and compare the data with similar registers in the world, cases of AMI or sudden death presumed from myocardial ischemia were registered. The criteria of AMI were based on the WHO MONICA Projects. The medical records of all the hospitals inside as well as outside the county, the original death records in the health center, and the ambulance records in the county were investigated and 291 cases were registered (190 males, 101 females; average age (mean +/- SD), 69.5+/-12.2). The 28-day and 24-h case fatality was 38.1% and 33.0%, respectively. Age-adjusted annual incidence of AMI per 100,000 population aged between 25 and 74 years were 58.2 for men and 18.0 for women. The incidence of AMI showed a constant trend from 1988 to 1998.

CONCLUSION

The results confirmed that Japan has the lowest incidence of AMI among the industrialized countries.

摘要

背景

日本缺血性心脏病（IHD）的发病率和死亡率在所有工业化国家中似乎是最低的，但急性心肌梗死（AMI）的可靠登记数据很少。

方法与结果

为评估1988年至1998年日本滋贺县高岛郡急性心肌梗死的发病率，并将数据与世界上类似的登记数据进行比较，对疑似心肌缺血导致的急性心肌梗死或猝死病例进行了登记。急性心肌梗死的诊断标准基于世界卫生组织MONICA项目。对县内外所有医院的病历、健康中心的原始死亡记录以及县内的救护车记录进行了调查，共登记了291例（男性190例，女性101例；平均年龄（均值±标准差），69.5±12.2）。28天和24小时病死率分别为38.1%和33.0%。每10万年龄在25至74岁之间的人群中，急性心肌梗死的年龄调整年发病率男性为58.2，女性为18.0。1988年至1998年期间，急性心肌梗死的发病率呈稳定趋势。