McIlwaine W J, Chivers A T, Donnelly M D, Evans A E, MacKenzie G
Ulster Med J. 1988 Apr;57(1):70-5.
Data from two community surveys in Belfast were used to compare all deaths attributed to ischaemic heart disease during two one-year periods (1965/66 and 1981/82). There was an increase in mortality in men of all ages from 3.3 to 4.4 per 1,000 population (33%) and in women from 1.6 to 3.1 per 1,000 population (94%). Only in men aged less than 70 years was the mortality rate unchanged (2.2 per 1,000 population). The proportion of deaths in persons whose fatal attack began outside the hospital was virtually unchanged (65% in 1965/66 compared with 69% in 1981/82). Survival time was markedly decreased in the later survey, as were delay times in initiating medical care. The increase in mortality probably is due to an increase in the incidence of acute myocardial infarction. The introduction of mobile coronary care in Belfast in 1965 seems to have had equal effects in reducing mortality inside and outside hospital.
来自贝尔法斯特两次社区调查的数据被用于比较两个为期一年的时间段（1965/66年和1981/82年）内所有归因于缺血性心脏病的死亡情况。各年龄段男性的死亡率从每1000人3.3例增至4.4例（增长33%），女性从每1000人1.6例增至3.1例（增长94%）。只有70岁以下男性的死亡率保持不变（每1000人2.2例）。致命发作始于医院外的人群中的死亡比例几乎未变（1965/66年为65%，1981/82年为69%）。在后期调查中，生存时间显著缩短，启动医疗护理的延迟时间也缩短了。死亡率的增加可能是由于急性心肌梗死发病率的上升。1965年贝尔法斯特引入移动冠心病护理似乎在降低院内和院外死亡率方面产生了同等效果。
