Incidence rate of acute coronary syndrome including acute myocardial infarction, unstable angina, and sudden cardiac death in nobeoka city for the super-aged society of Japan

Soshiro Ogata, Kyohei Marume, Michikazu Nakai, Ryota Kaichi, Masanobu Ishii, Sou Ikebe, Takayuki Mori, Soichi Komaki, Hiroaki Kusaka, Reiko Toida, Kazumasa Kurogi, Yoshitaka Iwanaga, Takao Yano, Nobuyasu Yamamoto, Yoshihiro Miyamoto

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Background: This study aimed to calculate incidence rates (IR) of acute coronary syndrome (ACS) including acute myocardial infarction (AMI), unstable angina (UAP), and sudden cardiac death (SCD) in Nobeoka city, Japan. Methods and Results: This was an observational study based on a city-wide comprehensive registration between 2015 and 2017 in Nobeoka city, Japan, using 2 databases: all patients with cardiogenic out-of-hospital cardiac arrest in Nobeoka city and hospitalized ACS patients from Miyazaki Prefectural Nobeoka Hospital in which all ACS patients in Nobeoka city were hospitalized except for possible rare cases of patients highly unlikely to be hospitalized elsewhere. The IRs of ACS based on the population size of Nobeoka city (125,000 persons), and their age-adjusted IRs by using the direct method and the 2015 model population of Japan were calculated. There were 260 eligible patients hospitalized with first-onset ACS (age [SD]=71.1 [12.4], 34.2% women) and 107 eligible SCD patients. Crude IRs of hospitalized ACS and SCD patients, and hospitalized AMI and SCD patients, respectively, were 130.2 (183.3 for men, 85.6 for women) and 107.5 (148.4 for men, 73.2 for women) per 100,000. Crude IRs of hospitalized ACS, AMI, and UAP patients, respectively, were 92.3 (132.8 for men, 58.1 for women), 69.6 (97.9 for men, 45.7 for women), and 22.7 (35.0 for men, 12.4 for women) per 100,000. Conclusions: The calculated IRs can be useful in building a health strategy for treating ACS.

Original languageEnglish
Pages (from-to)1722-1730
Number of pages9
JournalCirculation Journal
Volume85
Issue number10
DOIs
Publication statusPublished - 24-09-2021

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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