Mortality from heart failure, acute myocardial infarction and other ischaemic heart disease in England and Oxford: a trend study of multiple-cause-coded death certification.

Content Provider	Europe PMC
Author	Rahimi, Kazem Duncan, Marie Pitcher, Alex Emdin, Connor A Goldacre, Michael J
Copyright Year	2015
Abstract	BackgroundAge-standardised death rates from acute myocardial infarction (AMI) and ischaemic heart disease (IHD) have been declining in most developed countries. However, the magnitude of such reductions and how they impact on death from heart failure are less certain. We sought to assess and compare temporal trends in mortality from heart failure, AMI and non-AMI IHD over a 30-year period in England.MethodsWe analysed death registration data for multiple-cause-coded mortality for all deaths in people aged 35 years and over in England from 1995 to 2010, population 52 million, and in a regional population (Oxford region) from 1981 to 2010, population 2.5 million, for which data on all causes of death were available.ResultsConsidering all ages and both sexes combined, during the 30-year observation period, age-standardised and sex-standardised mortality rates based on all certified causes of death declined by 60% for heart failure, 80% for AMI and 46% for non-AMI IHD. These longer term trends observed in the Oxford region were consistent with those for the whole of England from 1995 to 2010, with no evidence of a plateau in recent years. Although proportional reductions in rates differed by age and sex, even in those aged 85 years or more, there were substantial reductions in mortality rates in the all-England data set (50%, 66% and 20% for heart failure, AMI and non-AMI IHD, respectively).ConclusionsThis study shows large and sustained reductions in age-specific and sex-specific and standardised death rates from heart failure, as well as from AMI and non-AMI IHD, over a 30-year period in England.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4602272&blobtype=pdf
ISSN	0143005X
Journal	Journal of Epidemiology and Community Health [J Epidemiol Community Health]
Volume Number	69
DOI	10.1136/jech-2015-205689
PubMed Central reference number	PMC4602272
Issue Number	10
PubMed reference number	26136081
e-ISSN	14702738
Language	English
Publisher	BMJ Publishing Group
Publisher Date	2015-07-01
Publisher Place	BMA House, Tavistock Square, London, WC1H 9JR
Access Restriction	Open
Rights License	This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions
Subject Keyword	Cardiovascular disease CHD/CORONORARY HEART EPIDEMIOLOGY
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Epidemiology