BACKGROUND: @entity301 ( @entity301 ) mortality continued to decline from 1985 to 1997. METHODS AND RESULTS: We tabulated @entity301 deaths ( @entity1479 -9 codes 410 through 414) in the Minneapolis/St Paul, Minnesota, area. For 1985, 1990, and 1995, trained nurses abstracted the hospital records of @entity1 30 to 74 years old with a discharge diagnosis of acute @entity301 ( @entity1479 -9 codes 410 or 411). @entity583 ( @entity583 ) events were validated and followed for 3-year all-cause mortality. Between 1985 and 1997, age-adjusted @entity301 mortality rates in Minneapolis/St Paul fell 47% and 51% in @entity1 and @entity1 , respectively; the comparable declines in @entity10479 whites were 34% and 29%. In-hospital mortality declined faster than out-of-hospital mortality. The rate of @entity583 ( @entity1479 -9 code 410) hospital discharges declined almost 20% between 1985 and 1995, whereas the discharge rate for unstable @entity951 ( @entity1479 -9 code 411) increased substantially. The incidence of hospitalized definite @entity583 declined approximately 10%, whereas recurrence rates fell 20% to 30%. Three-year case fatality rates after hospitalized @entity583 decreased consistently by 31% and 41% in @entity1 and @entity1 , respectively. In-hospital administration of thrombolytic therapy, emergency angioplasty, ACE inhibitors, beta-blockers, heparin, and @entity117 increased greatly. CONCLUSIONS: Declining out-of-hospital death rates, declining incidence and recurrence of @entity583 in the population, and marked improvements in the survival of @entity583 @entity1 all contributed to the 1985 to 1997 decline of @entity301 mortality in the Minneapolis/St Paul metropolitan area. The effects of early and late medical care seem to have had the greatest contribution to rates during this time period.

Trends in acute XXXX mortality, morbidity, and medical care from 1985 through 1997: the Minnesota heart survey.

@entity1479 :: ('OMIM:252500', 'Disease') :: ['ICD'] @entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity10479 :: ('MESH:D065309', 'Disease') :: ['US'] @entity301 :: ('MESH:D003327', 'Disease') :: ['CHD', 'Coronary heart disease'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity951 :: ('MESH:D000787', 'Disease') :: ['angina'] @entity583 :: ('MESH:D009203', 'Disease') :: ['Acute myocardial infarction', 'AMI']
@entity301 :: (MESH:D003327,Disease) :: ['coronary heart disease']
