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A 30-Year Perspective (1975-2005) Into The Changing Landscape Of Patients Hospitalized With Initial Acute Myocardial Infarction: Worcester Heart Attack Study, Kevin Floyd, Jorge Yarzebski, Frederick Spencer, Darleen Lessard, James Dalen, Joseph Alpert, Joel Gore, Robert Goldberg
A 30-Year Perspective (1975-2005) Into The Changing Landscape Of Patients Hospitalized With Initial Acute Myocardial Infarction: Worcester Heart Attack Study, Kevin Floyd, Jorge Yarzebski, Frederick Spencer, Darleen Lessard, James Dalen, Joseph Alpert, Joel Gore, Robert Goldberg
Jorge L. Yarzebski
BACKGROUND: The effects of lifestyle changes and evolving treatment practices on coronary disease incidence rates, demographic and clinical profile, and the short-term outcomes of patients hospitalized with acute myocardial infarction have not been well characterized. The purpose of this study was to examine multidecade-long trends (1975-2005) in the incidence rates, demographic and clinical characteristics, treatment practices, and hospital outcomes of patients hospitalized with an initial acute myocardial infarction from a population-based perspective. METHODS AND RESULTS: Residents of the Worcester, Mass, metropolitan area (median age, 37 years; 89% white) hospitalized with an initial acute myocardial infarction (n=8898) at all greater-Worcester medical …