title: Regional variation in incidence and case fatality of myocardial infarction among young women in England, Scotland and Wales.
abstract: OBJECTIVE
  To examine the regional variation in incidence and case fatality of myocardial infarction among young women.
  
  
  METHODS
  Cross sectional survey, using population based incidence data.
  
  
  METHODS
  England, Scotland and Wales.
  
  
  METHODS
  Subjects were women aged 16-44 with a diagnosis of myocardial infarction between 1 October 1993 and 15 October 1995.
  
  
  METHODS
  Incidence of myocardial infarction per 100,000 women years, with case fatality as a percentage of total cases.
  
  
  RESULTS
  Incidence of myocardial infarction rose steeply from age 33 upwards, (maximum = 20.2 cases per 100,000 women years at age 44). The adjusted incidence rate for myocardial infarction was 3.7 (95% CI 3.2, 4.2) times greater in Scotland than in southern England. In contrast, case fatality was significantly lower in Scotland: 18.5% (95% CI 13.1%, 25.0%), compared with 31.0% (95% CI 25.9%, 36.0%) in southern England.
  
  
  CONCLUSIONS
  The incidence of myocardial infarction varied widely within the United Kingdom. Case fatality variation may reflect differences in ambulance response, or in diagnostic acumen, within the regions.
authors.affiliation: London School of Hygiene and Tropical Medicine.
authors.forename: N R
authors.initials: NR
authors.lastname: Dunn
authors.forename: A
authors.initials: A
authors.lastname: Arscott
authors.forename: M
authors.initials: M
authors.lastname: Thorogood
authors.forename: B
authors.initials: B
authors.lastname: Faragher
authors.forename: L
authors.initials: L
authors.lastname: de Caestecker
authors.forename: T M
authors.initials: TM
authors.lastname: MacDonald
authors.forename: C
authors.initials: C
authors.lastname: McCollum
authors.forename: S
authors.initials: S
authors.lastname: Thomas
authors.forename: R D
authors.initials: RD
authors.lastname: Mann
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000401:mortality; D012606:Scotland / Q000453:epidemiology; D014852:Wales / Q000453:epidemiology