title: Event rates of acute myocardial infarction and coronary deaths in Niigata and Nagaoka cities in Japan.
abstract: Mortality from coronary heart disease in Japan is the among lowest recorded in the industrialized nations; however, little is known about the rate of events including nonfatal cases. A survey of event registration and a review of death certificates was carried out to estimate event rates of acute myocardial infarction (AMI) and coronary deaths in the largest 2 cities of the Niigata prefecture where there are 480,720 residents aged between 15 and 65 years. The definitions for these cardiac events used for the WHO-MONICA project were: (1)'definite AMI', (2) 'possible AMI or coronary death' (not including unclassifiable fatal events), and (3) 'unclassifiable fatal events'. Age-adjusted rates for AMI and coronary deaths (per 100,000/year) according to the registration survey were 54.6 for men and 7.2 for women according to definition 1 and 41.9 for men, and 5.3 for women according to definition 2. When data from the death certificate review were taken into account for the estimation, these rates increased to 80.6 for men and 14.2 for women according to definition 1, and 50.0 for men and 9.0 for women according to definition 2. These estimated rates are considerably lower than those in other industrialized nations surveyed in the WHO-MONICA project, and these findings are consistent with those from other studies conducted in Japan.
authors.affiliation: Division of Health Promotion, Department of Community Preventive Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan. tananbe@med.niigata-u.ac.jp
authors.forename: Naohito
authors.initials: N
authors.lastname: Tanabe
authors.forename: Reiko
authors.initials: R
authors.lastname: Saito
authors.forename: Tadashi
authors.initials: T
authors.lastname: Sato
authors.forename: Senji
authors.initials: S
authors.lastname: Hayashi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Toyoshima
authors.forename: Nao
authors.initials: N
authors.lastname: Seki
authors.forename: Kunio
authors.initials: K
authors.lastname: Miyanishi
authors.forename: Tohru
authors.initials: T
authors.lastname: Izumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Yoshifusa
authors.initials: Y
authors.lastname: Aizawa
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Namekata
mesh_terms: D000293:Adolescent; D000328:Adult; D003327:Coronary Disease / Q000401:mortality*; D003430:Cross-Sectional Studies; D003644:Death Certificates; D016757:Death, Sudden, Cardiac / Q000453:epidemiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality*; D017678:Sex Distribution