Screening for myocardial infarction and ischemic stroke: a population-based study.
Studies that accurately identify myocardial infarction (MI) and stroke within populations would provide valuable epidemiological information as well as data on vascular disease prevention. We performed a pilot study to assess the feasibility of adding MI surveillance to an ongoing population-based stroke surveillance study, the Brain Attack Surveillance in Corpus Christi (BASIC) Project. We also tested two screening methods for MI ascertainment: discharge International Classification of Diseases, Ninth Revision (ICD-9) codes and cardiac biomarker screening. This pilot study suggests that the addition of MI surveillance to community-based stroke surveillance studies is feasible. Screening for abnormal cardiac biomarkers to identify potential MI cases may be more accurate and efficient than using ICD-9 codes.
Brown
Devin L
DL
Stroke Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA. devinb@umich.edu
Lisabeth
Lynda D
LD
Chetcuti
Stanley J
SJ
Grossman
P Michael
PM
Alexander
Thomas
T
Pappas
J Douglas
JD
Moscucci
Mauro
M
Eagle
Kim A
KA
Garcia
Nelda M
NM
Smith
Melinda A
MA
Morgenstern
Lewis B
LB
D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000097:blood; D002545:Brain Ischemia / Q000175:diagnosis* / Q000453:epidemiology; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis* / Q000453:epidemiology; D010351:Patient Discharge; D010865:Pilot Projects; D011159:Population Surveillance / Q000379:methods*; D012680:Sensitivity and Specificity; D020521:Stroke / Q000175:diagnosis* / Q000453:epidemiology
D015415:Biomarkers