Decline in MIs Observed Over Past Decade:<\/strong> Yeh and colleagues reviewed data from 46,000 hospitalizations for MI among more than 3 million people enrolled in the Kaiser Permanente Northern California system. In their paper in the New England Journal of Medicine<\/em><\/a>, they report that from 1999 to 2008 the rate of MI decreased by 24%, resulting in a reduction from 274 cases to 208 cases per 100,000 person-years. The reduction in STEMI cases was even more marked, from 133 cases to 50 cases per 100,000 person-years. Thirty-day mortality was also reduced, which the authors say might have been driven by the drop in STEMI and the lower rate of death from non-STEMI.<\/p>\n In an accompanying perspective<\/a>, JR Brown and GT O’Connor write that the reduction in MI may be due, in part, to greater use of statins, beta-blockers, ACE inhibitors, and angiotensin-receptor blockers. Because of adverse lifestyles and nutrition, however, the “rate of improvement has slowed down or stopped.” And, they observe, “as a nation, we are not making prevention a priority in our hospitals, clinics, schools, or communities.”<\/p>\n Smoke-Free Legislation Reduces MI Admissions in England:<\/strong> Michelle Sims and colleagues analyzed data on hospital admissions in England to examine the effect of smoke-free legislation on MI. Following implementation of the legislation in July 2007, emergency admissions for MI dropped significantly (by 2.4%) in the next year, resulting in 1,200 fewer admissions, according to the retrospective analysis appearing in the British Medical Journal<\/em><\/a>. The authors conclude: “Given the large number of myocardial infarction events per year, even the relatively small reduction seen in England has important public health benefits.”<\/p>\n","protected":false},"excerpt":{"rendered":" Decline in MIs Observed Over Past Decade: Yeh and colleagues reviewed data from 46,000 hospitalizations for MI among more than 3 million people enrolled in the Kaiser Permanente Northern California system. In their paper in the New England Journal of Medicine, they report that from 1999 to 2008 the rate of MI decreased by 24%, […]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1553","post","type-post","status-publish","format-standard","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1553"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1553\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}