Coronary disease & ACSCohort study

Trends in acute myocardial infarction mortality in the European Union, 2012–2020

Eur J Prev CardiolPublished

  • Population-based registry study
  • joinpoint regression

Authors' conclusion

Over the last decade, the age-adjusted AMI-related mortality has been continuously declining in most of the in EU-27 member states. However, some disparities still exist between western and eastern European countries.

Study context

Population
European Union (EU-27) member states, EUROSTAT cause-of-death data, 2012–2020
Participants
1,793,314 acute myocardial infarction (AMI) deaths
Outcome
Age-adjusted AMI-related mortality trend (AAPC)
Follow-up
2012 to 2020

Main finding

As reported in the abstract

Age-adjusted AMI-related mortality, EU-27

Continuous linear decrease, average annual percent change (AAPC) (95% CI −5.1 to −4.0), P < 0.001

−4.6%

Observational data: associations, not effects.

Further findings

Proportion of AMI-related deaths per 1000 total deaths · 2012 to 2020

Declined from 5.0% to 3.5%, entire population (also in males and females separately)
P for trend < 0.001

Age-adjusted mortality rate by region, sex and age

Plateau in some Eastern European countries; more pronounced in females and in subjects aged ≥65 years

Original publication

Trends in acute myocardial infarction mortality in the European Union, 2012–2020. Eur J Prev Cardiol. Published 28 June 2023. doi:10.1093/eurjpc/zwad214

Summarised from the published abstract; every number is checked against it