Table 2. Twin Cities Hospitalized Rates of Definite AMI per 100,000 in 1995.
| Definite AMI 410/41 1 Rate |
Definite AMI 410 Only |
Definite AMI 411 Only Rate |
||||
|---|---|---|---|---|---|---|
| Algorithm | Male | Female | Male | Female | Male | Female |
| Discharge Diagnosis (any position) | 878.4 (416.7 - 1340.0) |
308.0 (108.8 - 507.3) |
417.0 (207.5 - 626.5) |
141.8 (51.4 - 232.1) |
461.4 (206.2 - 716.5) |
166.3 (56.8 - 275.8) |
|
| ||||||
| MHS (11) | 385.9 (365.6 - 406.3) |
125.4 (117.5 - 133.3) |
330.7 (319.0 - 342.3) |
115.1 (110.8 - 119.4) |
55.3 (45.5 - 65.0) |
10.3 (7.4 - 13.2) |
| AHA (9) | 423.8 (403.1 - 444.5) |
137.6 (129.6 - 145.6) |
345.6 (334.5 - 356.7) |
120.2 (116.2 - 124.2) |
78.2 (66.8 - 89.5) |
17.4 (13.7 - 21.0) |
| AHA with Downgrade (9) | 358.8 (338.5 - 379.0) |
121.0 (113.1 - 128.9) |
318.9 (306.6 - 331.2) |
112.5 (108.0 - 117.0) |
39.9 (31.4 - 48.4) |
8.5 (5.9 - 11.2) |
| ESC ACC (3) | 432.0 (411.4 - 452.7) |
138.5 (130.5 - 146.5) |
343.2 (332.0 - 354.4) |
121.0 (117.0 - 124.9) |
88.8 (77.0 - 100.7) |
17.5 (13.8 - 21.1) |
| WHO (2) | 439.6 (418.9 - 460.3) |
139.4 (131.4 - 147.4) |
350.0 (339.1 - 360.9) |
120.1 (116.1 - 124.1) |
89.6 (77.7 - 101.5) |
19.3 (15.6 - 23.1) |
| WHO with Downgrade (2) | 346.6 (326.4 - 366.7) |
116.9 (109.1 - 124.8) |
317.5 (305.1 - 329.9) |
111.5 (106.9 - 116.0) |
29.1 (21.8 - 36.4) |
5.5 (3.4 - 7.6) |
| MONICA (5) | 281.1 (261.9 - 300.2) |
97.8 (90.3 - 105.3) |
263.7 (249.9 - 277.5) |
95.8 (90.6 - 101.0) |
17.4 (11.7 - 23.2) |
2.0 (0.7 - 3.3) |
| MONICA with Downgrade (5) | 253.3 (234.7 - 271.8) |
92.2 (84.9 - 99.6) |
246.2 (232.2 - 260.3) |
91.1 (85.8 - 96.4) |
7.0 (3.4 - 10.6) |
1.2 (0.1 - 2.2) |
| ESC/ACC/AHA/WHF (12) | 385.0 (364.6 - 405.4) |
122.3 (114.4 - 130.2) |
317.0 (304.7 - 329.3) |
107.5 (102.8 - 112.3) |
68.0 (57.3 - 78.7) |
14.7 (11.4 - 18.1) |
| ESC/ACC/AHA/WHF with Downgrade (16) | 332.1 (312.2 - 352.0) |
109.8 (102.1 - 117.6) |
294.8 (281.8 - 307.7) |
102.0 (97.0 - 107.0) |
37.3 (29.1 - 45.6) |
7.9 (5.3 - 10.4) |
Age-adjusted to 2000 U.S. population
Downgrade means applying the following to creatine phosphokinase (CPK) or creatine kinase M band (CKMB) in the given algorithm:
CPK Downgrade: Trauma, muscle cut procedure (4 days), CABG surgery (4 days)
CKMB Downgrade: Muscle cut procedure (4 days), CABG surgery (4 days)
WHO=World Health Organization; MHS=Minnesota Heart Survey; MONICA=WHO Monitoring Trends and Determinants of Cardiovascular Disease; ESC=European Society of Cardiology; ACC=American College of Cardiology; AHA=American Heart Association; WHF=World Heart Federation