TY - JOUR
T1 - Epidemiology of acute coronary syndrome
AU - Matsushita, Kunihiro
AU - Yatsuya, Hiroshi
AU - Tamakoshi, Koji
PY - 2006/4
Y1 - 2006/4
N2 - We reviewed epidemiological findings of acute coronary syndrome (ACS) in Japan. Japan has the lowest mortality and morbidity of ACS in the world. However, the crude mortality of acute myocardial infarction in 2003 increased approximately as twice as that in 1970, most likely due to an aging of population. More importantly, several Japanese prospective studies have failed to demonstrate the decline of the age-adjusted incidence of ACS despite the obvious reduction of ACS incidence caused by the intervention to the risk factors. Particularly, one study implied the increase of ACS patients aged more than 80. Given that the prevalence of dyslipidemia, diabetes, and obesity has increased in Japan, we should endeavor to modify these risk factors, especially in the elderly.
AB - We reviewed epidemiological findings of acute coronary syndrome (ACS) in Japan. Japan has the lowest mortality and morbidity of ACS in the world. However, the crude mortality of acute myocardial infarction in 2003 increased approximately as twice as that in 1970, most likely due to an aging of population. More importantly, several Japanese prospective studies have failed to demonstrate the decline of the age-adjusted incidence of ACS despite the obvious reduction of ACS incidence caused by the intervention to the risk factors. Particularly, one study implied the increase of ACS patients aged more than 80. Given that the prevalence of dyslipidemia, diabetes, and obesity has increased in Japan, we should endeavor to modify these risk factors, especially in the elderly.
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M3 - Review article
C2 - 16613178
AN - SCOPUS:33646842692
SN - 0047-1852
VL - 64
SP - 625
EP - 632
JO - Nippon rinsho. Japanese journal of clinical medicine
JF - Nippon rinsho. Japanese journal of clinical medicine
IS - 4
ER -