Diagnostic accuracy, treatment and prognosis of myocardial infarction: an 11-year follow-up of a community-based cohort of 0.5 million Chinese adults
| Title: | Diagnostic accuracy, treatment and prognosis of myocardial infarction: an 11-year follow-up of a community-based cohort of 0.5 million Chinese adults |
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| Authors: | Derrick Bennett; Huaidong Du; Liming Li; Robert Clarke; Zhengming Chen; Junshi Chen; Ruying Hu; Kaixu Xie; Min Yu; Jing Ding; Xin Wang; Yongjun Wang; Ming Liu; Qiang Sun; Lei Wang; Zhihong Liu; Jun Zhang; Ling Yang; Ning Zhang; Yi Dong; Qiang Dong; Shuo Zhang; Xiaohong Chen; Dianjianyi Sun; Hao Wang; Hua Zhang; Xiaodi Zhao; Lingli Chen; Hao Zhang; Lihua Zhang; Liang Cheng; Chao Liu; Hui Zhang; Xin Fu; Bing Han; Jian Xu; Fang Liu; Xin Xu; Wei Jiang; Tao Wang; Rory Collins; Jun Lv; Richard Peto; Robin Walters; Daniel Avery; Yiping Chen; Christiana Kartsonaki; Kuang Lin; Iona Millwood; Qunhua Nie; Paul Ryder; Dan Schmidt; Becky Stevens; Iain Turnbull; Lin Wang; Neil Wright; Xiaoming Yang; Xiao Han; Can Hou; Pei Pei; Canqing Yu; Zengchang Pang; Ruqin Gao; Shanpeng Li; Shaojie Wang; Yongmei Liu; Ranran Du; Yajing Zang; Xiaocao Tian; Yaoming Zhai; Feng Ning; Xiaohui Sun; Silu Lv; Junzheng Wang; Yanjie Li; Quan Kang; Zhendong Guo; Ming Wu; Yonglin Zhou; Jinyi Zhou; Ran Tao; Jie Yang; Yihe Hu; Yan Lu; Liangcai Ma; Aiyu Tang; Jianrong Jin; Liuping Wei; Liyuan Zhou; Yulu Qin; Xianping Wu; Ningmei Zhang; Xiaofang Chen; Jiaqiu Liu; Xiaolan Ren; Enke Mao; Xiaoping Wang; Shixian Feng; Huarong Sun; Pan He; Xukui Zhang; Zhongxi Fu; Libo Zhang; Jingchao Liu; Andri Iona; Wei Hou; Xiangyang Zheng; Yilei Li; Huimei Li; Yun Liu; Ningyu Chen; Caixia Dong; Xi Zhang; Lei Fan; Donghui Jin; Wei Sun; Yun Lu; Jian Su; Feifei Li; Shukuan Wu; Jian Lan; Sisi Wang; Peng Du; Shanshan Zhou; Kai Kang; Xun Wang; Pang Yao; Shichun Yan; Jingyi Liu; Huilin Liu Li Yin; Chi Wang; Ka Hung Chan; Liming Zhang; Haiqiang Qin; Yu An; Lifang Zhou; Shuya Li; Peiling Chen; Feng Liu; Xiaoyu Chang; Hubert Lam; Kun Fang; Mei Lin; Xiaoming Cui; Weizhi Wang; Yuan Cao; Xiaolin Li; Xia Wu; Pek Kei Im; Zilong Hao; Xiaoyi Zhang; Xuefeng Yang; Xin Cheng; Xiaoli Cheng; Yulan Zhu; Johnathan Clarke; Ahmed Edris Mohamed; Hannah Fry; Sam Morris; Alfred Pozarickij; Qingmei Xia; Haiping Duan; Zhenyuan Wu; Huiming Luo; Tingting Ou; Zhenzhen Lu; Changping Xie; Tingping Zhu; Mingqiang Yuan; Faqing Chen; Huizi Tian; Dun Shen; Xiaojun Li; Jianwei Chen; Yuan Peng; Chan Qu; Hongyuan Chen; James Liu; Maryam Rahmati; Maxim Barnard; Yinghua Chen; Yanmei Zhu; Baihan Wang; Lang Pan; Xiaoting Li; Iain James Turnbull; Prapthi Harish; Qiling Chen; Jihua Wang; Xiaojia Sun; Haiyan Gou Li Chen; Yiting Mao; Naixin Jv; Xiaojiu Li; Liyang Liu; Xiaona Xing; Shihao You; Chaojun Gua; Jinping Jiang; Shumei Ma; Xiaomo Du; Xuecheng Yang; Deren Wang; Shanghai Jiao Tong; Lili Hui; Zhanling Liao; Chunning Feng; Dejiang Ji; Fengxia Qu; Wenwen Yuan; Lirong Jin; Yueshi Mao |
| Source: | BMJ Public Health, Vol 4, Iss 1 (2026) |
| Publisher Information: | BMJ Publishing Group |
| Publication Year: | 2026 |
| Collection: | Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: | Public aspects of medicine; RA1-1270 |
| Description: | Introduction Myocardial infarction (MI) is a major cause of premature death and disability in China, but available data on diagnostic accuracy, treatment and prognosis of MI cases remain limited.Methods The China Kadoorie Biobank enrolled 512 000 adults (mean age 51 years, 59% women) from 10 (five urban, five rural) areas between 2004 and 2008. Medical records were sought on 37 159 reported first incident ischaemic heart disease (IHD) cases occurring before 2018 for adjudication. Diagnostic accuracy and risks of recurrent MI, stroke, heart failure and all-cause mortality were assessed for reported and adjudicated cases of MI and all IHD.Results Among 19 135 adjudicated IHD cases, 10.2% (n=1948) had MI, with diagnostic accuracy of 98% for MI and 93% for all IHD. Use of guideline-directed (antiplatelet, lipid-lowering, antihypertensive and anticoagulant) medications in the hospital was high (93% MI; 83% all IHD), but differed by hospital tier and area. Use of coronary revascularisation was low (39% MI; 10% all IHD), even in higher tier hospitals. The 28-day case-fatality was sixfold greater for MI than all IHD (12.0% vs 2.0%) and higher in older cases and in women, residents in rural areas, but comparable by hospital tier. Disparities in 5-year mortality rates persisted for both MI and all IHD, by age, sex, area and hospital tiers.Conclusions This large community-based prospective study demonstrated high levels of diagnostic accuracy for MI and all IHD in Chinese adults, but also identified disparities in treatment and outcomes that should be prioritised in future prevention strategies. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | https://bmjpublichealth.bmj.com/content/4/1/e004019.full; https://doaj.org/toc/2753-4294; https://doaj.org/article/751083fb7e534fd09766408c632f9bbe |
| DOI: | 10.1136/bmjph-2025-004019 |
| Availability: | https://doi.org/10.1136/bmjph-2025-004019; https://doaj.org/article/751083fb7e534fd09766408c632f9bbe |
| Accession Number: | edsbas.4E9BD810 |
| Database: | BASE |