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      Methods of data collection and definitions of cardiac outcomes in the Rotterdam Study

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          Abstract

          The prevalence of cardiovascular diseases is rising. Therefore, adequate risk prediction and identification of its determinants is increasingly important. The Rotterdam Study is a prospective population-based cohort study ongoing since 1990 in the city of Rotterdam, The Netherlands. One of the main targets of the Rotterdam Study is to identify the determinants and prognosis of cardiovascular diseases. Case finding in epidemiological studies is strongly depending on various sources of follow-up and clear outcome definitions. The sources used for collection of data in the Rotterdam Study are diverse and the definitions of outcomes in the Rotterdam Study have changed due to the introduction of novel diagnostics and therapeutic interventions. This article gives the methods for data collection and the up-to-date definitions of the cardiac outcomes based on international guidelines, including the recently adopted cardiovascular disease mortality definitions. In all, detailed description of cardiac outcome definitions enhances the possibility to make comparisons with other studies in the field of cardiovascular research and may increase the strength of collaborations.

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          Most cited references66

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          Guidelines on myocardial revascularization.

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              Common carotid intima-media thickness and risk of stroke and myocardial infarction: the Rotterdam Study.

              Noninvasive assessment of intima-media thickness (IMT) is widely used in observational studies and trials as an intermediate or proxy end point for cardiovascular disease. However, data showing that IMT predicts cardiovascular disease are limited. We studied whether common carotid IMT is related to future stroke and myocardial infarction. We used a nested case-control approach among 7983 subjects aged > or =55 years participating in the Rotterdam Study. At baseline (March 1990 through July 1993), ultrasound images of the common carotid artery were stored on videotape. Determination of incident myocardial infarction and stroke was predominantly based on hospital discharge records. Analysis (logistic regression) was based on 98 myocardial infarctions and 95 strokes that were registered before December 31, 1994. IMT was measured from videotape for all case subjects and a sample of 1373 subjects who remained free from myocardial infarction and stroke during follow-up. The mean duration of follow-up was 2.7 years. Results were adjusted for age and sex. Stroke risk increased gradually with increasing IMT. The odds ratio for stroke per standard deviation increase (0.163 mm) was 1.41 (95% CI, 1.25 to 1.82). For myocardial infarction, an odds ratio of 1.43 (95% CI, 1.16 to 1.78) was found. When subjects with a previous myocardial infarction or stroke were excluded, odds ratios were 1.57 (95% CI, 1.27 to 1.94) for stroke and 1.51 (95% CI, 1.18 to 1.92) for myocardial infarction. Additional adjustment for several cardiovascular risk factors attenuated these associations: 1.34 (95% CI, 1.08 to 1.67) and 1.25 (95% CI, 0.98 to 1.58), respectively. The present study, based on a short follow-up period, provides evidence that an increased common carotid IMT is associated with future cerebrovascular and cardiovascular events.
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                Author and article information

                Contributors
                +31-10-7043488 , +31-10-7044657 , j.witteman@erasmusmc.nl
                Journal
                Eur J Epidemiol
                Eur. J. Epidemiol
                European Journal of Epidemiology
                Springer Netherlands (Dordrecht )
                0393-2990
                1573-7284
                3 March 2012
                3 March 2012
                March 2012
                : 27
                : 3
                : 173-185
                Affiliations
                [1 ]Department of Epidemiology, Erasmus Medical Center, PO Box 2040, 3000 CA Rotterdam, The Netherlands
                [2 ]Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
                [3 ]Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
                [4 ]Department of Geriatric Medicine, Havenziekenhuis, Rotterdam, The Netherlands
                [5 ]Department of Medical Informatics, Erasmus Medical Center, Rotterdam, The Netherlands
                [6 ]Inspectorate for Health Care, The Hague, The Netherlands
                Article
                9668
                10.1007/s10654-012-9668-8
                3319884
                22388767
                a1114a49-7f71-4772-ada0-38cbee381449
                © The Author(s) 2012
                History
                : 2 December 2011
                : 17 February 2012
                Categories
                Cardiovascular Disease
                Custom metadata
                © Springer Science+Business Media B.V. 2012

                Public health
                sudden cardiac death,heart failure,cardiovascular disease,myocardial infarction,epidemiologic methods,population-based,diagnostic guidelines,coronary heart disease,unrecognized myocardial infarction,coronary revascularization,atrial fibrillation

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