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The purpose of this registration is to follow incidence and case fatality trend of acute myocardial infarction (AMI) in Japan, using a whole community population disease registry that surveys the most up-to-date information. Since the 1970s, mortality from coronary heart disease has followed a declining trend in Japan, which has been attributed to a decrease in the incidence of AMI and some evidence suggests that incidence has leveled off during the past couple of decades. These reported decreasing or stable trends in AMI have been observed despite recent worsening of the cardiovascular risk factor situation in Japan (Japanese paradox). Therefore, monitoring the disease course of AMI is of immense importance.

Registration and Surveillance of Acute Myocardial Infarction in Japan: Monitoring an Entire Community by the Takashima AMI Registry System and Design