Abstract
Myocardial infarction attack rates and case fatality were analyzed between 1984–1988 in a population aged 25–64 inhabiting two districts of Warsaw and consisting of 133,000 men and 149,000 women. WHO MONICA methodology and diagnostic criteria were used. Within a 5-year period 3,595 men and 1,453 women were registered with AMI diagnosis (all MONICA diagnostic categories). Standardized myocardial infarction attack rates changed from 466 to 606/ 100,000 in men and from 178 to 267/100,000 in women respectively. The 5-year linear trends of attack rates were significant in all men aged 25–64 years (increase by 30%) and in men aged 25–34 and 55–64 years. In women these trends were not significant in all women as well as in particular 10-year age groups. Thirty percent of registered men and 20% of women died out of hospital. Total case fatality within 28 days since onset was equal to 43% in men and to 33% in women, showing no changes in men and decreasing slightly in women during the analyzed period. This, and comparable study conducted in 1971 in the Warsaw population, showed an almost 2-fold increase in the incidence of myocardial infarction. It is concluded that the increase in the incidence of AMI without a decrease in the fatality rate contributes substantially to the observed increase in premature ischemic heart disease mortality in the Warsaw population, especially in men.
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References
Uemura K, Pisa Z (1989) Trends in cardiovascular disease morbidity in industrialized countries since 1950. Wld Hlth Statist Quart 41:155–79.
Wagrowska H, Jasiński B (1992) Regional Differences in Mortality Trends Due to Cardiovascular Diseases of the Polish Population Within 1976–1987. Part II: Mortality Caused by Ischaemic Heart Disease and Myocardial Infarction (in Polish). Zdrowie Publ: pp 64–70.
Wojtyniak B, Duk M, Seroka W, et al (1991) Epidemiological Situation Due to Cardiovascular Diseases in Poland. Part III. Hospital Morbidity Caused by Cardiovascular Disease in the Years 1979–1988 (in Polish). Warszawa: Biblioteka Kardiologiczna, Instytut Kardiologii.
World Health Organization (1976) Regional Office for Europe. Myocardial Infarction community register. Public Health in Europe No 5, Copenhagen.
WHO MONICA Project Principal Investigators (prepared by H. Tunstall-Pedoe): The World Health Organization MONICA Project (1988) Monitoring trends and determinants in cardiovascular disease: A major international collaboration. J Clin Epidemiol 41:105–14.
World Health Organization (1990) MONICA Manual.
Rywik S, Sznajd J, Przestalska-Malkin H, et al (1985) Monitoring of cardiovascular incidence, fatality and mortality and their determinants—longitudinal study Pol-MONICA. Part I. Methodological principles of the study (in Polish). Przeg Lek 42:250.
Rywik S, Sznajd J, Kulesza W, et al (1985) Monitoring of cardiovascular incidence, fatality and mortality and their determinants—longitudinal study Pol-MONICA. Part II. Material and methods (in Polish). Przeg Lek 42:256.
Rywik S, Sznajd J, Wagrowska H, et al (1985). Monitoring of cardiovascular incidence, fatality and mortality and their determinants—longitudinal study Pol-MONICA. Part IV. Myocardial infarction register—methodology and its implications (in Polish). Przeg Lek 42:287.
Tuomilehto J, Arstila M, Karso E, et al (1992) Acute myocardial infarction in Finland-baseline data from the Fin-MONICA register in 1983–1985. Eur Heart J 13:577.
Wu ZS, Yao CH, Chen DY, et al (1988) The Sino-MONICA Bejing Study: Report on results between 1984–1986. Acta Med Scand (suppl) 728:60.
Rywik S, Broda G, Wagrowska H, et al (1991) Epidemiological situation in Poland due to cardiovascular diseases. Part IV. Coronary Heart Disease Risk, Coronary Heart Disease and Stroke Incidence and Fatality (in Polish). Biblioteka Kardiologiczna, Instytut Kardiologii, Warszawa.
Collaborative Study (1973) Myocardial infarction incidence in the Warsaw population assessed on the basis of a one year AMI register (in Polish). Kard Pol 6:475.
Collaborative Study (1975) Myocardial infarction register in Warsaw and Lublin (in Polish). Pol Tyg Led 13:551.
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Broda, G., Rywik, S. & Kurjata, P. Trends in myocardial infarction incidence and fatality in Warsaw Pol-MONICA population from 1984 to 1988. International Journal of Angiology 4, 113–116 (1995). https://doi.org/10.1007/BF02043630
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DOI: https://doi.org/10.1007/BF02043630