International Journal of Angiology

, Volume 4, Issue 2, pp 113–116 | Cite as

Trends in myocardial infarction incidence and fatality in Warsaw Pol-MONICA population from 1984 to 1988

  • Grażyna Broda
  • Stefan Rywik
  • Pawel Kurjata
Original Articles

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.

Keywords

Myocardial Infarction Linear Trend Ischemic Heart Disease Ischemic Heart Case Fatality 

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Copyright information

© International College of Angiology, Inc. 1995

Authors and Affiliations

  • Grażyna Broda
    • 1
  • Stefan Rywik
    • 1
  • Pawel Kurjata
    • 1
  1. 1.Department of CVD Epidemiology and PreventionNational Institute of CardiologyWarsawPoland

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