russjcardiolРоссийский кардиологический журналRussian Journal of Cardiology1560-40712618-7620«SILICEA-POLIGRAF» LLC10.15829/1560-4071-2016-4-eng-129-134russjcardiol-646Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПРОГРАММЫ ВОЗ: “РЕГИСТР ОСТРОГО ИНФАРКТА МИОКАРДА”, “МОНИКА” — ДИНАМИКА ОСТРЫХ СЕРДЕЧНО-СОСУДИСТЫХ КАТАСТРОФ В 1977-2009ГГ В ОБЩЕЙ ПОПУЛЯЦИИ В ВОЗРАСТЕ 25-64 ЛЕТ В РОССИИWHO PROGRAMS: “REGISTER ACUTE MYOCARDIAL INFARCTION”, “MONICA” — DYNAMICS ACUTE CARDIOVASCULAR ACCIDENT AT YEARS 1977-2009 IN GENERAL POPULATION AGED 25-64 YEARS IN RUSSIAGafarovV.GafarovV.

Новосибирск

Novosibirsk

valery.gafarov@gmail.comGafarovaA.GafarovaA.

Новосибирск

Novosibirsk

valery.gafarov@gmail.comНИИ терапии и профилактической медициныРоссияInstitute of internal аnd preventive medicineRussian Federation20162804201604-engРОССИЙСКИЙ КАРДИОЛОГИЧЕСКИЙ ЖУРНАЛ129134Copyright © Gafarov V., Gafarova A., 20162016Gafarov V., Gafarova A.Gafarov V., Gafarova A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://russjcardiol.elpub.ru/jour/article/view/646Цель

Цель. Изучить динамику острых сердечно-сосудистых катастроф в общей популяции в возрасте 25-64 лет в России в течение 33 лет (1977-2009).

Материал и методы

Материал и методы. Программы Всемирной Организации Здравоохранения “Регистр острого инфаркта миокарда”, “Моника”, проводимые в трех районах г.Новосибирска

Результаты

Результаты. Заболеваемость инфарктом миокарда (ИМ) оставалась стабильной за весь период изучения, за исключением 1988, 1994, 1998 (увеличение), 2002-2004 и 2006 (уменьшение). Такие же показатели у смертности, за исключением 1977-1978 (уменьшение) и 2002-2005 (увеличение). Уровни смертности и летальности до больницы в 2-3 раза превышают смертность и летальность в больнице. Количество летальных исходов от ИМ превышает смертность от потребления алкоголя в 2-3 раза. Снижение смертности, летальности на фен стабильной заболеваемости ИМ свидетельствует о улучшении организации оказания медицинской помощи заболевшим; увеличение смертности и летальности на фоне снижения заболеваемости ИМ — об ее ухудшении. Не получено динамики поведенческих и соматических факторов риска в течение 1977-2009гг. В то же время отмечено значительное увеличение уровней психосоциальных факторов риска.

Заключение

Заключение. Показатели заболеваемости, смертности и летальности являются маркерами повышения социального стресса в популяции. Смертность от ИМ была главным компонентом увеличения смертности в России.

Aim

Aim. To study 33-year (1977–2009) dynamics acute cardiovascular accident in general population aged 25-64 years in Russia.

Material and methods

Material and methods. Data of WHO studies (“Acute Myocardial Infarction Register” and “MONICA”) were analyzed in three districts of Novosibirsk.

Results

Results. Myocardial Infarction (MI) morbidity in 25–64-year-old population in Russia was found one of the highest worldwide. MI morbidity rates remained steady for the entire period of study except for 1988, 1994, 1998 (increase), 2002–2004, and 2006 (decrease). Mortality and lethality resembled morbidity except for 1977– 1978 (decrease) and 2002–2005 (increase). Prehospital mortality and lethality significantly exceeded in-hospital deaths. Lethal outcomes after MI exceeded deaths from alcohol abuse by 2-3 times. Mortality and lethality decrease during period of unchanged morbidity suggested improved management of cardiac care; increase in mortality and lethality at a time of decreased morbidity indicated deterioration of medical assistance for cardiac patients. No changes in behavioral and somatic risk factors were found during 1977–2009. Significant increase in levels of psychosocial risk factors was documented.

Conclusion

Conclusion. MI morbidity, mortality, and lethality rates are the markers of increasing social stress in population. Deaths from MI have been the main component of the increase in mortality in Russia.

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The authors declare that there are no conflicts of interest present.