WHO PROGRAMS: “REGISTER ACUTE MYOCARDIAL INFARCTION”, “MONICA” — DYNAMICS ACUTE CARDIOVASCULAR ACCIDENT AT YEARS 1977-2009 IN GENERAL POPULATION AGED 25-64 YEARS IN RUSSIA

Abstract

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

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

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. 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.