WHO programs "Acute Myocardial Infarction Register", MONICA: thirty years (1977-2006) of epidemiological studies of myocardial infarction in a high-risk population

Abstract


Aim. To reveal 30 year (1977-2006) trends of myocardial infarction (MI) morbidity, lethality and mortality in population of the West Siberia megapolis (Novosibirsk).
Material and Methods. WHO programs "Acute Myocardial Infarction Register (AMIR) and MONICA covered 3 districts of Novosibirsk.
Results. MI morbidity in 25-64 year old population of Novosibirsk (high-risk population) in Russia is one of the highest in the world. MI morbidity was stable for 30 years excluding in 1988, 1994 and 1998 when it rose and in 2002-2004, 2006 when it lowered. Changes in mortality and lethality resemble changes in morbidity trend excluding 1977-1978 (fall) and 2002-2005 (rise). Prehospital mortality and lethality were much higher than those in hospital. Mortality and lethality in 1988, 1994, 1998 and 2002-2005 increased due to prehospital lethality and mortality, while it decreased in 1977-1978 due to hospital one. Reduction of mortality and lethality in stable MI morbidity shows improvement of medical care for MI patients, increased lethality and mortality in MI morbidity decline reflect deterioration of such care. Changes in behavioral and somatic factors of cardiovascular risk in population of Novosibirsk for 30 years were not observed while psychosocial risk factors gain a significant importance. By indirect indications, MI morbidity, mortality and lethality mark growing social stress in the population. MI mortality is 2-3 times higher than that of alcohol and is a basic factor of mortality increase in the population of Russia.
Conclusion. MI morbidity, mortality and lethality are markers of social stress in population.

About the authors

Valeriy Vasil'evich Gafarov

Email: valery.gafarov@gmail.com

Al'mira Valer'evna Gafarova

Email: valery.gafarov@gmail.com

V V Gafarov

Cardiovascular Diseases Epidemiology Laboratory of Russian Academy of Medical Sciences (Siberian Department);Research Institute of Therapy, laboratory of psychological and sociological aspects of therapeutic diseases of the Siberial Branch of Russian Academy of Medical Sciences

Cardiovascular Diseases Epidemiology Laboratory of Russian Academy of Medical Sciences (Siberian Department);Research Institute of Therapy, laboratory of psychological and sociological aspects of therapeutic diseases of the Siberial Branch of Russian Academy of Medical Sciences

A V Gafarova

Cardiovascular Diseases Epidemiology Laboratory of Russian Academy of Medical Sciences (Siberian Department);Research Institute of Therapy, laboratory of psychological and sociological aspects of therapeutic diseases of the Siberial Branch of Russian Academy of Medical Sciences

Cardiovascular Diseases Epidemiology Laboratory of Russian Academy of Medical Sciences (Siberian Department);Research Institute of Therapy, laboratory of psychological and sociological aspects of therapeutic diseases of the Siberial Branch of Russian Academy of Medical Sciences

References

  1. Чазов Е. И. Проблемы первичной и вторичной профилактики сердечно-сосудистых заболеваний. Тер. арх. 2002; 9: 5-11.
  2. Демографические данные по России в 1994 г. Статистическое обозрение. М.; 1994.
  3. Основные показатели уровня жизни населения в Российской Федерации. М.; 1994.
  4. Политика и стратегия профилактики сердечно-сосудистых заболеваний и других неинфекционных заболеваний в контексте реформ здравоохранения в России. М.; 1997.
  5. Ischaemic heart disease registers. Copenhagen; 1970.
  6. Myocardial infarction community registers. Copenhagen; 1976.
  7. Proposal for the multinational monitoring of trends in cardiovascular disease. Geneva; 1985.
  8. Гафаров В. В. Десятилетние тенденции острой сердечно-сосудистой заболеваемости в открытой популяции. Тер. арх. 1989; 1: 57-60.
  9. WHO MONICA Project. Results of 1986 coronary events coding exercise. Dundee; 1987.
  10. WHO MONICA Project. Coronary event registration data quality report. Helsinki; 1990.
  11. WHO MONICA Project. MONICA coronary events. Dundee; 1992.
  12. WHO MONICA Project. Quality assessment of coronary event data for 1980-1990. Helsinki; 1994.
  13. WHO MONICA Project. Quality assessment of coronary event registration data in the WHO MONICA Project. Helsinki; 1997.
  14. Spielberger C. D. Anxiety as an emotional state. In: Spielberger C. D., ed. Anxiety: Current trends in theory and research. New York: Academic Press; 1972; 1: 24-49.
  15. MONICA Psychosocial Optional Study. Suggested measurement instruments. WHO Facsimile Urgent 3037 MRC. 1988.
  16. Гафаров В. В., Гагулин И. В., Гафарова А. В. Инфаркт миокарда, потребление алкоголя и психосоциальные факторы. Кардиология 2001; 3: 49.
  17. Гафаров В. В., Гагулин И. В., Титов В. А. и др. Распространенность ИБС и различных ЭКГ-изменений по данным популяционного исследования. Кардиология 1987; 1: 34- 38.
  18. Гафаров В. В., Смирнова И. Ю., Гаткин Я. Ш. и др. Смертность, заболеваемость, летальность и сердечно-сосудистый профиль риска в популяции Новосибирска. Тер. арх. 1991; 11: 104-110.
  19. Гафаров В. В. Эпидемиология и профилактика сердечно-сосудистых заболеваний в условиях крупного промышленного центра Западной Сибири. Новосибирск; 1992.
  20. Гафаров В. В., Пак В. А., Гагулин И. В., Гафарова А. В. Эпидемиология и профилактика хронических неинфекционных заболеваний в течение 2 десятилетий и в период социально-экономического кризиса в России. Новосибирск; 2000.
  21. Гафаров В. В., Пак В. А., Гагулин И. В., Гафарова А. В. Психология здоровья населения в России. Новосибирск; 2002.
  22. Гафаров В. В., Громова Е. А., Кабанов Ю. Н., Гагулин И. В. Личность и ее взаимодействие с социальной средой: непроторенная дорога. Новосибирск; 2008.
  23. WHO. Monica-Novosibirsk. Monica Annual reports. Geneva; 1985.
  24. WHO. Monica project: Geographic variation in the mortality rate from cardiovascular diseases. Wld Hlth Statist. Quart. 1987; 40: 171-184.
  25. THE WHO MONICA project (monitoring trends and determinants in cardiovascular diseases). A major international collaboration project. J Clin. Epidemiol. 1988; 40 (2): 105-114.
  26. Гафаров В. В. Организация помощи больным инфарктом миокарда на догоспитальном этапе. Сов. здравоохр. 1982; 5: 40-43.
  27. Гафаров В. В. Инфаркт миокарда (вопросы эпидемиологии). Тер. арх. 1993; 1: 31-37.
  28. Leon D. A., Chenet L., Shkolnikov V. et al. Huge variation in Russian mortality rates 1984-1994: artifact, alcohol or what? Lancet 1997; 350: 383-388.

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