Acute Myocardial Infarction Trends in the population of the Nišava District
Abstract
Introduction. Acute myocardial infarction is the leading cause of premature morbidity and premature death worldwide.
The aim of the paper was to determine trends of acute myocardial infarction between 2006 and 2019 in the population of the Nišava District.
Material and Method
Descriptive study was done. Data about acute myocardial infarction incidence and mortality were obtained from the population registry for Acute Coronary Syndrome of Serbia. Crude, specific and age-standardized incidence and mortality rates per 100,000 persons were calculated as well as the trend lines.
Results.
A total number of 12 142 new cases of acute myocardial infarction (7595 in males and 4547 in females) were registered. Men suffered 1.7 times more than females. An insignificantly decreasing acute myocardial infarction incidence trend y=0.4868x+112.24,
R² = 0.0029 was recorded. A total number of 3925 persons died (2260 male and 1665 female). Men died 1.4 times more than women and a significantly decreasing mortality trend was recorded both in males (y = -1.6112x + 52.563, R²=0.7779) and in females (y=-0.4956x + 22.81,
R² = 0.3306). A significantly increasing mortality trend of acute myocardial infarction by age was determined y= 11.152x - 34.519, R² = 0.7022.
Conclusion. Trend of incidence tended to decrease, but insignificantly. Incidence and mortality rates were higher in men than in women in the whole observed period. Mortality trend significantly decreased both in men and in women and trend of mortality significantly increased with age.
Key words: acute myocardial infarction, incidence, mortality, sex, age
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