International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum |
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Cardiovascular diseases
The purpose of research: To study long-term trends deceases, mortality of the population from myocardial infarction (MI) within 28 years (1977-2004).
Methods of research: Program the WHO "Register of myocardial infarction ", "MONICA", conducted in three borough of Novosibirsk
Results: Dynamics of diseases MI for 28 years is submitted in the following kind: 1977-1981 years the tendency to growth of diseases is marked; 1982-1985 - stabilization; 1986 authentic decrease; 1987-1988 - the tendency to growth; 1989-1991- stabilization. In this period the tendency to growth of diseases by MI is caused by diseases of men. Since 1992 ã on 1994 ã authentic growth of diseases by MI and this parameter is observed reaches the peak in 1994. Growth of diseases in this period is caused both diseases of men, and women. In 1995 ã the tendency to decrease of diseases is marked; in 1996 - stabilization, 1998 - growth; 1999 - 2000 stabilization; 2001 - 2003 - decrease. General mortality on 100 000 inhabitants from MI with 1977 on 1978 years tended to decrease among both sexes; 1979-1987 years - stabilization; 1988 - growth; 1989-1991 - stabilization. During 1992-1994 years growth of fatality rate with peak in 1994 is marked. In 1995-1997 ãã decrease and stabilization of death rate, in 1998 - growth took place; in 1999-2000 - decrease; in 2001 - 2003 – growth, 2004 – stabilization. Dynamics fatality rate (%) in the first 2 years of supervision has shown authentic decrease fatality rate due to both sexual groups; 1979-1992 ãã - stabilization; 1993 - the tendency to growth; 1994 - authentic growth fatality rate due to men and women; 1995-1997 – decrease and relative stabilization, 1998 - growth; 1999 - 2000 stabilization; 2001-2003 – growth, 2004 – stabilization. Growth of diseases, mortality, fatality rate from MI in 1998 is caused by both sexes. In too time decrease of diseases and growth of fatality rate and mortality in 2001 - was caused 2003, basically, due to men. Growth of fatality rate and mortality in 2001 - occurred due to pre-hospital fatality rate and mortality 2003.
The conclusion: Dynamics of diseases, mortality, fatality rate, from MI within 28 years was concerning stable, except for the periods falling years socially - economic shocks (1988, 1994, 1998 - growth). The paradoxical fact of increase of fatality rate and mortality from myocardial infarction on a background of decrease of diseases, probably speaks significant deterioration of rendering of medical aid ill persons. This position proves to be true decrease of stationary fatality rate, mortality and increase pre-hospital.
Note. Abstracts are published in author's edition
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