[20-year monitoring of acute cardiovascular diseases in population of large industrial city in West Siberia (epidemiological study)].
OBJECTIVE
To reveal trends in incidence rates of acute cardiovascular diseases (ACD) in a large industrial city of the West Siberia.


METHODS
Studies on WHO programs "Acute Myocardial Infarction Register" and "MONICA" have been performed in three districts of Novosibirsk. The diagnostic categories were detected without difference. The observation covered stable population of 500,000 residents aged 25-64 years. Trends in the myocardial infarction (MI) mortality, morbidity and lethality were analysed for 1977-1996.


RESULTS
The above trends were stable except for 1986 when MI mortality, morbidity and lethality decreased and 1988 and 1994 when they went up. The reduction was due to 7-year prevention program while the rise was consequent to discontinuation of the preventive measures. Major risk factors of ischemic heart disease, according to screenings conducted in 1984, 1988 and 1994 remained at about the same level. Social stress closely correlates with a rise in MI morbidity and mortality. The latter in 1994 grew owing to higher rates of MI mortality and morbidity among the oldest men and females of different age groups.


CONCLUSIONS
Urgent intensification of prophylactic measures is needed both at the populational level and the level of high risk strategy.
Gafarov
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D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D011159:Population Surveillance; D012189:Retrospective Studies; D012307:Risk Factors; D012800:Siberia / Q000453:epidemiology; D012959:Socioeconomic Factors; D015996:Survival Rate; D014505:Urban Population