title: Sudden death due to ischemic heart disease among adolescents and young adults before and after the socio-economic changes in 1989 of Hungary.
abstract: BACKGROUND
  Ischemic heart disease (IDH) mortality is generally accepted as an indicator of socio-economic conditions. In view of the health status of future generations, sudden cardiac deaths among adolescents and young adults are a considerable focus of attention of public health specialists. In a changing social environment, the rate of sudden deaths in youths could be a sensitive indicator in the evaluation of health effects. Coronary artery anomalies, myocarditis and cardiomyopathies are the most common causes of sudden cardiac deaths in adolescents, and young adults. The aim of this study was to detect the changes in the rate of ischemic heart disease mortality among young people before and after the socio-economic change of 1989 in Hungary.
  
  
  METHODS
  Data on ischemic mortality were collected from the years 1979-2000. Death certificates were obtained from the Office for National Statistics.
  
  
  RESULTS
  There was a significant reduction in coronary mortality in young male adults in the age group of 20-24 years (OR=1.69, CI=1.23-2.32, p=0.00082), 25-29 years (OR=1.3, CI=1.11-1.53, p=0.00094) and 30-34 years (OR=1.37, CI=1.25-1.51, p=0.0000001) after the socio-economic change of 1989. Among young females, the mortality showed a reduction only in the age group of 20-24 years (OR=1.69, CI=1.18-2.45, p=0.039).
  
  
  CONCLUSIONS
  Mortality rates of ischemic heart disease in adolescents and young adults may reflect the changes of socio-economic conditions. Early detection and treatment of youths at risk of premature IHD offers the greatest promise and an opportunity for gender-specific interventions.
authors.affiliation: Department of Forensic Medicine, Semmelweis University, Budapet, Hungary. torok@igaz.sote.hu
authors.forename: Klára
authors.initials: K
authors.lastname: Töro
authors.forename: Eszter
authors.initials: E
authors.lastname: Rausz
authors.forename: Eva
authors.initials: E
authors.lastname: Keller
mesh_terms: D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D016001:Confidence Intervals; D003644:Death Certificates; D016757:Death, Sudden, Cardiac / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006801:Humans; D006814:Hungary; D008297:Male; D017202:Myocardial Ischemia / Q000401:mortality*; D016017:Odds Ratio; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D014857:Warfare