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Chronic disease
P2-200 Population trends in the incidence and outcomes of acute myocardial infarction in a Mediterranean region of southern Europe
  1. C Moreno-Iribas1,
  2. M Imizcoz2,
  3. M Guevara1,
  4. J Delfrade1,
  5. N Alvarez-Arruti3
  1. 1Public Health Institute of Navarra, Pamplona-Iruña, Spain
  2. 2Hospital Complex of Navarra, Pamplona-Iruña, Spain
  3. 3Navarra Health Service, Pamplona-Iruña, Spain

Abstract

Introduction The aim of this population-based study was to examine trends in the myocardial infarction incidence and mortality rates between 2000 and 2009 in Navarre, Spain.

Methods All admissions for myocardial infarction in a region of over half a million inhabitants from January 2000 to December 2009 were identified from the hospitals discharge databases. Age- and sex-adjusted incidence and 30-day and 30–365-day mortality rates were calculated.

Results We identified 4451 persons 30 years of age or older with a first myocardial infarction. The incidence showed a significant decrease from 128 cases per 100 000 person-years in 2000 to 98 cases per 100 000 person-years in 2009, a 23% relative decrease. Only in the case of ST-segment elevation myocardial infarction the decrease was significant. The proportion of patients who underwent revascularisation within 30 days after myocardial infarction increased from 26.8% in 2000 to 65.6% in 2009. The age- and sex-adjusted 30-day mortality after myocardial infarction decreased from 10.7% in 2000–2004 to 7.6% in 2005–2009. No changes were observed in 30–365-day mortality.

Discussion The important fall in the incidence observed in this population is consistent with other studies from other industrialised areas of the World. The higher rates of ST-segment elevation myocardial infarction vs non-ST could be indicating that the new definition is not broadly applied. The decreasing incidence, particularly ST-segment elevation myocardial infarction, is probably explained, at least in part, by substantial improvements in primary prevention efforts. Important improvements were observed also in the hospital care, particularly the big increase in revascularisation.

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