Background To investigate myocardial infarction (MI) morbidity, mortality and death rates between 1977 and 2006, and their determinants in a high-risk population in Russia.
Materials and Methods The WHO programs “Register of Acute Myocardial Infarction”, “MONICA”.
Results During 30 years (1977–2006), 23 137 MI cases were registered, of which 7630 were fatal. The 30-year MI morbidity rates were relatively stabile, with the exception of increases in 1988, 1994, 1998 and decreases in 2002–2004 and 2006. Mortality rates were also stable with the exception of increases in 1988, 1994, 1998, and 2002–2005 and decreases in 1977–1978 and 2006. Increases in anxiety levels were recorded by three screening studies in 1984, 1988, 1994 which roughly correspond with increases in MI morbidity and mortality rates.
Conclusions Our results have shown the MI morbidity in population (Novosibirsk) in Russia to be among the highest in the world. They may be markers of the increasing social and economic instability in the country.
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