CLINICO-EPIDEMIOLOGICAL STUDY OF ACUTE CORONARY SYNDROME/ACUTE MYOCARDIAL INFARCTION: DATA FROM THE TASHKENT CITY DISTRICT REGISTER

Abstract

Aim. To assess epidemiological characteristics of acute coronary syndrome/acute myocardial infarction (ACS/AMI), using the data from the Tashkent City district register.Material and methods. The data on ACS/AMI among permanent residents of one of the Tashkent City districts were obtained from the following sources: ambulance service database, hospital case histories and discharge reports, ambulatory cards from polyclinics, autopsy records, medico-legal expertise protocols, and death certificates from the civil registration office.Results. Over one year, 683 ACS/AMI patients were included in the register: 464 (67,9%) men and 219 (32,1%) women. The prevalence of ACS/AMI was 2,1 times higher in men than in women: 67,9% vs. 32,1%, respectively (р<0,01). One-third of the patients had heart failure in their medical history, and more than one-third had AMI earlier (31,2% of men and 26,9% of women). Only in 7,2% of ACS/AMI cases, the volume and quality of prehospital medical care met the required standards. Arterial hypertension (AH) was present in 81,7% of the patients (78,0% of men and 89,5% of women). Stage 2 AH was diagnosed in 15,7%, and Stage 3 AH in 5,4%.Conclusion. The prevalence of ACS/AMI was 2,1 times higher in men than in women. Women developed ACS/AMI, on average, 10 years later than men. Among ACS/AMI patients, particularly in younger age groups, the prevalence of risk factors was high, while the risk factor awareness was low.

Keywords

• acute myocardial infarction
• acute coronary syndrome
• risk factor
• smoking
• hypercholesterolemia
• arterial hypertension