Bunova S.S., Usacheva E.V., Zamakhina O.V.
Omsk State Medical Academy, Ministry of Health of the Russian Federation, Omsk

Contacts: Elena Usacheva, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it (ElenaV.Usacheva at yandex dot ru) 

Abstract. Ischaemic heart disease in general and myocardial infarction in particular, represent an important medical and social problem, which indicates the need to explore and develop mechanisms to reduce morbidity, disability and mortality due to this disease. Therefore, the purpose of the study was to identify regularities of myocardial infarction incidence in the Russian Federation for 11 years (from 2002 to 2012).

Methods and data. A descriptive study using data from the Federal State Statistics Service (Rosstat) for 2002-2012.

Results and discussion. The study shows that in the Russian Federation, over 11 years, from 2002 to 2012, there was registered a steady decline in the incidence of acute myocardial infarction and increased incidence of recurrent myocardial infarction from 21.5 cases in 2002 to 24.7 cases per 100 thousand population in 2012. The Siberian Federal District shows a similar trend. Analysis across the Siberian Federal District regions registered the highest incidence of acute myocardial infarction in the Kemerovo region (188.5 cases per 100 thousand population), and the highest incidence of recurrent acute myocardial infarction - in the Omsk region (44.1 cases per 100 thousand population). In 2002-2012, the incidence rates of both acute and recurrent myocardial infarction in the Omsk region exceeded the general Siberian Federal District rates and the national ones.

Scope of application. Results can be used to optimize activities of medical institutions on long-term health follow-up of patients with coronary atherosclerosis. Such optimization is only possible on the basis of analysis of the current system and problems identification.

Conclusions. Decreased incidence of acute myocardial infarction and increased incidence of recurrent myocardial infarction in 2002-2012 resulted in a statistically significant increase in the share of recurrent myocardial infarction in the structure of myocardial infarction from 12.8% to 15.9% in the Russian Federation in general (p <0.001), from 11.7% to 15.7% in the Siberian Federal District (p <0.001 ) and from 13.3% to 19.3% in the Omsk region (p <0.001). Since high incidence of myocardial infarction is caused by high prevalence of risk factors and lack of adequate methods to monitor effectiveness of the secondary cardiovascular prevention, implementation of regional programs for long-term follow-up of patients with coronary atherosclerosis against the background of optimum performance of primary vascular centers, will reduce incidence of myocardial infarction due to optimization of secondary cardiovascular prevention at the outpatient level.

Keywords: ischaemic heart disease; myocardial infarction; coronary atherosclerosis; disease incidence.

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