[Epidemiology of trend of acute myocardial infraction in Birjand between 2002- 2006 years]

ABSTRACT

Recognition of epidemiology of acute myocardial infarction [AMI] in every region could be a need for design the programs for prevention of AMI. In this study we assessed the epidemiology of changes in AMI from 2002-2006 in Birjand [east of Iran]. All of the patients which hospitalized by AMI diagnosis from 2002-2006 years, included in this study. We compared mean of age, gender, location of living, medications used, condition at discharge and cardiac risk factors in this period. From 1 233 patients, 880 were male [71.4%]. Overall, mean age of patients was 62/2 +/- l 2/8 years and in five years was increased [from 61.7 +/- 13/2 in 2002 to 63.5 +/- 12/4 in 2006 and p=0.37]. The most risk factors in patients were Hypertension [HTN] [34/8%], cigarette smoking [32/1%] and dyslipidemia [24%]. These risk factors did not show any significantly changes during 5 years. But the prevalence of HTN [30/9% in 2002 to 38% in 2006, p=0/62] and DM [15/5% in 2002 to 21% in 2006, p=O/23] raised. Cardiac drugs use tended to increase during 5 years, however only this increase about STK and Statin was statistically significant. The hospital mortality rate was decreased in 5 years [11.3%] but it was not statistically significant [p= 0.48]. Regarding the accelerating the rate of AMI, designing an appropriate program for prevention and modifying cardiac risk factors is recommended