Mortality from myocardial infarction in Russia in the years 2006 and 2015

Abstract

Aim. To compare and analyze the rates of mortality from myocardial infarction (MI), recurrent and first, in various age groups, in the years 2006 and 2015, in Russian Federation. Material and methods. In the study, the data used from official statistics of Russian Statistics Agency, on the numbers of died due to various death causes, based on the Short Nomenclature of Lethal Causes. Standardized mortality coefficients (SMC), as the age-related, were calculated with original software (State registration software ID 216661114); the European standard was applied. Absolute values of growth/wastage calculated, and the representation values. Results. During the period 2006-2015 SMC from MI in general declined by 13,91%, SMC from acute MI — by 14,3%, recurrent — by 12,82%. Main impact on the decrease of SMC in dynamics during 2006-2015 do make male patients with primary (acute) MI. Decrease of SMC from MI in males was found in all ages, in women — excluding the groups of 20-29 y. o., 80-89 and ≥90 y. o. The most prominent decrease of SMC from MI in 2015 in relation with 2006 was found among men 20-29 y. o. (-47,03%), and in women of this age group there was increase of SMC by almost a third (+32,28%). Minimal SMC decrease was found in men 70-79 y. o. (-6,60%), in women 30-39 y. o. (-5,66%). Conclusion. Generally positive changes in statistics of MI mortality in Russia during 2006-2015 y. are related to objective factors (as the successful realization of organizational solutions for the volumes and approachability of high-technology medical care for cardiovascular patients, improvement of outpatient-prevention care, prevention improvement) and “subjective” (related to the primary death cause assignment and coding in statistical documents).