Epidemiological Study on Myocardial Infarction in the City of Pigüé

pp. 337-340

Abstract

Background: Several registries on acute myocardial infarction (AMI) correspond to national multicenter studies or to cities with tertiary-care centers, but there is lack of continuous population-based registries reflecting the epidemiological reality of inland cities.

Objectives: The aim of this study was to determine the incidence, epidemiological characteristics, mortality and quality of care of AMI patients in the Saavedra-Pigüé district.

Methods: This prospective population-based study, performed from 1991 to 2012, recorded the epidemiological reality of Saavedra- Pigüé, a district in the Province of Buenos Aires lacking both prehospital emergency care services and near access to angioplasty facilities that impose the priority of thrombolytic reperfusion therapy.

Results: A total of 473 AMI were recorded (81.81% STEMI). Mean age was 63±12.12 years and 31.71% were women. The incidence was 10.73 AMI per 10,000 population per year with an age-adjusted incidence (30-90 years) of 18.81 AMI per 10,000 population per year. The overall in-hospital mortality was 9.93% and decreased to 6.81% in the period 2006-2012. When sudden deaths without resuscitation were not considered, the incidence of AMI was 10.73 per 10,000 population per year; 14.71 in men and 6.75 in women.

Conclusions: Knowing and describing our reality was a relevant information tool that allowed the implementation of health care policies to improve the quality of care of these patients.