Paper Information

Title: 

INCIDENCE OF CARDIOVASCULAR DISEASES IN IRAN: THE ISFAHAN COHORT STUDY

Type: POSTER
Author(s): TALAEI PASHIRI MOHAMMAD*,SARRAFZADEGAN NIZAL,SADEGHI MASOUMEH,OVEISGHARAN SHAHRAM,IRANIPOUR ROKHSARE
 
 *CARDIOVASCULAR RESEARCH CENTER, ISFAHAN CARDIOVASCULAR RESEARCH INSTITUTE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Name of Seminar: 2ND NATIONAL AND 1ST INTERNATIONAL CONFERENCE FOR BEST PRACTICES OF PRIMARY HEALTH CARE
Type of Seminar:  CONFERENCE
Sponsor:  NORTH KHORASAN UNIVERSITY OF MEDICAL SCIENCES
Date:  2012Volume 2
 
 
Abstract: 

INTRODUCTION: ACCURATE ESTIMATES OF CARDIOVASCULAR DISEASES (CVD) INCIDENCE COMPRISING OF ACUTE MYOCARDIAL INFARCTION (AMI), UNSTABLE ANGINA PECTORIS (UAP), SUDDEN CARDIAC DEATH (SCD) AND STROKE ARE VERY IMPORTANT FOR PUBLIC HEALTH. HOWEVER, SUCH INFORMATION IS SCARCE ESPECIALLY FOR MIDDLE AND LOW INCOME COUNTRIES. IN IRAN, THE ONLY REPORT WAS FOR STROKE THAT REPORTED VERY HIGH RATES. TO OUR KNOWLEDGE, NO ESTIMATION IS AVAILABLE FOR OTHER CARDIOVASCULAR DISEASE EVENTS.
METHODS: THE ISFAHAN COHORT STUDY (ICS) PROSPECTIVELY FOLLOWED-UP 6504 INDIVIDUALS, 51.8% WOMEN, AGED 35 YEARS AND OVER, 6323 INITIALLY FREE OF CVD, FROM THREE COUNTIES IN CENTRAL IRAN INCLUDING ISFAHAN, NAJAFABAD AND ARAK, AND THEIR SURROUNDING RURAL AREAS. A PANEL OF SPECIALISTS IN CARDIOLOGY AND NEUROLOGY DECIDED ON THE DIAGNOSIS OF THE OCCURRED EVENTS BASED ON PATIENTS’ HOSPITAL RECORDS, VERBAL AUTOPSY AND DEATH CERTIFICATES. RESULTS: AFTER 32893 PERSON-YEARS OF FOLLOW-UP, A TOTAL OF 427 NEW CASES OF CVD EVENTS (229 IN MEN) WERE REGISTERED. CONFIRMED CASES OF AMI, STROKE, UAP AND SCD WERE 57, 43, 93 AND 36 IN MEN AND 32, 48, 100 AND 18 IN WOMEN, RESPECTIVELY. THE CORRESPONDING CRUDE INCIDENCE RATES WERE 352, 265, 352 AND 220 PER 100000 PERSON-YEAR IN MEN AND 186, 279, 584 AND 104 IN WOMEN, RESPECTIVELY. NO SIGNIFICANT DIFFERENCES WERE FOUND IN AGE AT THE TIME OF EVENTS OCCURRENCE BETWEEN MEN AND WOMEN AND BETWEEN DIFFERENT EVENT TYPES EXCEPT FOR SCD AND STROKE IN WOMEN THAT THE FORMER OCCURRED 9 YEARS LATER. CVD MORTALITY RATE WAS 331 PER 100000 PERSON-YEAR IN MEN AND 203 IN WOMEN. CONCLUSION: WE FOUND SUBSTANTIALLY HIGH INCIDENCE RATES FOR ALMOST ALL CVDS AND MORTALITY. THESE FINDINGS NEED URGENT CONSIDERATION BY HEALTH POLICY MAKERS SPECIFICALLY FOR WOMEN.

 
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