Copyright © 1992 by the European Society of Cardiology.
© 1992 The European Society of Cardiology
Acute myocardial infarction (AMI) in Finland—baseline data from the FINMONICA AMI register in 1983–1985
*National Public Health Institute, Department of Epidemiology Helsinki, Finland
Department of Medicine, Turku University Central Hospital Turku, Finland
Loimaa District Hospital Loimaa, Finland
Department of Medicine, North Karelia Central Hospital Joensuu, Finland
¶Department of Medicine, Kuopio University Hospital Kuopio, Finland
Received 1 March 1991; revised 11 June 1991; .
Correspondence to: Dr Jaakko Tuomilehto, National Public Health Institute, Department of Epidemiology, Elim
enkatu 25 A, 00510 Helsinki, Finland.
Abstract
The acute myocardial infarction (AMI) register of the FINMONICA study, the Finnish part of the WHO-coordinated multinational MONICA project, operates in the provinces of North Karelia and Kuopio in eastern Finland and in Turku, Loimaa and in communities around Loimaa in southwestern Finland. The AMI register serves as an instrument for the assessment of trends in mortality from coronary heart disease (CHD) and of the incidence andattack rates of AMI among 25–64-year-old residents of the study areas. This report describes the methods used in the FINMONICA A MI register and the findings during the first 3 years of the study, in 1983–1985. The criteria of the multinational WHO MONICA project were used in the classification of fatal events and in the diagnosis of non-fatal definite AMI, but based on the experience within the FINMONICA study, stricter diagnostic criteria than those originally described in the WHO MONICA protocol were used for non-fatal possible AMI. This led to a marked improvement in the comparability of the data from the three study areas with regard to the incidence and attack rates of non-fatal AMI. During the 3-year period the total number of registered events was 6266 among men and 2092 among women. Among men the incidence and attack rates of AMI and mortality from CHD were higher in eastern than in southwestern Finland. Also among women the incidence and attack, rates of AMI were higher in eastern than in southwestern Finland, whereas there was no regional difference in mortality from CHD among women. The mortality findings of the FINMONICA AMI Register were in good agreement with the official CHD mortality statistics of Finland.
Key Words: Acute myocardial infarction • coronary heart disease • inidence • mortality • coronary event register • WHO MONICA project
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