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European Heart Journal 1994 15(4):450-453;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Trends of acute myocardial infarction morbidity and case fatality in East Germany since 1970

W. BARTH and L. HEINEMANN

Centre for Epidemiology and Health Research Berlin Germany

Received 27 January 1993; revised 8 October 1993; .

Correspondence: Dr W. Barth, Centre for Epidemiology and Health Research Berlin, Schönerlinder Straße 11/12, 16341 Zepernick, Germany

Abstract

Because of the high risk factor levels and the high morbidity and mortality of cardiovascular diseases, a Myocardial Infarction Control Programme was implemented in East Germany in the 1970s. To measure its effect, many myocardial infarction registers have operated in the country ever since, and despite some methodological problems the results of these registers now make trend estimations possible. In recent years, we observed no decline in the acute myocardial infarction attack rates in the population aged 25–64 years, and in men there was even a slight increase towards the late 1980s. These sotnewhat d sex-spec trends run parallel to the trends of the risk factor levels, as well as the cardiovascular mortality rates in men and women. There was no decline in the case fatality rate either during that period. We have to conclude, therefore, that the aims of the Myocardial Infarction Control Programme have not been reached, and both primary and secondary myocardial infarction prevention must be intensified Cardiovascular morbidity and mortality, under the new conditions existing in East Germany after unification must be reduced at least to the level observed in West Germany.

Key Words: Acute myocardial infarction • myocardial infarction registers • morbidity • attack rates • case fatality


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