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Epidemiology of acute myocardial infarction in salvador bahia brazil


, : Epidemiology of acute myocardial infarction in salvador bahia brazil. Boletin de la Oficina Sanitaria Panamericana 101(4): 355-365

In Salvador, Bahia, Brazil, the medical records of all patients admitted to hospitals between 1/1/1982 and 12/31/1982 with a diagnosis of acute myocardial infarction (code 410 in the International Classification of Diseases, Ninth Revision) were reviewed in order to determine the rates of incidence, mortality and lethality of the disease in the city and to obtain information needed for health planning. All death certificates issued during that period and citing acute myocardial infarction as the cause of death were reviewed as well. In a population of 628 266 inhabitants 25 years old and older there were 617 such cases, 443 of them fatal. There was also two fatal cases below the age of 25. The incidence per 100,000 inhabitants was 12,842 for males and 7090 for females. Up to the age of 64 the rates were higher for males; beyond that age the male/female occurrences and mortality ratios were equal to one. The lethality of acute myocardial infarction was 71.9% and in the hospitalized cases 54.8%; 52.6% of the deaths were of patients who had not been previously hospitalized for the disease.

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