Acute coronary syndrome frequency in western Herzegovina over the fifteen year period (1987-2001)

Vasilj, Ivan and Bergovec, Mijo and Kvesić, Ante and Strnad, Marija and Ostojić, Ljerka and Ostojić, Zdenko and Martinović, Vlatka and Petrović, Pavo and Kondža, Darko and Vasilj, Mirjana (2006) Acute coronary syndrome frequency in western Herzegovina over the fifteen year period (1987-2001). Collegium Antropologicum, 30 (4). pp. 915-919. ISSN 0350-6134

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Abstract

All patients who suffered from the acute coronary syndrome in western Herzegovina over the fifteen year period (1987-2001) are included in this retrospective epidemiological study. The population that was undertaken by the study is relative stabile and did not emigrate during the war period. The study compared the time before the war (1987-1991), during the war (1992-1996) and after the war (1997-2001). The data were acquired from the archives of the patients of the Mostar hospital and Clinical hospital Split during the war period. A total of 2022 acute coronary syndrome patients were found, 1305 men and 717 women. More patients were treated during the war compared to the time before the war for both male and female patients (p<0.0005). During the after-war period the number of treated patients was greater (p< 0.0005) compared to the war-time for both sexes. The comparison of the after-war period and the pre-war period reveals a statistically significant difference as the number of treated patients (male and female) is larger in the after-war period. The number of patient who are 65 years old and older than that is greater, and that is statistically significant (p= 0.0005.). We can conclude that the stress caused by the war and other factors have influenced a larger number of treated patients of acute coronary syndrome. Therefore, further epidemiological researches of acute coronary syndrome with the accent on prevention and treatment are needed.

Abstract in Croatian

Radi se o retrospektivnoj epidemiološkoj studiji liječenih od akutnog koronarnog sindroma u petnaestogodišnjem razdoblju (1987–2001) u zapadnoj Hercegovini. Obrađena je relativno stabilna populacija koja se za vrijeme rata nije iseljavala. Uspoređeno je referentno prijeratno (1987–1991), ratno (1992–1996) i poslijeratno (1997–2001) razdoblje. Podaci su dobiveni iz arhive o liječenim bolesnicima u bolnici Mostar u petnaestogodišnjem razdoblju i KB Split u ratnom razdoblju. Obrađena su 2022 bolnička slučaja akutnih koronarnih sindroma, a od toga 1305 muškaraca i 717 žena. Značajnije je, da je veći broj liječenih od akutnog koronarnog sindroma u ratnom u odnosu na prijeratno razdoblje kod oba spola zajedno (p<0.0005). Veći je broj liječenih u poslijeratnom razdoblju kod oba spola zajedno (p<0.0005) u odnosu na ratno, a kada usporedimo poslijeratno i prijeratno razdoblje vidimo statistički značajno veći broj liječenih i muškaraca i žena u poslijeratnom razdoblju (p<0.0005). Statistički je značajnije veći broj oboljelih u dobi 65 i više (p=0.0005). Zaključno se može reći da je ratni stres uz ostale čimbenike rizika imao utjecaja na veći broj liječenih od akutnog koronarnog sindroma, što otvara mogućnost epidemioloških istraživanja akutnog koronarnog sindroma te mogućnosti prevencije i liječenja.

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