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SOCIOECONOMIC CRISIS AND INCIDENCE OF ACUTE MYOCARDIAL INFARCTION IN MESSINIA, GREECE
E47 JACC March 12, 2013 Volume 61, Issue 10
Acute Coronary Syndromes Socioeconomic Crisis and Incidence of Acute Myocardial Infarction in Messinia, Greece Poster Contributions Poster Sessions, Expo North Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: Stress, Coronary Spasm and AMI: Lessons from Japan, New Orleans, Greece Abstract Category: 1. Acute Coronary Syndromes: Clinical Presentation Number: 1130-207 Authors: Emmanouil Makaris, George Michas, Renata Micha, Ioannis Pisimisis, Ilias Tsichlis, Dionysis Svoronos, Charalampos Panotopoulos, Dimitrios Gkotsis, George Koudounis, Spyridon Zompolos, General Hospital of Kalamata, Kalamata, Greece, Greece Background: Financial crisis has been linked to cardiovascular morbidity and mortality. In light of the major financial crisis occurring in Greece since 2008, we sought to investigate the impact of this crisis on the incidence of acute myocardial infarction (AMI). Methods: We searched and analyzed the database of the General Hospital of Kalamata, Greece for incident cases of AMI. We evaluated the potential association between the financial crisis period (January 2008 to December 2011) and incident AMI, with the pre-crisis period (January 2004 to December 2007) as the referent. The two periods were defined according to the change in Gross Domestic Product. We used the 2001 Census for the population of the Messinia prefecture. We collected data on demographic characteristics, and morbidity due to AMI. Analyses were performed with Stata 10.0. Results: We analyzed data from 22,093 patients that were admitted to the Cardiology Department of the General Hospital of Kalamata from January 2004 to December 2011. 11,223 (50.8%) patients were admitted during the crisis period and 10,870 (49.2%) during the pre-crisis period. Patient demographic characteristics were not significantly different between the two periods. During the crisis period the incidence rate of AMI was higher (N=1,084, 22.46/ 10,000 people/ year, Vs N=841, 17.43/ 10,000 people/ year). Incident cases of AMI during the crisis period increased by 25.7% in men (n=642 vs. n=807) and by 39.2% in women (n=199 vs. n=277), relatively to the pre-crisis period. When the age of the patients was taken into account, incident cases of AMI increased by 20.8% for those ≤45 yrs (n=53 vs. n=64), and by 29.4% for those >45 yrs (n=788 vs. 1020). Conclusion: Our findings suggest that the financial crisis may have led to a higher incidence of AMI in the population of Messinia, highlighting the need to establish whether the same holds true for the entire Greek population.
Acute Coronary Syndromes Socioeconomic Crisis and Incidence of Acute Myocardial Infarction in Messinia, Greece Poster Contributions Poster Sessions, Expo North Saturday, March 09, 2013, 10:00 a.m.-10:45 a.m.
Session Title: Stress, Coronary Spasm and AMI: Lessons from Japan, New Orleans, Greece Abstract Category: 1. Acute Coronary Syndromes: Clinical Presentation Number: 1130-207 Authors: Emmanouil Makaris, George Michas, Renata Micha, Ioannis Pisimisis, Ilias Tsichlis, Dionysis Svoronos, Charalampos Panotopoulos, Dimitrios Gkotsis, George Koudounis, Spyridon Zompolos, General Hospital of Kalamata, Kalamata, Greece, Greece Background: Financial crisis has been linked to cardiovascular morbidity and mortality. In light of the major financial crisis occurring in Greece since 2008, we sought to investigate the impact of this crisis on the incidence of acute myocardial infarction (AMI). Methods: We searched and analyzed the database of the General Hospital of Kalamata, Greece for incident cases of AMI. We evaluated the potential association between the financial crisis period (January 2008 to December 2011) and incident AMI, with the pre-crisis period (January 2004 to December 2007) as the referent. The two periods were defined according to the change in Gross Domestic Product. We used the 2001 Census for the population of the Messinia prefecture. We collected data on demographic characteristics, and morbidity due to AMI. Analyses were performed with Stata 10.0. Results: We analyzed data from 22,093 patients that were admitted to the Cardiology Department of the General Hospital of Kalamata from January 2004 to December 2011. 11,223 (50.8%) patients were admitted during the crisis period and 10,870 (49.2%) during the pre-crisis period. Patient demographic characteristics were not significantly different between the two periods. During the crisis period the incidence rate of AMI was higher (N=1,084, 22.46/ 10,000 people/ year, Vs N=841, 17.43/ 10,000 people/ year). Incident cases of AMI during the crisis period increased by 25.7% in men (n=642 vs. n=807) and by 39.2% in women (n=199 vs. n=277), relatively to the pre-crisis period. When the age of the patients was taken into account, incident cases of AMI increased by 20.8% for those ≤45 yrs (n=53 vs. n=64), and by 29.4% for those >45 yrs (n=788 vs. 1020). Conclusion: Our findings suggest that the financial crisis may have led to a higher incidence of AMI in the population of Messinia, highlighting the need to establish whether the same holds true for the entire Greek population.