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[The Myocardial Infarction Register of the District of Rostock]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|March 1, 1980
Summary
Myocardial infarction incidence varied across Rostock districts, with higher rates and lethality in men and older individuals. Prehospital delays significantly impact survival, with patient and transport times being critical factors.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Myocardial infarction (MI) registers were analyzed in four districts of Rostock over one year.
- Incidence rates varied: Wismar (23.7), Bad Doberan (18.9), Rostock (13.7), and Stralsund (17.6).
- The male-to-female ratio for MI was 2:1.
Purpose:
- To evaluate the incidence, lethality, and prehospital delay times associated with myocardial infarction in Rostock.
- To compare these findings with international data, specifically a WHO study.
Summary:
- MI incidence and lethality increased linearly with age.
- Total lethality within four weeks post-MI ranged from 43.6% to 57%.
- Over half to three-quarters of deaths occurred prehospital, with patient and transport delays being significant.
Impact:
- Physician delay times (15-30 minutes) were consistently the shortest.
- Physician and transport delays were among the top ten longest delays in a comparison of 23 towns.
- Findings highlight critical areas for improving prehospital care and reducing MI mortality.