Aim. To assess epidemiological characteristics of acute coronary syndrome/acute myocardial infarction (ACS/AMI), using the data from the Tashkent City district register.Material and methods. The data on ACS/AMI among permanent residents of one of the Tashkent City districts were obtained from the following sources: ambulance service database, hospital case histories and discharge reports, ambulatory cards from polyclinics, autopsy records, medico-legal expertise protocols, and death certificates from the civil registration office.Results. Over one year, 683 ACS/AMI patients were included in the register: 464 (67,9%) men and 219 (32,1%) women. The prevalence of ACS/AMI was 2,1 times higher in men than in women: 67,9% vs. 32,1%, respectively (р<0,01). One-third of the patients had heart failure in their medical history, and more than one-third had AMI earlier (31,2% of men and 26,9% of women). Only in 7,2% of ACS/AMI cases, the volume and quality of prehospital medical care met the required standards. Arterial hypertension (AH) was present in 81,7% of the patients (78,0% of men and 89,5% of women). Stage 2 AH was diagnosed in 15,7%, and Stage 3 AH in 5,4%.Conclusion. The prevalence of ACS/AMI was 2,1 times higher in men than in women. Women developed ACS/AMI, on average, 10 years later than men. Among ACS/AMI patients, particularly in younger age groups, the prevalence of risk factors was high, while the risk factor awareness was low.
CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF ACUTE CORONARY SYNDROME AND TREATMENT OUTCOME IN THE JABLANICA DISTRICT