An epidemiological assessment of ischemic heart disease and mortality in men over 70 in the population of Saint Petersburg

AIM: To analyze prevalence of ischemic heart disease (IHD), main IHD risk factors and mortality in the population of males aged 70-79 and over 80 years. MATERIALS AND METHODS: The study included 209 males aged 70-79 years and 96 males over 80. All the males were examined for IHD and 3 main risk factors: blood hypertension, hyperlipidemia and smoking. RESULTS: Incidence of IHD was about similar in both age groups. For 3.5 years of follow-up in the group of 80-year-olds mortality was 2 times that of the group of 70-79-year-olds. The presence of IHD in the groups was directly related to the presence of 2 or 3 risk factors, especially in the group aged 70-79 years. In the group of 80-year-olds and older combination of IHD with affection of cerebral vessels was a poor prognosis sign. CONCLUSION: Factors deteriorating prognosis in males over 70 were: macrofocal myocardial infarction in anamnesis, atherosclerosis of the coronary and cerebral arteries.