Naslov
Acute coronary syndrome and the 1992 – 1995 war in Bosnia and Herzegovina: a 10-year retrospective study

Autori
Bergovec, Mijo ; Heim, Inge ; Vasilj, Ivan ; Jembrek-Gostović, Mirjana ; Bergovec, Marko ; Strnad, Marija

Izvornik
Military medicine (0026-4075) 170 (2005), 5; 431-434

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
acute coronary syndrome ; acute myocardial infarction ; unstable angina pectoris ; war stress ; Bosnia and Herzegovina

Sažetak
Objective. To examine the effects of war in Bosnia and Herzegovina on the occurrence of acute coronary syndrome in civilians. Methods. The incidence of acute myocardial infarction, first and recurrent, and unstable angina pectoris were examined among the residents of Mostar and the nine neighboring districts. The study population was the population who lived in the area before the war (182, 000 – census 1991). Others who immigrated into the area, were not taken into consideration. Five consecutive years (1987-91) before the war and 5 consecutive years (1992-96) during the war were analysed. Results. In the 5-year period during the war, 267 men and 161 women suffered from acute myocardial infarction compared with 246 men and 119 women in the 5-year period prior to the war. The wartime increase in acute myocardial infarction for the combined male- female population was statistically significant (p=0.025). For women the wartime increase was statistically significant only for the 60-69 age group (p=0.007). The smaller increase among men was not statistically significant (p=0.354). A wartime number of 52 cases of recurrent myocardial infarctions from a pre-war level of 24 was statistically significant (p =0.001). The percentage of fatal myocardial infarction cases in women, however, was lower during the war (18.6%) than before the war (32.8%) (p=0.048). During the war 109 men with unstable angina pectoris were hospitalized, compared with 84 before the war ; the cases among women were 76 and 41, respectively. The increase was statistically significant among women (p=0.001) but not in men (p= 0.072). There was a statistically significant increase (p 0.001) of the total number of unstable angina pectoris cases during the war (185 compared with 125 pre-war). Conclusion. The common population during war in Bosnia and Herzegovina had an increased occurrence of acute myocardial infarction and unstable angina pectoris cases.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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