Original paper
Porównanie rozpowszechnienia wybranych czynników ryzyka wystąpienia choroby wieńcowej w populacjach miasta Białystok i powiatu białostockiego u pacjentów hospitalizowanych w Klinice Kardiologii Inwazyjnej w Białymstoku z rozpoznaniem zawału mięśnia sercowego

Introduction: Acute coronary syndromes (ACS) are still the most common reason of death in Poland. Mortality rates in Poland are two times highier than in other EU countries. Analysis of mortality in Poland presents differentiation in various socio-economic

groups or patients inhabiting different regions. Morality rates for rural and urban areas are: 483.5/100 000, and 415.6/100 000.

Aim: To compare of prevalence of selected coronary heart disease risk factors among patients with STEMI and NSTEMI from Bialystok and Bialystok region hospitalized in the Department of Invasive Cardiology of Medical University of Bialystok.

Material and methods: Four hundred and forty consecutive patients with troponin postive ACS from Bialystok and Bialystok region were included in the study. Both populations were divided into ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI) groups depending on ECG changes.

Results: ST-elevation myocardial infarction were more common among patients under 50 years of age from Bialystok region in compared to patients from Bialystok. Non-ST-elevation myocardial infarction were more common among patients between 50-59 years of age from Bialystok region. The most common ACS risk factors in both populations were overweight and obesity. Severe hypertension was more frequent in the population from Bialystok region compared to the population from Bialystok. Patients from Bialystok had worse lipid profile compared to patients from Bialystok region.

Conclusions: Insufficient prevention of coronary heart disease and myocardial infarction suggests urgent necessity of educational programs implementation. Heart disease and myocardial infarction suggests urgent necessity of implementations of educational programs.