Key result
From 1993 to 2005, the incidence of first acute myocardial infarction events in Tallinn, Estonia, declined significantly by 2.7% per year in men and 5.0% per year in women (P<0.001 for both).
Observational (n=4,889)
No
Effect estimate: 2.7%/year decline in men, 5.0%/year decline in women
p-value: p=<0.001
The incidence of first AMI events in Tallinn, Estonia, began to decline significantly after 1993, mirroring trends seen in Western countries.
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Observed AMI decline supports risk-factor control in transitioning economies; leaves open causal factors and generalizability pending prospective data.
Laks et al. (2012) conducted an observational in Acute Myocardial Infarction (n=4,889). Calendar year (1993-2005) vs. 1991-1993 was evaluated on Incidence of first AMI events (2.7%/year decline in men, 5.0%/year decline in women, p=<0.001). From 1993 to 2005, the incidence of first acute myocardial infarction events in Tallinn, Estonia, declined significantly by 2.7% per year in men and 5.0% per year in women (P<0.001 for both).
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