Salud Pública de México
versión impresa ISSN 0036-3634
JIMENEZ-CORONA, Aida; LOPEZ-RIDAURA, Ruy y GONZALEZ-VILLALPANDO, Clicerio. Incidence of myocardial infarction in low-income urban residents of Mexico City. Salud pública Méx [online]. 2009, vol.51, n.6, pp. 458-464. ISSN 0036-3634.
OBJECTIVE: To estimate the incidence of myocardial infarction (MI) in a low-income Mexican population. MATERIAL AND METHODS: A total of 1 696 men and women aged 35 to 64 years from a longitudinal study were included. All subjects were free of MI at baseline. Incident MI was diagnosed during follow-up by electrocardiogram or by death certificate. Multiple logistic regression was used to estimate the risk of MI. RESULTS: Median follow-up was 6.2 years. Sixty-two of the participants developed MI. Age-adjusted incidence of MI was 6.6 in men and 4.8 in women per 1 000 person-years. The risk of developing MI was associated diabetes (OR= 2.42, p= 0.003), systolic blood pressure (OR= 1.28 per10 mm Hg, p= 0.013) and serum cholesterol (OR= 1.36 per 50 mg/dL, p= 0.038). CONCLUSIONS: Incidence of MI in this population may be explained by the rising prevalence of diabetes and hypercholesterolemia. It is necessary to implement preventive measures to address those risk factors.
Palabras llave : myocardial infarction; electrocardiography; incidence; mortality; Mexico.