<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402019000100038</article-id>
<article-id pub-id-type="doi">10.24875/acm.m19000014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características de la mortalidad por enfermedad isquémica del corazón en Costa Rica de 1970 al 2014]]></article-title>
<article-title xml:lang="en"><![CDATA[Characteristics of mortality due to ischemic heart disease in Costa Rica from 1970 to 2014]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Evans-Meza]]></surname>
<given-names><![CDATA[Ronald]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Fallas]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla-Carrión]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad de Investigación e Innovación en Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Hispanoamericana de San José Unidad de Investigación e Innovación en Ciencias de la Salud Departamento de Estadística]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>89</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402019000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Actualizar algunos aspectos importantes de la epidemiología descriptiva de la enfermedad isquémica del corazón (EIC) en Costa Rica durante el periodo 1970-2014.  Métodos: Se obtuvieron las tasas de mortalidad por EIC en dos periodos. De 1930 al año 1969 y luego, para un análisis más específico, de 1970 al 2014, utilizando promedios móviles y quinquenios, a partir de datos del Instituto Nacional de Estadística y del Centro Centroamericano de Población, para analizarlos en relación con edad, sexo, ubicación geográfica y aporte porcentual a la mortalidad general. También se obtuvo información para determinar la carga de la enfermedad, en este caso mediante años de vida ajustados por discapacidad, años de vida perdidos y años de vida perdidos por discapacidad.  Resultados: Se apreció ascenso de las tasas en la población general y con mayor empuje en la población de 35 a 74 años, hasta el quinquenio 1995-1999, a partir del cual se inicia un descenso que aparentemente se detiene durante el quinquenio 2010-2014 (ambos sexos: r = 0.9964, r2 = 0.9928, &#946; = &#8212;2.4950, p = 0.04; hombres: r = 0.9994, r2 = 0.9988, &#946; = &#8212;2.770, p = 0.02; mujeres: r = 0.9896, r2 = 0.9793, &#946; = &#8212;2.4950, p = 0.07). Las tasas más altas se presentan en las provincias del centro del país. Predomina durante todo el periodo en el sexo masculino y representa en promedio el 14% de la mortalidad general.  Conclusión: La mortalidad por EIC está en fase de disminución, pero el aumento de la obesidad y el sobrepeso en el país amenaza con frenar dicha tendencia, al menos durante el último quinquenio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To update some important aspects of the descriptive epidemiology of ischemic heart (EIC) disease in Costa Rica during the period 1970-2014.  Methods: EIC death rates were obtained in two periods: from 1930 to 1969 and then, for a more specific analysis, from 1970 to 2014, using moving and five-year averages, based on data from the Instituto Nacional de Estadística and the Centro Centroamericano de Población, to analyze them according to age, sex, geographical location and percentage contribution to the general mortality. Information was also obtained to determine the burden of the disease, in this case through Years of Adjusted Life for Disability, Years of Life Lost and Years of Life lost due to Disability.  Results: There was a rise in rates in the general population, with greater momentum in the population from 35 to 74 years, up to the five-year period 1995-1999, after which a decline began that apparently stopped during the five-year period 2010-2014 (both sexes: r = 0.9964, r2 = 0.9928, &#946; = -2.4950, p 0.04; men: r = 0.9994, r2 = 0.9988, &#946; = -2.770, p = 0.02; women: r = 0.9896, r2 = 0.9793, &#946; = -2.4950, p = 0.07). The highest rates occur in the provinces of the center of the country. It predominates during the whole period in the male sex and represents on average 14% of the general mortality.  Conclusions: Mortality due to EIC is in a phase of decline but the increase in obesity and overweight in the country threatens to slow down this trend, at least during the last five years.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad isquémica del corazón]]></kwd>
<kwd lng="es"><![CDATA[Estudios descriptivos]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología descriptiva]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="en"><![CDATA[Ischemic heart disease]]></kwd>
<kwd lng="en"><![CDATA[Descriptive studies]]></kwd>
<kwd lng="en"><![CDATA[Descriptive epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica]]></kwd>
</kwd-group>
</article-meta>
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