Análise dos indicadores epidemiológicos e da curva de mortalidade por doenças agudas isquêmicas do coração na região metropolitana I do estado do Pará entre 2008 e 2017

Abstract

Introduction: In Brazil, the cardiovascular diseases represents the main case of mortality since 1990 and the highest goverment cost rates in the health system. Ischemic cardiomyopathy, which covers codes from I20 to I25 International Statistical Classification of Diseases and Related Health Problems (ICD-10), is the most common cause of death in cardiovascular diseases group Objectives: Analyze the trend of mortality from acute ischemic heart deseases in Metropolitan Regian I of Pará state between 2008 and 2017 Methodology: Observational-descriptive, ecology, study, based on DATASUS informations. Specific instrument was used to collect data on the variables of interest, and all death certificates were selected through ICDs from I20 to I23 - angina pectoris, acute myocardial infarction, subsequent myocardial infarction and certain current complications following acute myocardial infarction, respectively - localizaded on basics cause or consequencial and direct death mechanism, age from 20 years and tem years interval, between 2008 and 2017. Results: There was an increase in the mortality rate, showing the growing trend, with the highest absolute rates observed in the age group of 80 years or older, however, percentage the age group between 20 and 39 years showed the biggest increase in this group of causes. There is a parallel between men and women, with a higher trend in males, with a high risk of death from ischemic cardiovascular disease in males, especially in the elderly between 60 and 79 and 80 years old or more. The sociodemographic variable did not show any significant difference in relation to skin color, marital status, education and occupation. However, when comparing the specific causes of ischemic diseases and such variables, there was a predominance of Acute Myocardial Infarction (MI), but only in terms of marital status, education and occupation, such data are significant in relation to the average of the event in the population. Conclusion: The issue of equity in access to health services must be more adequate, due to the fact that the basic units are the patient's first contact with the public health system and this is the place where the main modifiable risk factors will be diagnosed and treated, for example, systemic arterial hypertension, smoking and obesity. Since the responsability for changing the status of desease, with reflection even on the future demands, is in the perspective of preventive actions.