Prevalence of ischemic heart disease and mortality among Kaunas population aged 35-64 years in the prospective study

MONICA (MONItoring trends and determinants of CArdiovascular diseases) study was carried out in Kaunas in 1983-1993 in three random samples of population aged 35-64 (overall 2694 men and 2801 women). The prevalence of previous MI among men was higher than among women in the first and in the third surveys (2,2 and 1,1%, p <0,05 and 4,4 and 1,2%, p <0,001, respectively). The prevalence of angina pectoris among men and among women did not reveal statistically significant difference in all three surveys. The prevalence of silent myocardial ischemia was higher among women than among men in the two surveys. The prevalence of all forms of IHD was higher among women than among men in the first and in the second surveys (16,2 and 10,2%, p <0,001 and 16,4 and 10,9%, p <0,001, respectively). Total mortality, mortality from CVD and from IHD among men with IHD was higher than among men without IHD. Total mortality and mortality from CVD among women with silent myocardial ischemia and IHD was higher than in control group. The differences in mortality among women with different forms of IHD were not significant from those without IHD.