Cent Eur J Public Health 2004, 12(4):207-210

Prevalence of Self-reported Myocardial Infarction in a Greek Sample: Findings from a Population-based Study in a Urban Area (Medical Express 2002)

Gikas A.¹, Sotiropoulos A.², Panagiotakos D.B.³, Pappas S.²

¹ Health Centre of Salamis, Salamis

² Third Department of Internal Medicine, "Saint Panteleimon" General Hospital, Nikea

³ Hellenic Heart Foundation, Athens, Greece

During the 1970s and 1980s, Greece was known as a country with low prevalence and incidence of coronary heart disease, compared to Western populations. However, during the past decades, the Greek population has experienced marked but uneven socio-economic development, as well as change in lifestyle habits. We assessed the prevalence of self-reported myocardial infarction (MI) in a sample of the general population, aged 20-94 years. The overall prevalence of self-reported MI was 4.1% (6.3% in men and 1.9% in women). The age-adjusted prevalence was found to be 3.6%, showing a threefold increase compared to 1980s.
Age, gender (male), low educational level, obesity/overweight, hypercholesterolemia, diabetes, hypertension, smoking and origin were strongly associated with prevalence of MI. Our findings indicate that the prevalence of MI increased dramatically during the past years, reflecting the change in lifestyle habits that have gradually given way to "Western"-type diets and a more sedentary lifestyle. Therefore, the need for urgent intervention is considered essential in order to prevent a further increase of disease burden.

Keywords: myocardial infarction, coronary heart disease, cardiovascular risk factors, urban population

Received: June 30, 2004; Revised: July 26, 2004; Accepted: July 26, 2004; Published: December 1, 2004  Show citation