Spatio-temporal Analysis of Myocardial Infarction in an Iranian Military Community During the Period 2015-2018

Document Type : Original Research

Authors

Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Background and Aim: Myocardial infarction (MI) is one of the leading causes of mortality worldwide. This disease imposes a high socio-economic burden on patients. Since the Spatio-temporal analysis of diseases plays an essential role in the design of prevention and management programs. The present study aimed to identify regional clusters of MI and also analyze the time trend of the disease among an Iranian military community.
Methods: In this ecological study, all registered cases of MI from different provincial centers of the military community were studied during the period 2015 to 2018. The Getis-Ord Gi statistics were used to identify the hot spots of MI and the Spearman correlation coefficient to the trend of the disease.
Results: The incident cases of MI in military officers and conscripts during the study period were 103 and 4, respectively. Gilan and Golestan provinces (90% confidence level) in 2015, Gilan, Golestan, Semnan, and Zanjan provinces (95% CI) and Isfahan province (90% CI) in 2016, Golestan province (95% CI), and Gilan province (90% CI) in 1396 and Golestan province (95% CI) in 1397 were identified as hot spots of the disease. The results of the temporal analysis also indicated a significant increasing trend of MI in military officers.
Conclusion: The Northern regions of Iran are at high risk of MI, and the trend of the disease also demonstrates a significant increase. The findings of this study can be considered in policymaking in the field of public health of military communities for control strategies and preventive programs. In future studies, the risk factors and non-ecological parameters should be addressed in hotspot regions.

Keywords

References

1. Kazemi T, Sharifzadeh GR, Zarban A, Fesharakinia A, Rezvani MR, Moezy SA. Risk factors for premature myocardial infarction: a matched case-control study. Journal of research in health sciences. 2011;11(2):77-82.10.1186/1475-2840-5-15. 2. Mohammadian-Hafshejani A, Baradaran HR, Sarrafzadegan N, AsadiLari M, Roohani Rassaf M, Allah Bakhsi F, et al. Secular trend changes in mean age of morbidity and mortality from an acute myocardial infarction during a 10-year period of time in Isfahan and Najaf Abad. Journal of Shahrekord Uuniversity of Medical Sciences. 2013;14.10.4103/ijcm.IJCM_219_19. 3. Kazemi T, Sharifzadeh GH, Hosseinaii F. Epidemiology of trend of acute myocardial infraction in Birjand between 2002-2006 years. Iranian Journal of Epidemiology. 2009;4(3):35-41. 4. Firoozabadi MD, Kazemi T. A memorandum of "World Heart Day 2013" - Stroke mortality among women in Birjand, East of Iran. Iranian journal of nursing and midwifery research. 2014;19(2):215.10.1093/PMC4020034. 5. Asgari M, Alhani F, Anoosheh M. Risk factors in patients with myocardial infraction hospitalized in Fatemieh Hospital in Semnan. Iran Journal of Nursing. 2010;23(64):8-16.10.1093/database/baz125. 6. Mohseni J, Kazemi T, Maleki MH, Beydokhti H. A Systematic Review on the Prevalence of Acute Myocardial Infarction in Iran. Heart Views. 2017;18(4):125-32.10.4103/HEARTVIEWS.HEARTVIEWS_71_17. 7. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart Disease and Stroke Statistics-2020 Update: A Report From the American Heart Association. Circulation. 2020;141(9):e139-e596.10.1161/CIR.0000000000000757. 8. Ahmadi A, Etemad K, Ahmadi S, Khaledifard A. Current status of myocardial infarction and risk factors for associated mortality in Iran: a review. J Epidemiol Public Health Rev. 2016;1(1):1-5. 10.16966/2471-8211.10. 9. Zhan C, Shi M, Wu R, He H, Liu X, Shen B. MIRKB: a myocardial infarction risk knowledge base. Database (Oxford). 2019;2019:baz125.10.1093/database/baz125. 10. Malinauskiene V, Grazuleviciene R, Nieuwenhuijsen MJ, Azaraviciene A. Myocardial infarction risk and occupational categories in Kaunas 25-64 year old men. Occup Environ Med. 2002;59(11):745-50.10.1136/oem.59.11.745. 11. Bergman BP, Mackay DF, Pell JP. Acute myocardial infarction in Scottish military veterans: a retrospective cohort study of 57,000 veterans and 173,000 matched nonveterans. Am J Epidemiol. 2014;179(12):1434-41.10.1093/aje/kwu082. 12. Akbari M, Mahmoodi M, Safi F, Akbari M, Najat S. Effect of risk factors associated with myocardial infarction among military persons in Tehran. Sci Res J Army Univ Med Sci. 2009;6(4):217-23. 13. Mirzaeipour F, Seyedmazhari M, Pishgooie AH, Hazaryan M. Assessment of risk factors for coronary artery disease in military personnel: A study from Iran. Journal of family medicine and primary care. 2019;8(4):1347-51.10.4103/jfmpc.jfmpc_109_19. 14. Ghaedamini Asadabadi R, Tofighi S, Ghaedamini H, Azizian F, Amerieon A, Shokri M. A review of some infectious diseases distribution based on geographic information system (GIS) in the area of Chahar Mahal and Bakhtiari. Journal of Police Medicine. 2012;1(2):113-24.20.1001.1.22286241.1391.1.2.2.1. 15. Tanser FC, Le Sueur D. The application of geographical information systems to important public health problems in Africa. Int J Health Geogr. 2002;1(1):4.10.1186/1476-072x-1-4. 16. Shad B, Salari A, Dalvandi B, Hasandokht T, Kheirkhah J, Nourisaeed A, et al. Psychological well-being in cardiac patients and healthy people in Guilan. Fundamentals of Mental Health. 2018;20(3):185-93.10.22038/JFMH.2018.10660. 17. Mansouri K, Hasavari F, Sedghi Sabet M, Kazemnejad-Leili E, Gholipour M. Self-Care Status and Its Related Factors in Patients with Heart Failure. Journal of Health and Care. 2021;34(129):0-.20.1001.1.16807626.1397.17.4.3.3. 18. Soleimani M, Bagheri N. Spatial and temporal analysis of myocardial infarction incidence in Zanjan province, Iran. BMC Public Health. 2021;21(1):1667.10.1186/s12889-021-11695-8. 19. Mehralian H, Salehi S. Myocardial infarction risk factors in the patients referred to Chaharmahal and Bakhtiary province hospitals, 2005. Journal of Shahrekord Uuniversity of Medical Sciences. 2007;9.78.39.35.44/article-1-503. 20. Sarrafzadegan N, Oveisgharan S, Toghianifar N, Hosseini S, Rabiei K. Acute myocardial infarction in Isfahan, Iran: hospitalization and 28th day case-fatality rate. ARYA Atherosclerosis. 2009;5(3). 21. Ghaffari S, Hakim H, Pourafkari L, Asl ES, Goldust M. Twenty-year route of prevalence of risk factors, treatment patterns, complications, and mortality rate of acute myocardial infarction in Iran. Ther Adv Cardiovasc Dis. 2013;7(3):117-22.10.1177/1753944712474093. 22. Kazemi T, Sharifzadeh GR. A memorandum of" World Heart Day 2012": Myocardial infarction mortality in women in Birjand, 2008-2009. The Journal of Tehran University Heart Center. 2012;7(4):191-.10.1093/PMC4020034. 23. Bedno S, Hauret K, Loringer K, Kao TC, Mallon T, Jones B. Effects of personal and occupational stress on injuries in a young, physically active population: a survey of military personnel. Mil Med. 2014;179(11):1311-8.10.7205/MILMED-D-14-00080. 24. Pinaire J, Aze J, Bringay S, Cayla G, Landais P. Hospital burden of coronary artery disease: Trends of myocardial infarction and/or percutaneous coronary interventions in France 2009-2014. PLoS One. 2019;14(5):e0215649.10.1371/journal.pone.0215649. 25. Meyers DG, Neuberger JS, He J. Cardiovascular effect of bans on smoking in public places: a systematic review and meta-analysis. Journal of the American College of Cardiology. 2009;54(14):1249-55.10.1016/j.jacc.2009.07.022. 26. He FJ, MacGregor GA. Salt reduction lowers cardiovascular risk: meta-analysis of outcome trials. Lancet (London, England). 2011;378(9789):380-2.10.1016/S0140-6736(11)61174-4.
Journal of Military Medicine
Volume 24, Issue 1 - Serial Number 110
March and April 2022
Pages 1024-1033

Files

Share

How to cite

Statistics