Unrecognized myocardial infarction: epidemiology, clinical characteristics, and the prognostic role of angina pectoris: the Reykjavik study

Article Abstract:

Men who have angina pectoris and experience an unrecognized heart attack may have severe coronary heart disease and a high risk of death. Patients with unrecognized heart attacks have electrocardiographic changes indicative of heart attack, but no symptoms. Angina pectoris is spasmodic chest pain. Coronary heart disease is characterized by reduced blood flow due to obstructed heart arteries. A long-term study of 9,141 Icelandic men found that approximately 30% of heart attacks are unrecognized. The rate of unrecognized heart attacks increased with age. Angina pectoris was experienced by 34% of men with unrecognized heart attack and 58% with recognized heart attack. Among men with angina pectoris, the risk of death associated with unrecognized heart attack was almost double the risk associated with recognized heart attack. Researchers found no major differences in health status or risk factors between men with recognized and unrecognized heart attack.

Prognosis, Heart attack, Angina pectoris

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Letter from Reykjavik

Article Abstract:

Iceland's national health system faces many of the challenges of cost-control and limitations of care with which other countries struggle. Iceland depends on physicians who receive clinical training abroad, as insufficient clinical sites are available locally. The nationalized medical system receives 85% of its funding from taxes, and provides universal care with minimal expense to the patient. The system is considering a gatekeeper model to limit access to specialists. Low salaries and high taxes discourage some Icelandic physicians from returning to Iceland to practice.

Medical care

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Effects of Leisure-Time Physical Activity and Ventilatory Function on Risk for Stroke in Men: The Reykjavik Study

Article Abstract:

Leisure activity and good lung function may reduce the risk of stroke in older men. Researchers compared the leisure activity levels of 4,484 men aged 45-80 over an 11-year period. About 5% of the men had a stroke, but the risk was 31% lower among active men than inactive men. Men with reduced pulmonary function had an increased risk of stroke, compared to men with healthy lung function.

Iceland, Risk factors, Physical fitness, Stroke (Disease), Stroke, Leisure, Aged men, Elderly men

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