INCIDENCE AND MORTALITY OF ACUTE CORONARY SYNDROME … za akutni koronarni... · INCIDENCIJA I MORTALITET OD AKUTNOG KORONARNOG SINDROMA U SRBIJI INCIDENCE AND MORTALITY OF ACUTE

INCIDENCIJA I MORTALITETOD AKUTNOG KORONARNOG SINDROMA U SRBIJI

INCIDENCE AND MORTALITY OF ACUTE CORONARY SYNDROME IN SERBIA

2008

Institut za javno zdravlje Srbije ,,Dr Milan Jovanovi Batut”ć Institute of Public Health of Serbia ”Dr Milan Jovanovi Batut”ć

Izveštaj br. 3Report N . 30 ISBN 978-86-7358-045-6

Registar za akutni koronarni sindrom u SrbijiSerbian Acute Coronary Syndrome Registry RAKSS

INCIDENCIJA I MORTALITETOD AKUTNOG KORONARNOG SINDROMA U SRBIJI

INCIDENCE AND MORTALITY OF ACUTE CORONARY SYNDROME IN SERBIA

2008

Institut za javno zdravlje Srbije ,,Dr Milan Jovanovi Batut”ć Institute of Public Health of Serbia ”Dr Milan Jovanovi Batut”ć

Izveštaj br. 3Report N . 30

Registar za akutni koronarni sindrom u SrbijiSerbian Acute Coronary Syndrome Registry

RAKSS

Beograd 2009

Izdavač / Published by Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut”

Institute of Public Health of Serbia ”Dr Milan Jovanovic Batut”

Direktor / Director Prim. dr sc. med. Tanja Knežević / Tanja Knezevic, MD, PhD

Odsek za prevenciju i kontrolu nezaraznih oboljenja

– republički koordinatori registra za akutni koronarni sindrom / Department for Prevention and Control of Noncommunicable Diseases – Principal Coordinators of Serbian Acute Coronary Syndrome Registry

Mr sc. med. Dragan Miljuš – šef / Dragan Miljus, MD, M.Sc. – Head of department Mr sc. med. Nataša Mickovski Katalina – koordinator Registra za akutni koronarni sindrom u Srbiji / Natasa Mickovski Katalina, MD, M.Sc. – Coordinator of Serbian Acute Coronary Sindrome Registry

Sanja Savković, inženjer statistike / Sanja Savkovic, statistics engineer

Uređivački odbor / Editorial board Mr sc. med. Dragan Miljuš / Dragan Miljus, MD, M.Sc

Mr sc. med. Nataša Mickovski Katalina / Natasa Mickovski Katalina, MD, M.Sc. Sanja Savković, inženjer statistike / Sanja Savkovic, statistics engineer

Dizajn i priprema za štampu / Design and pre-press Mr sc. med. Dragan Miljuš / Dragan Miljus, MD, M.Sc

Mr sc. med. Nataša Mickovski Katalina / Natasa Mickovski Katalina, MD, M.Sc. Sanja Savković, inženjer statistike / Sanja Savkovic, statistics engineer

Informatička podrška / IT support

Dipl. matematičar Sanda Pešić / Sanda Pesic, B. Sc. Mathematics Dipl. matematičar Neda Stojanović / Neda Stojanovic, B. Sc. Mathematics

Dipl. matematičar Sonja Mitov Šćekić / Sonja Mitov- Scekic, B. Sc. Mathematics

Lektor / Language editor Mr Tamara Gruden / Tamara Gruden

Prevodilac / Translator

Vesna Kostić / Vesna Kostic

Korespodencija / Correspondance to Mr sc. med. Nataša Mickovski Katalina / Natasa Mickovski Katalina, MD, M.Sc.

Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut” / Institute of Public Health of Serbia ”Dr Milan Jovanovic Batut”,

Dr Subotića 5, 11 000 Beograd, Srbija / Dr Subotica 5, 11 000 Belgrade, Serbia

Rencenzenti / Reviewers Prof. dr Zorana Vasiljević / Prof. Zorana Vasiljevic, MD, PhD

Prof. dr Sandra Šipetić Grujičić / Prof. Sandra Sipetic Grujicic, MD, PhD

Koordinatori okružnih Registara za akutni koronarni sindrom / Coordinators of Acute Coronary Syndrome Registries by Administrative Districts in Serbia Zavod za javno zdravlje Subotica / Institute of Public Health Subotica Dr Dragica Kovačević Berić, specijalista epidemiologije / Dragica Kovacevic Beric, MD, specialist in epidemiology Tatjana Bobić, viši sanitarni tehničar / Tatjana Bobic, senior sanitary technician Jelica Temunović, medicinska sestra / Jelica Temunovic, nurse Zavod za javno zdravlje Zrenjanin / Institute of Public Health Zrenjanin Dr Radivoj Filipov, specijalista epidemiologije / Radivoj Filipov, MD, specialist in epidemiology Zavod za javno zdravlje Kikinda / Institute of Public Health Kikinda Dr Vesna Blašković, specijalista socijalne medicine / Vesna Blaskovic, MD, specialist in social medicine Zavod za javno zdravlje Pančevo / Institute of Public Health Pancevo Mr sc. med. Slađana Tomić, specijalista epidemiologije / Sladjana Tomic, MD, M.Sc. specialist in epidemiology Nenad Sokolović, viši sanitarni tehničar / Nenad Sokolovic, senior sanitary technician Zavod za javno zdravlje Sombor / Institute of Public Health Sombor Dr Jadranka Bosnić, specijalista socijalne medicine / Jadranka Bosnic, MD, specialist in social medicine Davorka Bosnić, operater / Davorka Bosnic, IT technician Zavod za javno zdravlje Novi Sad / Institute of Public Health Novi Sad Mr sc. med. Miodrag Arsić, specijalista socijalne medicine / Miodrag Arsic, MD, M.Sc. specialist in social medicine Radmila Botoški, medicinska sestra / Radmila Botoski, nurse Zavod za javno zdravlje Sremska Mitrovica / Institute of Public Health Sremska Mitrovica Dr Nada Zec Petković, specijalista socijalne medicine / Nada Zec Petkovic, MD, specialist in social medicine Nikola Sapun, dipl. informatičar / Nikola Sapun, IT engineer Snežana Belušević, medicinska sestra / Snezana Belusevic, nurse Zavod za javno zdravlje Šabac / Institute of Public Health Sabac Dr Olivera Stojanović, specijalista socijalne medicine / Olivera Stojanovic, MD, specialist in social medicine Željka Ninković, viši sanitarni tehničar / Zeljka Ninkovic, senior sanitary technician Zavod za javno zdravlje Valjevo / Institute of Public Health Valjevo Vesna Lakičević, dipl. ekonomista / Vesna Lakicevic, graduated economist Slađana Stanković, viši sanitarni tehničar / Sladjana Stankovic, senior sanitary technician

Zavod za javno zdravlje Požarevac / Institute of Public Health Pozarevac Dr Snežana Plećević, lekar opšte prakse / Snezana Plecevic, MD, GP Nataša Peurača, dipl. biolog / Natasa Peruaca, graduated biologist Srđan Klimek, viši sanitarni tehničar / Srdjan Klimek, senior sanitary technician Institut za javno zdravlje Kragujevac / Institute of Public Health Kragujevac Prof. dr Vesna Pantelić, specijalista epidemiologije / Prof. Vesna Pantelic, MD, PhD, specialist in epidemiology Ass. dr Gordana Đorđević, specijalista epidemiologije / Ass. Gordana Djordjevic, MD, PhD, specialist in epidemiology Gordana Gavrilović, sanitarni tehničar / Gordana Gavrilovic, sanitary technician Zavod za javno zdravlje Ćuprija / Institute of Public Health Cuprija Dr Vesna Stefanović, specijalista epidemiologije / Vesna Stefanovic, MD, specialist in epidemiology Vladan Tanasković, operater / Vladan Tanaskovic, IT technician Zavod za javno zdravlje Zaječar / Institute of Public Health Zajecar Dr Svetlana Živković, specijalista epidemiologije / Svetlana Zivkovic, MD, specialist in epidemiology Zavod za javno zdravlje Užice / Institute of Public Health Uzice Dr Aleksandra Andrić, specijalista epidemiologije / Aleksandra Andric, MD, specialist in epidemiology Marija Dulović, sanitarni tehničar / Marija Dulovic, sanitary technician Zavod za javno zdravlje Čačak / Institute of Public Health Cacak Dr Aksentije Tošić, specijalista epidemiologije / Aksentije Tosic, MD, specialist in epidemiology Duško Đalović, viši sanitarni tehničar / Dusko Djalovic, senior sanitary technician Zavod za javno zdravlje Kraljevo / Institute of Public Health Kraljevo Dr Vladan Šaponjić, specijalista epidemiologije / Vladan Saponjic, MD, specialist in epidemiology Dr Verica Đukić, specijalista epidemiologije / Verica Djukic, MD, specialist in epidemiology Zlatana Marković, viši sanitarni tehničar / Zlatana Markovic, senior sanitary technician Zavod za javno zdravlje Kruševac / Institute of Public Health Krusevac Dr Mirjana Avramović, specijalista epidemiologije / Mirjana Avramovic, MD, specialist in epidemiology Verica Mijailović, viši sanitarni tehničar / Verica Mijailovic, senior sanitary technician Insitut za javno zdravlje Niš / Institute of Public Health Nis Mr sc. med. Nataša Rančić, specijalista epidemiologije / Natasa Rancic, MD, M. Sc, specialist in epidemiology Bojan Stojadinović, sanitarno-ekološki tehničar / Bojan Stojadinovic, sanitari- environmental technician Zavod za javno zdravlje Pirot / Institute of Public Health Pirot Dr Radmila Zec, specijalista epidemiologije / Radmila Zec, MD, specialist in epidemiology Sonja Petrov, viši sanitarni tehničar / Sonja Petrov, senior sanitary technician Zavod za javno zdravlje Leskovac / Institute of Public Health Leskovac Prim. dr sc. med. Miroslava Dimitrijević, specijalista socijalne medicine / Miroslava Dimitrijevic, MD, PhD, specialist in social medicine Rosica Pejčić, viši sanitarni tehničar / Rosica Pejcic, senior sanitary technician

Zavod za javno zdravlje Vranje / Institute of Public Health Vranje Dr Svetlana Stojanović, specijalista socijalne medicine / Svetlana Stojanovic, MD, specialist in social medicine Petar Veličković, zdravstveni statističar / Petar Velickovic, health statistician Gradski zavod za javno zdravlje Beograd / Institute of Public Health Belgrade Mr sc. med. Nevenka Pavlović, specijalista epidemiologije / Nevenka Pavlovic, MD, M. Sc. specialist in epidemiology Marijana Popović, viši sanitarni tehničar / Marijana Popovic, sanitary technician

ZAHVALNICA

Zahvaljujemo se dr Tanji Knežević, direktoru Instituta za javno zdravlje Srbije, i direktorima mreže instituta i zavoda za javno zdravlje u Srbiji na podršci i doprinosu u izradi ove

publikacije. Zahvaljujemo se Asocijaciji koronarnih jedinica udruženja kardiologa Srbije,

svim članovima Ekspertskog tima za akutni koronarni sindrom koji su inicirali i organizovali hospitalni registar za AKS i doprineli unapređenju populacionog registra za AKS:

prof. dr Zorani Vasiljević – savetniku Ministarstva zdravlja za AKS, KCS i posebno aktivnim članovima tima:

prof. dr Gordani Panić – Institut za kardiovaskularne bolesti Sremska Kamenica; doc. dr Biljani Putniković – KBC Zemun;

prof. dr Mirjani Krotin – KBC Bežanijska kosa; ass. dr Veri Bakić – KBC Dragiša Mišović;

dr Nebojši Despotoviću i prof. dr Siniši Dimkoviću – KBC Zvezdara; prof. dr Milanu Pavloviću – Klinika za kardiovaskularne bolesti KC Niš;

prof. dr Branku Gligiću, doc. dr Draganu Dimčiću – VMA; prim. dr Jelici Milosavljević – ZC Jagodina;

prim. dr Časlavu Stošiću – ZC Vranje; dr Marku Zrniću – ZC Kikinda;

prim. dr Živkici Branković – ZC Smederevo; prim. dr Nadi Macuri, dr Branislavu Laziću – Gradski zavod za hitnu medicinsku pomoć;

prim. dr Milošu Rackovu – ZC Zrenjanin; ass. dr Branislavu Stefanoviću – Institut za kardiovaskularne bolesti KCS;

prof. dr Marini Deljanin-Ilić – Institut za rehabilitaciju reumatskih i srčanih bolesti Niška Banja; prim. dr Nadeždi Trifunović – ZC Užice;

dr Milanu Nikoliću – ZC Valjevo; mr dr Anđelki Vukičević – Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut" i

samostalnim stručnim saradnicima: dr Veri Višekruni, dr Snežani Bogunović, dr Snežani Petrović, Ninoslavu Lešjaninu – Gradski

zavod za hitnu medicinsku pomoć; doc. dr Ljubici Raković-Savčić - VMA.

Posebno se zahvaljujemo

ministru zdravlja Srbije, prof. dr Tomici Milosavljeviću i državnom sekretaru Ministarstva zdravlja Srbije, dr Neveni Karanović

na unapređenju ovog Registra.

ACKNOWLEDGMENT

We express our appreciation to Dr Tanja Knežević, the director of Institute of Public Health of Serbia, as well as directors of Public Health Institutes Network in Serbia for the support and

contribution related to this publication. We express our appreciation of the contribution of the Coronary Unit Association of the Serbian Cardiology Association, all members of the Expert Team for Acute Coronary Syndrome who initiated, and set up the ACS Hospital Register and contribution to the

promotion of the ACS Population Register: Prof. Dr Zorana Vasiljević – ACS advisor to the Ministry of Health, CCS and active members

of the team: Prof. Dr Gordana Panić – Sremska Kamenica Institute for Cardiovascular Diseases;

Assoc. Prof. Dr Biljana Putniković – Zemun Medical Center; Prof. Dr Mirjana Krotin – Bežanijska kosa Medical Center;

Assisst. Prof. Dr Vera Bakić – Dragiša Mišović Medical Center; Dr Nebojša Despotović and Prof. Dr Siniša Dimković – Zvezdara Medical Center;

Prof. Dr Milan Pavlović – Institute for Cardiovascular Diseases Niš Medical Center; Prof. Dr Branko Gligić, Assoc. Prof. Dr Dragan Dimčić – Military Medical Academy;

Dr Jelica Milosavljević – Jagodina Health Care Center; Dr Časlav Stošiću – Vranje Health Care Center; Dr Marko Zrnić – Kikinda Health Care Center;

Dr Živkica Branković – Smederevo Health Care Center; Dr Nada Macura, Dr Branislav Laziću – City Center for Emergency Medical Services;

Dr Miloš Rackov – Zrenjanin Health Care Center; Assisst. Prof. Dr Branislav Stefanović – CCS Institute for Cardiovascular Diseases;

Prof. Dr Marina Deljanin-Ilić – Niška Banja Institute for Rehabilitation of Rheumatic and Cardiac Diseases;

Dr Nadežda Trifunović – Užice Health Care Center; Dr Milan Nikolić – Valjevo Health Care Center;

Dr Anđelka Vukičević – ”Dr Milan Jovanović Batut” Institute of Public Health and associated collaborators:

Dr Vera Višekruna, Dr Snežana Bogunović, Dr Snežana Petrović, Ninoslav Lešjanin – City Center for Emergency Medical Services;

Assoc. Prof. Dr Ljubica Raković-Savčić – Military Medical Academy. We are particularly grateful to

Prof. Dr Tomica Milosavljević, Minister of Health of Serbia, and Dr Nevena Karanović, State Secretary of the Ministry of Health

for their contribution in promotion of this Register.

Sadržaj / Table of contents I Uvod I Introduction II Metod II Method III Definicije III Definitions IV Slike i tabele IV Figures and tables IVa Stanovništvo Srbije u 2008. godini IVa Population of Serbia, 2008 Tabela 1. Broj stanovnika u okruzima Srbije prema polu, 2008. godina Table 1. Population of Serbia by age and sex, 2008 Slika 2. Broj stanovnika Srbije prema uzrastu i polu, 2008. godina Figure 2. Population of Serbia by age and sex, 2008 IVb Kardiovaskularne bolesti kao vodeći uzrok umiranja u Srbiji, 2008. godina IVb Cardiovascular diseases as leading cause of death, Serbia, 2008 Tabela 2. Vodeći uzroci umiranja u Srbiji, 2008. godina Table 2. The most common causes of death, Serbia, 2008 Slika 3. Struktura umiranja od kardiovaskularnih bolesti (MKB10: I00–99), Srbija, 2008. godina Figure 3. Deaths from cardiovascular diseases (ICD10: I00–99), Serbia, 2008 Slika 4. Struktura umiranja od ishemijskih bolesti srca (MKB: I20–25), Srbija, 2008. godina Figure 4. Deaths from ischaemic heart diseases (ICD: I20–25), Serbia, 2008 IVc Broj novoobolelih od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji u 2008. godini IVc Number of new cases of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008

Tabela 3. Broj novoobolelih od infarkta miokarda prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 3. Number of new cases of myocardial infarction by region, administrative district, age and sex, Serbia, 2008 Tabela 4. Broj novoobolelih od infarkta miokarda prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 4. Number of new cases of myocardial infarction by region, administrative district and age, Serbia, 2008 Tabela 5. Broj novoobolelih od nestabilne angine pektoris prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 5. Number of new cases of unstable angina angina by region, administrative district, age and sex, Serbia, 2008 Tabela 6. Broj novoobolelih od nestabilne angine pektoris prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 6. Number of new cases of unstable angina by region, administrative district and age, Serbia, 2008 Tabela 7. Broj novoobolelih od akutnog koronarnog sindroma prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 7. Number of new cases of acute coronary syndrome by region, administrative district, age and sex, Serbia, 2008 Tabela 8. Broj novoobolelih od akutnog koronarnog sindroma prema regionima, okruzima, i uzrastu, Srbija, 2008. godina Table 8. Number of new cases of acute coronary syndrome by region, administrative district, and age, Serbia, 2008 IVd Stope incidencije od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVd Incidence rates of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008 Tabela 9. Stope incidencije od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 9. Incidence rates of myocardial infarction per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 10. Stope incidencije od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 10. Incidence rates of myocardial infarction per 100.000 population by region/administrative district, and age, Serbia, 2008

Tabela 11. Stope incidencije od nestabilne angine pektoris na 100.000 stanovnika prema regionima, okruzima, prema uzrastu i polu, Srbija 2008. godina Table 11. Incidence rates of unstable angina per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 12. Stope incidencije od nestabilne angine pektoris na 100.000 stanovnika prema regionima, okruzima, i prema uzrastu, Srbija 2008. godina Table 12. Incidence rates of unstable angina per 100.000 population by region, administrative district, and age, Serbia, 2008 Tabela 13. Stope incidencije od akutnog koronarnog sindroma na 100.000 stanovnika prema regionima, okruzima, prema uzrastu i polu, Srbija 2008. godina Table 13. Incidence rates of acute coronary syndrome per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 14. Stope incidencije od akutnog koronarnog sindroma na 100.000 stanovnika prema regionima, okruzima, i prema uzrastu, Srbija 2008. godina Table 14. Incidence rates of acute coronary syndrome per 100.000 population by region, administrative district,and age, Serbia, 2008 IVe Standardizovane stope incidencije od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma po okruzima u Srbiji, 2008. godina IVe Standardized incidence rates of myocardial infarction, unstable angina and acute coronary syndrome by administrative districts, Serbia, 2008 Slika 5. Standardizovane stope incidencije od infarkta miokarda na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 5. Age-standardized incidence rates of myocardial infarction per 100.000 population by administrative districts, Serbia, 2008 Slika 6. Standardizovane stope incidencije od nestabilne angine pektoris na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 6. Age-standardized incidence rates of unstable angina per 100.000 population by administrative districts, Serbia, 2008 Slika 7. Standardizovane stope incidencije od akutnog koronarnog sindroma na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 7. Age-standardized incidence rates of acute coronary syndrome per 100.000 population by administrative districts, Serbia, 2008 IVf Broj umrlih od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVf Number of deaths of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008

Tabela 15. Broj umrlih od infarkta miokarda prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 15. Number of deaths caused by myocardial infarction, by region, administrative district, age and sex, Serbia, 2008 Tabela 16. Broj umrlih od infarkta miokarda prema regionima, okruzima, i uzrastu, Srbija, 2008. godina Table 16. Number of deaths caused by myocardial infarction, by region, administrative district, and age, Serbia, 2008 Tabela 17. Broj umrlih od nestabilne angine pektoris prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 17. Number of deaths caused by unstable angina, by region, administrative district, age and sex, Serbia, 2008 Tabela 18. Broj umrlih od nestabilne angine pektoris prema regionima, okruzima, i uzrastu, Srbija, 2008. godina Table 18. Number of deaths caused by unstable angina, by region, administrative district, and age, Serbia, 2008 Tabela 19. Broj umrlih od akutnog koronarnog sindroma prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 19. Number of deaths caused by acute coronary syndrome by region, administrative district, age and sex, Serbia, 2008 Tabela 20. Broj umrlih od akutnog koronarnog sindroma prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 20. Number of deaths caused by acute coronary syndrome by region, administrative district, and age, Serbia, 2008 IVg Stope mortaliteta od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVg Mortality rates of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008 Tabela 21. Stope mortaliteta od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 21. Mortality rates of myocardial infarction per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 22. Stope mortaliteta od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 22. Mortality rates of myocardial infarction per 100.000 population by region, administrative district and age, Serbia, 2008

Tabela 23. Stope mortaliteta od nestabilne angine na 100.000 stanovnika prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina Table 23. Mortality rates of unstable angina per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 24. Stope mortaliteta od nestabilne angine na 100.000 stanovnika prema regionima, okruzima i uzrastu, Srbija, 2008. godina Table 24. Mortality rates of unstable angina angina per 100.000 population by region, administrative district, and age, Serbia, 2008 Tabela 25. Stope mortaliteta od akutnog koronarnog sindroma na 100.000 stanovnika prema regionima, okruzima, prema uzrastu i polu, Srbija, 2008. godina Table 25. Mortality rates of acute coronary syndrome per 100.000 population by region, administrative district, age and sex, Serbia, 2008 Tabela 26. Stope mortaliteta od akutnog koronarnog sindroma na 100.000 stanovnika prema regionima, okruzima i prema uzrastu, Srbija, 2008. godina Table 26. Mortality rates of acute coronary syndrome per 100.000 population by region, administrative district and age, Serbia, 2008 IVh Standardizovane stope mortaliteta od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma po okruzima u Srbiji, 2008. godina IVh Standardized mortality rates of myocardial infarction, unstable angina and acute coronary syndrome by administrative districts, Serbia, 2008 Slika 8. Standardizovane stope mortaliteta od infarkta miokarda na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 8. Age-standardized mortality rates of myocardial infarction per 100.000 population by administrative districts, Serbia, 2008 Slika 9. Standardizovane stope mortaliteta od nestabilne angine pektoris na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 9. Age-standardized mortality rates of unstable angina per 100.000 population by administrative districts, Serbia, 2008 Slika 10. Standardizovane stope mortaliteta od akutnog koronarnog sindroma na 100.000 stanovnika po okruzima, Srbija, 2008. godina Figure 10. Age-standardized mortality rates of acute coronary syndrome per 100.000 population by administrative districts, Serbia, 2008 IVi Karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama u Srbiji, 2008. godina IVi Characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

Tabela 27. Demografske karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 27. Demographic characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 28. Faktori rizika kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 28. Risk factors in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 29. Lična anamneza bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 29. Personal anamnesis in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 30. Vremenski period od pojave bola do prijema i simptomi pre prijema kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 30. Patient delay and symptoms before admission in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 31. Ustanove u kojima je izvršen prvi pregled bolesnika sa akutnim koronarnim sindromom, Srbija, 2008. godina Table 31. First contact with health service in patients with acute coronary syndrome, Serbia, 2008 Tabela 32. Dijagnoza akutnog koronarnog sindroma prema promenama u EKG-u kod bolesnika primljenih u koronarne jedinice, Srbija, 2008. godina Table 32. Diagnosis of acute coronary syndrome according ECG in patients admited in coronary care units, Serbia, 2008 Tabela 33. Lokalizacija infarkta miokarda prema EKG-u kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 32. Localization of myocardial infarction according to ECG in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 34. Vrednosti laboratorijskih analiza na prijemu kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 34. Values of laboratory analysis on admission in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 35. Komplikacije tokom hospitalizacije kod bolesnika sa infarktom miokarda lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 35. Complications during hospitaliyation in patients with myocardial infarction, treated in coronary care units, 2008 Tabela 36. Terapija kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina

Table 36. Therapy in patients with acute coronary syndrome in coronary care units, Serbia, 2008 Tabela 37. Ishod i dužina bolničkog lečenja kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 37. Outcome and hospital lenght of stay in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Tabela 38. Letalitet kod bolesnika sa različitim oblicima akutnog koronarnog sindroma lečenih u u koronarnim jedinicama, Srbija, 2008. godina Table 38. Letalithy in patients with different forms of acute coronary syndrome treated in coronary care units, Serbia, 2008 IVj Određene karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama u Srbiji, 2008. godina IVj Certain characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008 Slika 11. Bolesnici sa akutnim koronarnim sindromom prema polu u koronarnim jedinicama, Srbija, 2008. godina Figure 11. Patients with acute coronary syndrome by sex in coronary care units, Serbia, 2008 Slika 12. Faktori rizika kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 12. Risk factors in patients with acute coronary syndrome in coronary care units,Serbia, 2008 Slika 13. Lična anamneza kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama,Srbija, 2008. godina Figure 13. Personal anamnesis in patients with acute coronary syndrome in coronary care units,Serbia, 2008 Slika 14. Simptomi pre prijema kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 14. Symptoms before admission in patients with acute coronary syndrome in coronary care units,Serbia, 2008 Slika 15. Ustanove u kojima je izvršen prvi pregled bolesnika sa akutnim koronarnim sindromom, Srbija, 2008. godina Figure 15. First contact with health service facilities in patients with acute coronary syndrome, Serbia, 2008 Slika 16. Dijagnoza akutnog koronarnog sindroma prema promenama u EKG-u kod bolesnika primljenih u koronarne jedinice, Srbija, 2008. godina Figure 16. Diagnosis of acute coronary syndrome according to ECG in patients admitted in coronary care units, Serbia, 2008

Slika 17. Terapija kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 17. Therapy in patients with acute coronary syndrome in coronary care units, Serbia, 2008 Slika 18. Ishod kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 18. Outcome in patients with acute coronary syndrome in coronary care units, Serbia, 2008 Slika 19. Letalitet kod bolesnika sa različitim oblicima akutnog koronarnog sindroma u koronarnim jedinicama, Srbija, 2008. godina Figure 19. Letalithy in patients with different form of acute coronary syndrome in coronary care units, Serbia, 2008 V Literatura V References

I UvodI Introduction

I UVOD Akutni koronarni sindrom (AKS) podrazumeva grupu različitih kliničkih stanja koja

nastaju kao posledica akutne ishemije i/ili nekroze miokarda čiji je uzrok najčešće akutna

koronarna lezija, nastala rupturom aterosklerotičnog plaka u koronarnoj atreriji sa pratećom

trombozom, inflamacijom, vazokonstrikcijom i mikroembolizacijom (1,2).

AKS može da se ispolji kao: nestabilna angina pektoris, akutni infarkt miokarda bez i

sa elevacijom ST segmenta ili kao iznenadna srčana smrt (2).

Prema desetoj reviziji Međunarodne klasifikacije bolesti (MKB10) šifra akutnog infarkta

miokarda je I21, ponovljenog akutnog infarkta miokarda I22 i nestabilne angine pektoris I20.0

(3).

Kao najteži oblik ishemijske bolesti srca (koronarne bolesti srca), AKS je jedan od

najčešćih uzroka urgentnog prijema u bolnicu i iznenadne smrti u razvijenim delovima sveta,

a poslednjih nekoliko decenija i u zemljama u razvoju (4,5).

Prema podacima Svetske zdravstvene organizacije (SZO), prosečno godišnje u svetu

od akutnog infarkta miokarda oboli 6 miliona ljudi, pri čemu se letalni ishod javi kod više od

25% slučajeva (6).

Dosadašnja istraživanja u svetu (7,8,9) i kod nas (10,11,12,13,) obezbedila su

dragocene kliničke, ali ne i epidemološke podatke o učestalosti akutnog koronarnog sindroma

u populaciji.

Epidemiološka, populaciona istraživanja akutnog koronarnog sindroma su retka. Jedna

od njih je danska kohortna studija sa preko 130.000 osoba uzrasta od 30 do 69 godina kojom

je procenjeno da je sirova stopa incidencije od akutnog koronarnog sindroma iznosila 234 na

100.000 (14,15).

U našoj zemlji od 1980. godine zakonski je regulisana obaveza vođenja Registra za

koronarnu bolest srca na osnovu Plana statističkih istraživanja od interesa za Republiku (Sl.

glasnik SRS br. 32/79).

Međutim, neadekvatan set podataka na obrascu prijave, neprecizno metodološko

uputstvo, nedovoljna edukacija kadra za vođenje Registra, kao i nedostatak informatičke

podrške imali su za posledicu subregistraciju novootkrivenih slučajeva koronarne bolesti.

Tako je npr. u Srbiji, do kraja 90-ih broj prijavljenih lica sa koronarnim oboljenjem bio

višestruko niži od prosečnog broja umrlih i za čak 20 puta manji od očekivanog broja obolelih

od ishemijskih bolesti srca.

U cilju unapređenja evidentiranja ovih oboljenja, zakonodavac je u Srbiji pokušao da

reguliše ovu oblast kroz više zakonskih i podzakonskih akata:

– Saveznim zakonom o statističkim istraživanjima i Programom statističkih istraživanja

u oblasti zdravstva (Sl. list SRJ, br. 46/98);

– Saveznim zakonom o evidencijama u oblasti zdravstva (Sl. list SRJ 12/98);

– Pravilnikom o sredstvima za vođenje evidencija u oblasti zdravstva (Sl. list SRJ

6/2000);

Polazeći od nacionalnih potreba, mogućnosti i iskustva, tokom 2006. godine, zajedno

sa Ekspertskim timom za AKS, stručnjaci Instituta Batut inicirali su organizovanje

populacionog Registra za AKS (Registar za AKS u Srbiji – RAKSS).

Suštinu reorganizacije populacionog registra predstavljala je decentralizacija i

uključivanje novih izvora podataka, pored postojećeg bolničkog registra svih koronarnih

jedinica (REAKS-a).

Regionalni instituti i zavodi za javno zdravlje na teritoriji svojih okruga zaduženi su za

vođenje regionalnih registara, a celokupnu bazu podataka ažurira i analizira Institut za javno

zdravlje Srbije „Dr Milan Jovanović Batut”.

Pored koordinacije, Institut Batut ima važnu ulogu u sprovođenju kontinuirane

edukacije zdravstvenih radnika koji rade na registru, analizi i evaluaciji kvaliteta podataka u

cilju publikovanja godišnjih izveštaja.

U izveštaju populacionog registra pored apsolutnog broja novoobolelih i umrlih osoba

od AKS prema uzrastu i polu, prikazane su i sirove i standardizovane stope incidencije i

mortaliteta, kao i karakteristike bolesnika sa AKS lečenih u koronarnim jedinicama Srbije.

I INTRODUCTION Acute coronary syndrome (ACS) implies a set of different clinical conditions that result

from acute myocardial ischemia and/or necrosis caused most commonly by acute coronary

lesions induced by a rupture of atherosclerotic plaque in a coronary artery with accompanying

thrombosis, inflammation, vasoconstriction and microembolization (1,2).

ACS may manifest itself as unstable angina, acute myocardial infarction with or without

ST elevation or sudden cardiac death (2).

Pursuant to 10th Revision of International Classification of Diseases (ICD-10) the codes

of acute myocardial infarction, recurrent myocardial infarction and unstable angina are 121,

122 and I20.0, respectively (3).

As the most severe form of ischemic heart disease (coronary heart disease), ACS is

one of the most common causes of emergency admissions to hospitals and sudden death in

developed parts of the world, and in recent decades even in developing countries, as well

(4,5).

According to the data published by the World Health Organization (WHO), 6 million

people develop acute myocardial infarction worldwide each year, where the fatal outcome

ensues in 25% of these cases (6).

Studies conducted internationally (7,8,9) and in our country (10,11,12,13,) generated

precious clinical, but not the epidemiological data on the incidence of acute coronary

syndrome in respective populations.

Epidemiological population studies of acute coronary syndrome are rare. Among them,

there is a Danish cohort study covering over 130,000 persons aged 30 to 69 years, estimating

that the crude incidence rate of acute coronary syndrome was 234 per 100,000 (14,15).

In our country legal obligation to keep the Register of Coronary Heart Disease was

introduced in 1980, pursuant to the Statistics Study Plan of Interest for the Republic (Official

Gazette SRS vol. 32/79).

However, an inadequate set of data on the registration form, imprecise methodological

instructions, undertaining of staff in charge of register keeping, and lack of IT support resulted

in subregistration of newly discovered cases of coronary disease.

Thus, in Serbia by the end of the nineties the number of reported cases of coronary

disease was several times lower than the average number of died, and as many as 20 times

below the expected number of persons with ischemic heart diseases.

In order to improve registration of these diseases, the Serbian legislation tried to cover

the area by several laws and by-laws:

– Federal Law on Statistical Studies and Program of Statistical Studies in Health

(Official Gazette FRY, vol. 46/98);

– Federal Law on Registers in Health (Official Gazette FRY 12/98);

– Rulebook on Means for Health–related Registers (Official Gazette FRY 6/2000);

In 2006. led by the national needs, resources and experiences, experts from the Batut

Institute in cooperation with the ACS Expert Team initiated the establishment of the ACS

Population Register in Serbia (RAKSS).

Decentralization and involvement of new sources of data, in addition to the current

hospital register of all coronary units was the key aspect of reorganization of the population

register (REAKS-a).

In all districts the pertinent regional institutes of public health are in charge of the

regional registers, while the comprehensive database is updated and processed by the ”Dr

Milan Jovanović Batut” Institute of Public Health.

In addition to coordination, the Batut Institute plays an important role in continuous

education of health care personnel in charge of the register, analysis and evaluation of the

quality of data for publication of annual reports.

In addition to the absolute number of ACS new cases and number of persons died of

ACS, by the sex and age, crude and standardized incidence and mortality rates are provided,

as well as features of ACS patients treated in coronary units all over Serbia.

II MetodII Method

II METOD Populacioni registar za AKS u Srbiji sadrži podatke o: zdravstvenoj ustanovi koja je

prijavila akutni koronarni sindrom, socijalno-demografskim karakteristikama obolelih,

elektrokardiogramskom zapisu AKS, datumu postavljanja dijagnoze, načinu lečenja, ishodu

bolesti i datumu prijave.

U cilju postizanja što boljeg kvaliteta podataka i njihove internacionalne

komparabilnosti, za klasifikaciju i šifriranje svakog entiteta i modaliteta obeležja koja se prate

registrom, korišćeni su međunarodni dijagnostički kriterijumi, klasifikacije i šifarnici

(3,18,19,20).

Kriterijumi za dijagnozu AKS

Dijagnoza akutnog koronarnog sindroma se postavlja prema najnovijim preporukama

Evropskog kardiološkog društva (European Society of Cardiology – ESC) (19,20).

Najnovije preporuke za zbrinjavanje bolesnika sa akutnim infarktom miokarda sa

elevacijom ST segmenta su objavljene 2003. godine, a prevedene na srpski jezik 2004.

godine. Najnovije preporuke za zbrinjavanje bolesnika sa akutnim infarktom miokarda bez

elevacije ST segmenta i nestabilnom anginom pektoris su objavljene 2007, a prevedene na

srpski jezik 2008. godine. Prevođenje i špampanje preporuka je jedna od aktivnosti

Ekspertskog tima, kao i njihova stalna primena od strane lekara putem redovne kontrinuirane

medicinske edukacije.

U zavisnosti od elektrokardiogramskih promena u ranoj fazi, izdvajaju se dve kategorije

bolesnika:

1. Bolesnici sa ishemijskim bolom ili njegovim ekvivalentima (najčešće dispnejom), kod

kojih se elektrokardiogramski registruje perzistentna elevacija ST segmenta ili novonastali

blok leve grane. Kod ovih bolesnika se najčešće kasnije razvije akutni infarkt miokarda sa Q

zupcem;

2. Bolesnici sa ishemijskim bolom ili njegovim ekvivalentima bez perzistentne elevacije

ST segmenta i bez novonastalog bloka leve grane. Kod njih se najčešće registruje trajna ili

prolazna depresija ST segmenta, inverzija, aplatiranost ili pseudonormalizacija T talasa,

nespecifične promene ST segmenta, a nekada i nema promena na elektrokardiogramu.

Najveći deo ovih bolesnika nema biohemijske markere nekroze srčanog mišića i predstavlja

grupu bolesnika sa nestabilnom anginom pektoris. Ako su prisutni biohemijski markeri to je

grupa bolesnika sa akutnim infarktom miokarda bez elevacije ST segmenta, odnosno to su

uglavnom bolesnici koji imaju akutni infarkt miokarda bez Q zupca. Takođe, mali procenat

može imati akutni infarkt miokarda sa Q zupcem (slika 1) (2,21).

Slika 1. Klasifikacija akutnog koronarnog sindroma

Izvori podataka o obolelima od AKS Kao najvažniji izvor podataka o obolevanju od akutnog koronarnog sindroma korišćen

je bolnički Nacionalni registra za akutni koronarni sindrom (REAKS). Podaci o osobama sa

AKS iz koronarnih jedinica u Srbiji koje se nalaze u sastavu kliničkih i kliničko-bolničkih

centara, instituta, zavoda, zdravstvenih centara, opštih i specijalnih bolnica, prikupljani su

posebno kreiranim obrascem, tj. prijavom za akutni koronarni sindrom.

Pored ovog registra, kao dodatni izvori informacija koriste se i podaci iz:

• izveštaja o hospitalizaciji i otpusnih lista sa epikrizom,

• prateće dokumentacije zavoda za hitnu medicinsku pomoć i službi za hitnu

medicinsku pomoć pri opštim bolnicama i domovima zdravlja,

• potvrda o smrti koje se šifriraju i obrađuju u institutima i zavodima za javno zdravlje

gde je ishemijska bolest srca (MKB 10, pojedinačne šifre od I20 do I25), navedena kao

osnovni i/ili neposredni uzrok smrti,

• protokola privatnih ordinacija/klinika,

• dokumentacije fonda zdravstvenog osiguranja. Populacionim Registrom za akutni koronarni sindrom evidentiraju se svi slučajevi

akutnog koronarnog sindroma na teritoriji Srbije.

Izvori podataka o umrlima od ishemijske bolesti srca, akutnog infarkta miokarda

i akutnog koronarnog sindroma Podaci o umrlim osobama od ishemijske bolesti srca, akutnog infarkta miokarda i

akutnog koronarnog sindroma preuzeti su iz nepublikovanog materijala Republičkog zavoda

za statistiku, koji su obrađeni u Odseku za prevenciju i kontrolu nezaraznih bolesti Instituta za

javno zdravlje Srbije.

Analiza podataka U cilju sagledavanja obolevanja i umiranja od akutnog koronarnog sindroma korišćene

su proporcije, sirove (CR), uzrasno-specifične i standardizovane stope.

Kao imenilac za izračunavanje stopa incidencije i mortaliteta korišćen je procenjen broj

stanovnika Srbije na dan 30. juna 2007. godine.

Brojioce stopa incidencije predstavljaju svi novooboleli slučajevi, a stope mortaliteta

umrli od AKS za datu 2007. godinu.

Stope incidencije i mortaliteta računate su za sledeće uzraste: 25–64, 0–64 ii 0–

75 i više godina.

Standardizovane stope dobijene su metodom direktne standardizacije, gde je kao

standardna populacija korišćena populacija Evrope (Age standardized rate – Europe, ASR–E)

i sveta (Age standardized rate – World, ASR–W) (22, 23).

Informatičku podršku registru pružila je aplikacija registra za akutni koronarni sindrom

koju je razvio Institut za javno zdravlje Srbije.

II METHOD

The Serbian ACS population register contains the data on health institution reporting

the acute coronary syndrome, social-demographic features of patients, ACS

electrocardiographic recording, date of diagnosis establishment, mode of treatment, disease

outcome and reporting date.

In order to improve the quality of data and their international comparability,

classification and coding of each entity and feature modality covered by the register,

international diagnostic criteria, classifications and codes have been used (3,18,19,20).

ACS Diagnostic Criteria

The diagnosis of acute coronary syndrome is established pursuant to the latest

recommendations of the European Society of Cardiology (ESC) (19,20).

The latest recommendations for management of patients with acute myocardial

infarction and elevation of ST segment were published in 2003, and translated into Serbian in

2004. The latest recommendations for management of patients with acute myocardial

infarction without elevation of ST segment and with unstable angina were published in 2007,

and translated into Serbian in 2008. Translation and publication of the recommendations is

one of the expert team activities, together with their continuous implementation by practicing

physicians through regular continuous medical training.

Two groups of patients may be differentiated, by the electrocardiographic changes in

the early stage:

1. Patients with ischemic pain or its equivalent (usually dyspnea) in whom the

electrocardiograph registers persistent elevation of ST segment or new left bundle branch

block. Acute myocardial infarction with Q peak usually develops subsequently in these

patients;

2. Patients with ischemic pain or its equivalent without persistent elevation of ST segment

and without a new left bundle branch block. They usually manifest continuous or transient ST

segment depression, inversion, plateau or pseudonormalization of T waves, non-specific

changes of ST segment and, sometimes absence of any ECG abnormalities. Most of these

patients have no biochemical markers of myocardial necrosis and they belong to the group

with unstable angina. If the biochemical markers are present, these are patients with acute

myocardial infarction without ST elevation, i.e. patients with acute myocardial infarction

without Q peak. Also, a small percentage may have acute myocardial infarction with Q peak

(Figure 1) (2,21).

Figure 1. Acute coronary syndrome classification

Sources of data on ACS patients The national hospital acute coronary syndrome register (REAKS) was the most

important source of data. The data on ACS patients from coronary units in Serbia organized

within regional and teaching hospitals, general and specialized hospitals, institutes and health

care centers were collected by a specially designed form, i.e. acute coronary syndrome report

form.

In addition to the register, the following sources information were also used

• Hospitalization reports and discharge summaries with epicrisis,

• Substantiating documentation of institutes for emergency medical care and emergency

services associated with general hospitals and health care centers,

• Death certificates that are coded and processed at the institutes of public health where

ischemic heart disease (ICD-10 codes 120-125) was specified as the underlying and/or

immediate cause of death

• Protocols of private clinics,

• Documentation of the Health Insurance Fund. The ACS population register records all cases of acute coronary syndrome on the

territory of Serbia.

Sources of information on people died of ischemic heart disease, acute myocardial infarction and acute coronary syndrome The data on patients who died of ischemic heart disease, acute myocardial infarction

and acute coronary syndrome were taken over from unpublished material of the National

Statistics Office and processed at the Department of Prevention and Control on Non-

communicable Diseases of the Institute of Public Health of Serbia.

Data analysis In order to highlight the aspects of acute coronary syndrome morbidity and mortality

proportions, crude rates, age-specific and standardized rates were used.

The estimated population of Serbia as of 30 June 2007 was used as the denominator

for the calculations of incidence and mortality rates.

Newly diagnosed cases and number of persons who died of ACS in 2007 were the

nominators for the given year.

The incidence and mortality rates were calculated for the following age groups: 25–64,

0–64, 0–75 and more years.

The standardized rates were obtained by the direct standardization method, where the

populations of Europe (Age Standardized Rate – Europe, ASR–E) and World (Age

Standardized Rate – World, ASR–W) were used as standard populations (22, 23).

The IT support to the register was provided by the acute coronary system register application

developed by the Institute of Public Health of Serbia.

III DefinicijeIII Definition

III DEFINICIJE Kardiovaskularne bolesti (KVB) predstavljaju veliku i heterogenu grupu oboljenja,

koje prema MKB10 (šifre I00 – I99) obuhvataju sledeće poremećaje zdravlja: akutnu

reumatsku groznicu, hronične reumatske bolesti srca, bolesti prouzrokavane povišenim

krvnim pritiskom, ishemijsku bolest srca (koronarnu bolest srca), bolesti srca plućnog porekla

i bolesti krvnih sudova pluća, bolesti krvnih sudova mozga, bolesti arterija, malih arterija i

kapilara, vena, limfnih sudova i limfnih čvorova i druge i neoznačene bolesti srca i krvotoka

(3).

Ishemijska bolest srca (MKB10: I20–25) je najčešća bolest iz ove velike grupe, a

nastaje kao posledica ateroskleroze u koronarnim arterijama. Zbog aterosklerotičnih promena

u koronarnim arterijama dolazi do nedovoljnog snabdevanja srčanog mišića krvlju (ishemije,

nekroze). Prema SZO postoje 4 klinička oblika ishemijske bolesti srca: angina pektoris, akutni

infarkt miokarda, iznenadna srčana smrt i ishemijska kardiomiopatija (23).

Anginu pektoris (MKB10: I20) karakteriše reverzibilna ishemija i ona se prema

patofiziološkom mehanizmu, prognozi, težini kliničke slike i terapiji deli na stabilnu i

nestabilnu. Stabilna angina pektoris (MKB10: I20.1) je hronična i stabilna forma, dok je

nestabilna angina pektoris (MKB10: I20.0) akutna i nestabilna forma ishemijske bolesti srca

(2).

Akutni infarkt miokarda (MKB10: I21 i I22) karakteriše ireverzibilna ishemija koja

progredira do nekroze. Iznenadna (nagla) srčana smrt nastaje u akutnoj, nestabilnoj fazi

bolesti zbog ishemije praćene teškim poremećajima ritma, ventrikularnom fibrilacijom ili

ventrikularnom tahikardijom. Ishemijska kardiomiopatija (MKB10: I25.5) je klinička forma

ishemijske bolesti srca u kojoj, zbog značajnog gubitka srčanog tkiva i smanjene funkcije srca

dominiraju znaci srčane insuficijencije (2).

Nestabilana angina pektoris, infarkt miokarda bez elevacije ST segmenta, infarkt

miokarda sa elevacijom ST segmenta i iznenadna (nagla) srčana smrt predstavljaju akutne,

nestabilne oblike ishemijske bolesti srca pod zajedničkim nazivom akutni koronarni sindrom

(2).

Stopa incidencije je broj novoobolelih tokom određenog perioda u definisanoj

populaciji.

Potvrđena stopa incidencije za AKS predstavlja ukupan broj nefatalnih i fatalnih

novodijagnostikovanih slučajeva AKS u definisanom periodu u odnosu na broj stanovnika

sredinom posmatranog perioda.

Uzrasno-specifična stopa incidencije za AKS je broj slučajeva akutnog koronarnog

sindroma u definisanoj uzrasnoj grupi (najčešće petogodišnji interval) na 100.000 stanovnika

te uzrasne grupe.

Stopa mortaliteta je broj umrlih tokom određenog perioda u definisanoj populaciji.

Stopa mortaliteta za AKS predstavlja broj slučajeva umrlih od akutnog koronarnog

sindroma u definisanom periodu u odnosu na broj stanovnika sredinom posmatranog perioda.

Uzrasno-specifična stopa mortaliteta je broj umrlih od akutnog koronarnog sindroma

u definisanoj uzrasnoj grupi (najčešće petogodišnji interval) na 100.000 stanovnika te uzrasne

grupe.

Standardizovane stope incidencije i mortaliteta su fiktivne vrednosti dobijene

metodom direktne standardizacije, gde je kao standardna populacija korišćena populacija

Evrope (ASR–E) i populacija sveta (ASR–W).

III DEFINITIONS Cardiovascular Diseases (CVD) comprise a large and heterogeneous group of

diseases including, according to the ICD-10 (codes I00 – I99) the following health disorders:

acute rheumatic fever, chronic rheumatic diseases of the heart, hypertension induced

diseases, ischemic heart diseases (coronary heart disease), lung-based heart diseases and

diseases of the lung vessels, diseases of cerebral blood vessels, arterial diseases, diseases

of arteriolae and capillaries, veins, lymphatic vessels and lymph nodes, and other unspecified

diseases of the heart and circulation (3).

Ishemic heart disease (ICD-10: I20–25) is the most common disease in this group,

resulting from atherosclerosis of the coronary arteries. Due to atherosclerotic changes in the

coronary arteries, the myocardium suffers from insufficient blood supply (ischemia, necrosis).

According to the WHO there are 4 clinical forms of ischemic heart disease: angina, acute

myocardial infarction, sudden heart death and ischemic cardiomyopathy (23).

Angina (ICD-10: I20) is characterized by reversible ischemia. By the

pathophysiological mechanism, prognosis, severity of clinical features and treatment it is

classified into stable and unstable. Stable angina (ICD10: I20.1) is the chronic and stable

form, while unstable angina (ICD-10: I20.0) is the acute and unstable form of ischemic heart

disease (2).

Acute myocardial infarction (ICD-10: I21 i I22) is characterized by irreversible ischemia progressing to necrosis. Sudden cardiac death occurs in acute, unstable phase of

the disease due to ischemia accompanied with severe rhythm disorders, ventricular fibrillation

or ventricular tachycardia. Ischemic cardiomyopathy (ICD-10: I25.5) is a clinical form of

ischemic heart disease where signs of cardiac failure predominate due to significant loss of

cardiac tissue and impaired cardiac function (2).

Unstable angina, myocardial infarction without ST segment elevation, myocardial

infarction with ST segment elevation and sudden cardiac death are acute unstable forms of

ischemic heart disease that are jointly termed as acute coronary syndrome (2).

Incidence rate is a number of new cases over a specified period time in a specified

population.

Confirmed ACS incidence rate is the total number of non-fatal and fatal new ACS

cases over a specified period of time against the population in the middle of the specified

period.

Age-specific ACS incidence rate is the number of cases of acute coronary syndrome

in a defined age group (usually a 5 yr interval) per the population of 100,000 in this age group.

Mortality rate is the number of deceased over a certain period in a specified

population.

ACS mortality rate is the number of fatal outcomes of acute coronary syndrome over

a certain period in a specified population.

Age-specific mortality rate is the number of fatal outcomes of acute coronary

syndrome in a defined age group (usually a 5 yr interval) per the population of 100,000 in this

age group.

Standardized incidence and mortality rates are fictitious values obtained by the

direct standardization method, where the populations of Europe (ASR–E) and World (ASR–

W) were used as the standard populations.

IV Slike i tabeleIV Figures and tables

IVa Stanovništvo Srbije u 2008. godini IVa Population of Serbia, 2008

Teritorija Muškarci Žene UkupnoRegion/District Males Females TotalSRBIJA (Serbia) 3573814 3776408 7350222VOJVODINA (Vojvodina) 961930 1017459 1979389CENTRALNA SRBIJA (Central Serbia) 2611884 2758949 5370833Severno-bački (North Backa) 93203 100126 193329Srednje-banatski (Middle Banat) 95325 99865 195190Severno-banatski (North Banat) 76002 79385 155387Južno-banatski (South Banat) 148529 154863 303392Zapadno-bački (West Backa) 96377 101597 197974Južno-bački (South Backa) 291290 314430 605720Sremski (Srem) 161204 167193 328397Grad Beograd (City of Belgrade) 765794 855602 1621396Mačvanski (Macva) 155339 158459 313798Kolubarski (Kolubara) 89709 92306 182015Podunavski (Danube) 100613 103829 204442Braničevski (Branicevo) 92555 99351 191906Šumadijski (Sumadija) 142006 148800 290806Pomoravski (Morava) 105533 112529 218062Borski (Bor) 65734 68641 134375Zaječarski (Zajecar) 61177 65040 126217Zlatiborski (Zlatibor) 147946 151414 299360Moravički (Moravica) 106562 110415 216977Raški (Raska) 147049 151395 298444Rasinski (Rasina) 120621 125901 246522Nišavski (Nisava) 184769 190684 375453Toplički (Toplica) 48181 47522 95703Pirotski (Pirot) 49149 48074 97223Jablanički (Jablanica) 114626 114804 229430Pčinjski (Pcinj) 114521 114183 228704* Procena na dan 30. juna 2008, Republički zavod za statistiku, Beograd, 2009*Estimate on June 30th, 2008, Republic Statistical Office, Belgrade, 2009

Slika 2. Broj stanovnika Srbije prema uzrastu i polu, 2008.* godinaFigure 2. Population of Serbia by age and sex, 2008*

Uzrast / Age

75 +70 - 7465 - 6960 - 6455 - 5950 - 5445 - 4940 - 4435 - 3930 - 3425 - 2920 - 2415 - 1910 - 14

5 - 9 0 - 4

*Procena na dan 30.06.2008, Republički zavod za statistiku, Beograd, 2009. * Estimate on June 30th, 2008, Republic Statistical Office, Belgrade, 2009

Tabela 1. Broj stanovnika u okruzima Srbije prema polu, 2008.* godinaTable 1. Population of Serbia by administrative districts, by sex, 2008*

Muškarci (Males) Žene (Females)-350 -250 -150 -50 50 150 250 350

Muškarci (Males) Žene (Females)-350 -250 -150 -50 50 150 250 350

IVb Kardiovaskularne bolesti kao vodeći uzrok umiranja u Srbiji, 2008. godina IVb Cardiovascular diseases as leading cause of death in Serbia, 2008

Tabela 2. Vodeći uzroci umiranja u Srbiji, 2008. godina Table 2. The most common causes of death in Serbia, 2008

Vodeći uzroci umiranja (MKB10)/ The most common causes of death (ICD10) % Kardiovaskularne bolesti (MKB10: I00-I99)/ Cardiovascular diseases (ICD10: I00-I99) 55,8 Tumori (MKB: C00-D48)/ Malignant tumors (ICD: C00-D48) 20,0 Nedefinisani simptomi i znaci (MKB10: R00-R99)/ Undefined symptoms and signes (ICD: R00-R99) 4,6 Povrede i trovanja (MKB10: S00-T98)/ Injuries and poisoing (ICD10: S00-T98) 3,6 Bolesti sistema za disanje (MKB10: J00-J99)/ Respiratory diseases (ICD10: J00-J99) 3,8 Ostali uzroci umiranja/ Other causes of death 12,1

Slika 3. Struktura umiranja od kardiovaskularnih bolesti (MKB10: I00-99), Srbija, 2008. godina Figure 3. Deaths from cardiovascular diseases (ICD10: I00-99), Serbia, 2008.

22,5%

42,0%

6,3%0,2%

29,0%

Reumatska bolest srca (MKB10: I00-09)/ Rheumatic heart disease (ICD10: I00-09) Hipertenzivna bolest srca (MKB10: I10-15)/ Hyperthensive heart disease (ICD10: I10-15) Ishemijska bolest srca (MKB10: I20-25)/ Ischaemic heart disease (ICD10: I20-25) Cerebrovaskularna bolest (MKB10: I60-69)/ Cerebrovascular disease (ICD10: I60-69) Ostale bolesti srca i sistema krvotoka/ Other cardiovascular diseases Slika 4. Struktura umiranja od ishemijske bolesti srca (MKB10: I20-25), Srbija, 2008. godina Figure 4. Deaths from ischaemic heart diseases (ICD10: I20-25), Serbia, 2008.

55,5%

44,5%

Akutni koronarni sindrom (MKB10: I20.0, I21, I22)/ Acute coronary syndroma (ICD10: I20.0, I21, I22)

Ostale ishemijske bolesti srca (MKB10: I20.1-20.9, I23, I24, I25)/ Other ischaemic heart diseases (ICD10: I20.1-20.9, I23, I24, I25)

IVc Broj novoobolelih od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji u 2008. godini IVc Number of new cases of myocardial infarction, unstable angina and acute coronary syndrome in Serbia, 2008

Tabela 3. Broj novoobolelih od infarkta miokarda prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 3. Number of new cases of myocardial infarctionby region, administrative district, age and sex, Serbia, 2008

Region/ okrug Pol (Sex)(Region/ District) M (Male)

Ž (Female) 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija M (Male) 0 0 3 3 6 19 59 155 339 693(Serbia) Ž (Female) 0 0 1 2 7 4 15 26 78 183Vojvodina M (Male) 0 0 0 0 1 6 13 49 116 224(Vojvodina) Ž (Female) 0 0 1 0 2 0 5 6 28 59Centralna Srbija M (Male) 0 0 3 3 5 13 46 106 223 469(Central Serbia) Ž (Female) 0 0 0 2 5 4 10 20 50 124Severnobački M (Male) 0 0 0 0 0 0 1 1 9 20(North Backa) Ž (Female) 0 0 0 0 0 0 0 1 0 6Srednjebanatski M (Male) 0 0 0 0 0 1 0 7 10 28(Middle Banat) Ž (Female) 0 0 1 0 0 0 2 0 5 8Severnobanatski M (Male) 0 0 0 0 1 0 0 7 10 17(North Banat) Ž (Female) 0 0 0 0 0 0 2 0 5 6Južnobanatski M (Male) 0 0 0 0 0 1 3 11 19 38(South Banat) Ž (Female) 0 0 0 0 0 0 0 1 4 9Zapadnobački M (Male) 0 0 0 0 0 0 0 2 9 15(West Backa) Ž (Female) 0 0 0 0 0 0 0 0 3 5Južnobački M (Male) 0 0 0 0 0 2 7 12 40 77(South Backa) Ž (Female) 0 0 0 0 2 0 1 1 6 21Sremski M (Male) 0 0 0 0 0 2 2 9 19 29(Srem) Ž (Female) 0 0 0 0 0 0 0 3 5 4Grad Beograd M (Male) 0 0 2 2 1 6 15 36 65 136(City of Belgrade) Ž (Female) 0 0 0 1 1 1 1 5 17 34Mačvanski M (Male) 0 0 0 0 1 2 2 6 11 27(Macva) Ž (Female) 0 0 0 0 0 1 2 2 4 7Kolubarski M (Male) 0 0 0 0 1 1 0 5 8 21(Kolubara) Ž (Female) 0 0 0 0 0 0 0 0 3 2Podunavski M (Male) 0 0 0 0 0 0 1 5 9 16(Danube) Ž (Female) 0 0 0 0 1 1 1 1 1 3Braničevski M (Male) 0 0 0 0 0 0 3 3 8 18(Branicevo) Ž (Female) 0 0 0 0 0 1 2 1 0 1Šumadijski M (Male) 0 0 0 1 0 0 4 2 11 19(Sumadija) Ž (Female) 0 0 0 0 0 0 1 1 1 3Pomoravski M (Male) 0 0 0 0 0 0 1 10 6 21(Morava) Ž (Female) 0 0 0 0 0 0 2 1 2 15Borski M (Male) 0 0 0 0 0 0 2 3 11 15(Bor) Ž (Female) 0 0 0 0 1 0 0 2 3 8Zaječarski M (Male) 0 0 0 0 0 1 2 3 5 18(Zajecar) Ž (Female) 0 0 0 0 0 0 0 0 2 2Zlatiborski M (Male) 0 0 1 0 1 0 4 1 8 24(Zlatibor) Ž (Female) 0 0 0 0 0 0 0 0 1 8Moravički M (Male) 0 0 0 0 0 0 1 2 0 14(Moravica) Ž (Female) 0 0 0 0 0 0 0 0 1 6Raški M (Male) 0 0 0 0 1 0 4 5 15 33(Raska) Ž (Female) 0 0 0 0 0 0 0 0 7 9Rasinski M (Male) 0 0 0 0 0 0 0 2 21 22(Rasina) Ž (Female) 0 0 0 0 0 0 0 1 3 4Nišavski M (Male) 0 0 0 0 0 1 4 9 18 41(Nisava) Ž (Female) 0 0 0 0 1 0 0 5 1 9Toplički M (Male) 0 0 0 0 0 0 0 0 3 5(Toplica) Ž (Female) 0 0 0 0 0 0 0 0 1 5Pirotski M (Male) 0 0 0 0 0 0 0 3 6 13(Pirot) Ž (Female) 0 0 0 0 0 0 0 1 1 1Jablanički M (Male) 0 0 0 0 0 0 0 7 12 12(Jablanica) Ž (Female) 0 0 0 0 1 0 0 0 1 4Pčinjski M (Male) 0 0 0 0 0 2 3 4 6 14(Pcinj) Ž (Female) 0 0 0 1 0 0 1 0 1 3

Uzrast(Age)

Tabela 3. (nastavak)

Table 3. (continued)

50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %1075 1628 1334 1454 1606 2473 5302 100% 5224 100% 5314 100% 10847 100%324 551 594 797 1235 2696 1775 100% 1756 100% 1785 100% 6513 100%354 506 381 428 491 651 1649 31.1% 1630 31.2% 1650 31.1% 3220 29.7%99 185 185 266 369 740 567 31.9% 562 32.0% 570 31.9% 1945 29.9%721 1122 953 1026 1115 1822 3653 68.9% 3594 68.8% 3664 68.9% 7627 70.3%225 366 409 531 866 1956 1208 68.1% 1194 68.0% 1215 68.1% 4568 70.1%27 37 33 41 30 35 128 2% 127 2% 128 2% 234 2%7 12 13 22 18 50 39 2% 39 2% 39 2% 129 2%45 74 29 38 63 61 194 4% 193 4% 194 4% 356 3%20 27 25 35 43 73 87 5% 85 5% 88 5% 239 4%30 50 43 56 45 67 157 3% 157 3% 158 3% 326 3%7 19 18 23 20 61 57 3% 55 3% 57 3% 161 2%53 83 58 68 79 93 266 5% 262 5% 266 5% 506 5%20 22 36 48 71 143 92 5% 92 5% 92 5% 354 5%23 37 30 23 44 75 116 2% 116 2% 116 2% 258 2%4 21 14 27 49 61 47 3% 47 3% 47 3% 184 3%

114 148 133 138 161 234 533 10% 524 10% 533 10% 1066 10%27 58 53 79 113 245 167 9% 166 9% 169 9% 606 9%62 77 55 64 69 86 255 5% 251 5% 255 5% 474 4%14 26 26 32 55 107 78 4% 78 4% 78 4% 272 4%186 363 265 279 314 610 1072 20% 1051 20% 1077 20% 2280 21%74 127 133 163 275 643 392 22% 390 22% 394 22% 1475 23%33 56 53 70 76 130 190 4% 186 4% 191 4% 467 4%15 23 28 23 63 134 82 5% 79 4% 82 5% 302 5%29 48 32 24 45 73 144 3% 143 3% 145 3% 287 3%11 14 11 24 31 60 41 2% 41 2% 41 2% 156 2%37 47 36 30 28 46 151 3% 150 3% 151 3% 255 2%10 10 9 18 19 57 36 2% 34 2% 37 2% 131 2%31 37 50 35 63 93 150 3% 147 3% 150 3% 341 3%5 19 14 20 43 131 43 2% 40 2% 43 2% 237 4%40 53 45 74 65 91 174 3% 170 3% 175 3% 405 4%15 23 25 34 54 114 69 4% 68 4% 69 4% 271 4%41 55 35 47 45 54 169 3% 168 3% 169 3% 315 3%7 9 15 27 34 67 51 3% 49 3% 51 3% 179 3%28 31 32 34 45 46 122 2% 120 2% 122 2% 247 2%8 14 12 12 17 38 47 3% 47 3% 48 3% 115 2%26 33 31 27 27 68 119 2% 116 2% 119 2% 241 2%5 10 10 22 20 56 29 2% 29 2% 29 2% 127 2%33 37 34 47 40 65 141 3% 137 3% 143 3% 295 3%7 14 19 15 39 65 49 3% 49 3% 49 3% 168 3%37 49 39 40 40 50 142 3% 141 3% 142 3% 272 3%5 9 26 17 30 68 47 3% 47 3% 47 3% 162 2%47 61 68 58 71 111 233 4% 229 4% 234 4% 474 4%12 32 25 34 56 104 85 5% 85 5% 85 5% 279 4%34 62 35 55 43 62 176 3% 176 3% 176 3% 336 3%2 9 20 25 24 71 39 2% 39 2% 39 2% 159 2%53 83 87 80 89 131 296 6% 291 6% 296 6% 596 5%22 17 27 38 66 151 81 5% 81 5% 82 5% 337 5%8 19 12 16 11 19 47 1% 47 1% 47 1% 93 1%1 8 4 6 20 18 19 1% 19 1% 19 1% 63 1%8 16 17 24 35 30 63 1% 63 1% 63 1% 152 1%3 2 2 10 17 40 10 1% 10 1% 10 1% 77 1%25 38 42 45 47 89 136 3% 136 3% 136 3% 317 3%8 16 17 22 36 84 46 3% 46 3% 47 3% 189 3%25 34 40 41 31 54 128 2% 123 2% 128 2% 254 2%15 10 12 21 22 55 42 2% 41 2% 43 2% 141 2%

0-75+Ukupan broj i učešće (Total number and proportion)Uzrast

0-64(Age) 25-64 35-64

Tabela 4. Broj novoobolelih od infarkta miokarda prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 4. Number of new cases of myocardial infarctionby region, administrative district and age, Serbia, 2008

Region/ okrug (Region/District)

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0 0 4 5 13 23 74 181 417 876(Serbia)Vojvodina 0 0 1 0 3 6 18 55 144 283(Vojvodina)Centralna Srbija 0 0 3 5 10 17 56 126 273 593(Central Serbia)Severnobački 0 0 0 0 0 0 1 2 9 26(North Backa)Srednjebanatski 0 0 1 0 0 1 2 7 15 36(Middle Banat) Severnobanatski 0 0 0 0 1 0 2 7 15 23(North Banat) Južnobanatski 0 0 0 0 0 1 3 12 23 47(South Banat)Zapadnobački 0 0 0 0 0 0 0 2 12 20(West Backa) Južnobački 0 0 0 0 2 2 8 13 46 98(South Backa) Sremski 0 0 0 0 0 2 2 12 24 33(Srem) Grad Beograd 0 0 2 3 2 7 16 41 82 170(City of Belgrade)Mačvanski 0 0 0 0 1 3 4 8 15 34(Macva) Kolubarski 0 0 0 0 1 1 0 5 11 23(Kolubara) Podunavski 0 0 0 0 1 1 2 6 10 19(Danube)Braničevski 0 0 0 0 0 1 5 4 8 19(Branicevo) Šumadijski 0 0 0 1 0 0 5 3 12 22(Sumadija) Pomoravski 0 0 0 0 0 0 3 11 8 36(Morava) Borski 0 0 0 0 1 0 2 5 14 23(Bor) Zaječarski 0 0 0 0 0 1 2 3 7 20(Zajecar) Zlatiborski 0 0 1 0 1 0 4 1 9 32(Zlatibor)Moravički 0 0 0 0 0 0 1 2 1 20(Moravica)Raški 0 0 0 0 1 0 4 5 22 42(Raska) Rasinski 0 0 0 0 0 0 0 3 24 26(Rasina) Nišavski 0 0 0 0 1 1 4 14 19 50(Nisava) Toplički 0 0 0 0 0 0 0 0 4 10(Toplica) Pirotski 0 0 0 0 0 0 0 4 7 14(Pirot) Jablanički 0 0 0 0 1 0 0 7 13 16(Jablanica)Pčinjski 0 0 0 1 0 2 4 4 7 17(Pcinj)

Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %1399 2179 1928 2251 2841 5169 7077 100% 6980 100% 7099 100% 17360 100%

453 691 566 694 860 1391 2216 31.3% 2192 31.4% 2220 31.3% 5165 29.8%

946 1488 1362 1557 1981 3778 4861 68.7% 4788 68.6% 4879 68.7% 12195 70.2%

34 49 46 63 48 85 167 2% 166 2% 167 2% 363 2%

65 101 54 73 106 134 281 4% 278 4% 282 4% 595 3%

37 69 61 79 65 128 214 3% 212 3% 215 3% 487 3%

73 105 94 116 150 236 358 5% 354 5% 358 5% 860 5%

27 58 44 50 93 136 163 2% 163 2% 163 2% 442 3%

141 206 186 217 274 479 700 10% 690 10% 702 10% 1672 10%

76 103 81 96 124 193 333 5% 329 5% 333 5% 746 4%

260 490 398 442 589 1253 1464 21% 1441 21% 1471 21% 3755 22%

48 79 81 93 139 264 272 4% 265 4% 273 4% 769 4%

40 62 43 48 76 133 185 3% 184 3% 186 3% 443 3%

47 57 45 48 47 103 187 3% 184 3% 188 3% 386 2%

36 56 64 55 106 224 193 3% 187 3% 193 3% 578 3%

55 76 70 108 119 205 243 3% 238 3% 244 3% 676 4%

48 64 50 74 79 121 220 3% 217 3% 220 3% 494 3%

36 45 44 46 62 84 169 2% 167 2% 170 2% 362 2%

31 43 41 49 47 124 148 2% 145 2% 148 2% 368 2%

40 51 53 62 79 130 190 3% 186 3% 192 3% 463 3%

42 58 65 57 70 118 189 3% 188 3% 189 3% 434 3%

59 93 93 92 127 215 318 4% 314 4% 319 4% 753 4%

36 71 55 80 67 133 215 3% 215 3% 215 3% 495 3%

75 100 114 118 155 282 377 5% 372 5% 378 5% 933 5%

9 27 16 22 31 37 66 1% 66 1% 66 1% 156 1%

11 18 19 34 52 70 73 1% 73 1% 73 1% 229 1%

33 54 59 67 83 173 182 3% 182 3% 183 3% 506 3%

40 44 52 62 53 109 170 2% 164 2% 171 2% 395 2%

Uzrast (Age) 25-64 35-64 0-64

Ukupan broj i učešće (Total number and proportion)0-75+

Tabela 5. Broj novoobolelih od nestabilne angine pektoris prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 5. Number of new cases of unstable angina angina by region, administrative district, age and sex, Serbia, 2008


Ž (Female) 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija M (Male) 0 0 0 1 2 11 12 39 84 157(Serbia) Ž (Female) 0 0 1 0 1 1 8 13 32 80Vojvodina M (Male) 0 0 0 1 1 1 4 14 19 58(Vojvodina) Ž (Female) 0 0 0 0 0 0 1 6 16 19Centralna Srbija M (Male) 0 0 0 0 1 10 8 25 65 99(Central Serbia) Ž (Female) 0 0 1 0 1 1 7 7 16 61Severnobački M (Male) 0 0 0 0 0 0 0 4 3 5(North Backa) Ž (Female) 0 0 0 0 0 0 1 2 1 2Srednjebanatski M (Male) 0 0 0 0 1 0 2 5 5 11(Middle Banat) Ž (Female) 4 2Severnobanatski M (Male) 0 0 0 0 0 1 0 1 1 3(North Banat) Ž (Female) 0 0 0 0 0 0 1 3 1Južnobanatski M (Male) 0 0 0 0 0 0 0 2 1 10(South Banat) Ž (Female) 0 0 0 0 0 0 0 0 3 4Zapadnobački M (Male) 0 0 0 0 0 0 0 1 7 6(West Backa) Ž (Female) 0 0 0 0 0 0 0 0 0 3Južnobački M (Male) 0 0 0 1 0 0 2 1 1 20(South Backa) Ž (Female) 0 0 0 0 0 0 0 3 5 3Sremski M (Male) 0 0 0 0 0 0 0 0 1 3(Srem) Ž (Female) 0 0 0 0 0 0 0 0 0 4Grad Beograd M (Male) 0 0 0 0 0 4 2 9 21 34(City of Belgrade) Ž (Female) 0 0 0 0 0 0 3 1 3 18Mačvanski M (Male) 0 0 0 0 0 2 1 1 1 3(Macva) Ž (Female) 0 0 0 0 0 0 0 1 2 3Kolubarski M (Male) 0 0 0 0 0 0 0 0 1 0(Kolubara) Ž (Female) 0 0 0 0 0 0 1 0 1 0Podunavski M (Male) 0 0 0 0 0 0 0 0 4 3(Danube) Ž (Female) 0 0 0 0 0 0 0 0 1 3Braničevski M (Male) 0 0 0 0 0 0 0 1 2 0(Branicevo) Ž (Female) 0 0 0 0 0 0 0 1 0 0Šumadijski M (Male) 0 0 0 0 0 0 0 1 3 3(Sumadija) Ž (Female) 0 0 0 0 0 0 0 0 1 1Pomoravski M (Male) 0 0 0 0 0 1 1 0 2 4(Morava) Ž (Female) 0 0 0 0 0 0 0 0 0 4Borski M (Male) 0 0 0 0 0 1 0 0 3 7(Bor) Ž (Female) 0 0 0 0 0 0 1 2 0 2Zaječarski M (Male) 0 0 0 0 0 0 0 3 1 7(Zajecar) Ž (Female) 0 0 0 0 0 0 0 0 0 5Zlatiborski M (Male) 0 0 0 0 1 0 2 1 6 9(Zlatibor) Ž (Female) 0 0 1 0 0 0 0 0 0 4Moravički M (Male) 0 0 0 0 0 0 0 0 2 2(Moravica) Ž (Female) 0 0 0 0 0 0 0 0 0 2Raški M (Male) 0 0 0 0 0 0 1 3 3 7(Raska) Ž (Female) 0 0 0 0 0 0 1 0 4 5Rasinski M (Male) 0 0 0 0 0 0 0 0 10 9(Rasina) Ž (Female) 0 0 0 0 0 1 0 1 1 3Nišavski M (Male) 0 0 0 0 0 0 0 2 0 5(Nisava) Ž (Female) 0 0 0 0 1 0 1 0 1 3Toplički M (Male) 0 0 0 0 0 0 0 1 0 4(Toplica) Ž (Female) 0 0 0 0 0 0 0 2 5Pirotski M (Male) 0 0 0 0 0 0 0 0 2 0(Pirot) Ž (Female) 0 0 0 0 0 0 0 0 0 1Jablanički M (Male) 0 0 0 0 0 0 1 0 2 1(Jablanica) Ž (Female) 0 0 0 0 0 0 0 0 0 0Pčinjski M (Male) 0 0 0 0 0 2 0 3 2 1(Pcinj) Ž (Female) 0 0 0 0 0 0 0 1 0 2

Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %321 421 368 399 397 487 1413 100% 1390 100% 1416 100% 2699 100%161 253 249 294 375 531 797 100% 788 100% 799 100% 1999 100%125 136 123 135 104 105 480 34.0% 475 34.2% 482 34.0% 826 30.6%50 70 64 101 104 106 226 28.4% 225 28.6% 226 28.3% 537 26.9%196 285 245 264 293 382 933 66.0% 915 65.8% 934 66.0% 1873 69.4%111 183 185 193 271 425 571 71.6% 563 71.4% 573 71.7% 1462 73.1%11 11 11 14 12 7 45 3% 45 3% 45 3% 78 3%4 8 8 8 13 12 26 3% 25 3% 26 3% 59 3%24 22 26 30 19 12 95 7% 93 7% 96 7% 157 6%8 6 8 18 13 16 28 4% 28 4% 28 4% 75 4%13 11 11 17 14 15 41 3% 40 3% 41 3% 87 3%12 13 9 18 15 17 39 5% 39 5% 39 5% 89 4%14 15 8 11 8 7 50 4% 50 4% 50 4% 76 3%5 7 8 9 13 9 27 3% 27 3% 27 3% 58 3%10 18 15 13 10 15 57 4% 57 4% 57 4% 95 4%6 8 6 11 12 21 23 3% 23 3% 23 3% 67 3%39 47 41 37 38 42 151 11% 149 11% 152 11% 269 10%10 23 23 25 35 31 67 8% 67 9% 67 8% 158 8%14 12 11 13 3 7 41 3% 41 3% 41 3% 64 2%5 5 2 12 3 0 16 2% 16 2% 16 2% 31 2%68 108 106 97 110 185 352 25% 346 25% 352 25% 744 28%36 72 60 73 104 223 193 24% 190 24% 193 24% 593 30%10 7 8 7 5 7 33 2% 30 2% 33 2% 52 2%3 3 2 8 7 10 14 2% 14 2% 14 2% 39 2%5 5 5 7 6 8 16 1% 16 1% 16 1% 37 1%3 2 1 4 0 5 8 1% 7 1% 8 1% 17 1%5 11 7 8 7 6 30 2% 30 2% 30 2% 51 2%3 2 10 9 3 10 19 2% 19 2% 19 2% 41 2%1 2 1 5 7 5 7 0% 7 1% 7 0% 24 1%1 1 0 3 7 5 3 0% 3 0% 3 0% 18 1%6 11 5 11 13 17 29 2% 29 2% 29 2% 70 3%4 4 1 4 8 9 11 1% 11 1% 11 1% 32 2%16 8 13 10 12 9 45 3% 43 3% 45 3% 76 3%5 10 8 6 14 13 27 3% 27 3% 27 3% 60 3%12 10 9 6 9 24 42 3% 41 3% 42 3% 81 3%6 11 9 4 11 13 31 4% 30 4% 31 4% 59 3%4 8 17 12 18 21 40 3% 40 3% 40 3% 91 3%3 7 4 9 9 28 19 2% 19 2% 19 2% 65 3%14 22 14 26 15 11 68 5% 66 5% 69 5% 121 4%9 10 13 13 15 20 36 5% 36 5% 37 5% 85 4%4 3 2 5 9 3 13 1% 13 1% 13 1% 30 1%2 5 5 5 9 7 14 2% 14 2% 14 2% 35 2%10 24 10 16 23 12 58 4% 57 4% 58 4% 109 4%10 12 13 10 20 18 45 6% 44 6% 45 6% 93 5%18 35 21 16 24 20 93 7% 93 7% 93 7% 153 6%6 16 19 16 18 22 47 6% 46 6% 47 6% 103 5%10 11 8 22 16 35 36 3% 36 3% 36 3% 109 4%10 17 22 17 30 25 54 7% 53 7% 55 7% 127 6%4 10 5 3 8 1 24 2% 24 2% 24 2% 36 1%8 7 7 5 9 4 29 4% 29 4% 29 4% 47 2%1 3 5 2 4 8 11 1% 11 1% 11 1% 25 1%0 2 5 3 4 3 8 1% 8 1% 8 1% 18 1%0 2 7 5 2 4 13 1% 12 1% 13 1% 24 1%1 1 5 2 1 3 7 1% 7 1% 7 1% 13 1%8 5 2 6 5 6 23 2% 21 2% 23 2% 40 1%1 1 1 2 2 7 6 1% 6 1% 6 1% 17 1%


0-64(Age) 25-64 35-64

Tabela 6. Broj novoobolelih od nestabilne angine pektoris prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 6. Number of new cases of unstable angina by region, administrative district and age, Serbia, 2008



Uzrast(Age)




175 206 187 236 208 211 706 31.9% 700 32.1% 708 32.0% 1363 29.0%

307 468 430 457 564 807 1504 68.1% 1478 67.9% 1507 68.0% 3335 71.0%

15 19 19 22 25 19 71 3% 70 3% 71 3% 137 3%

32 28 34 48 32 28 123 6% 121 6% 124 6% 232 5%

25 24 20 35 29 32 80 4% 79 4% 80 4% 176 4%

19 22 16 20 21 16 77 3% 77 4% 77 3% 134 3%

16 26 21 24 22 36 80 4% 80 4% 80 4% 162 3%

49 70 64 62 73 73 218 10% 216 10% 219 10% 427 9%

19 17 13 25 6 7 57 3% 57 3% 57 3% 95 2%

104 180 166 170 214 408 545 25% 536 25% 545 25% 1337 28%

13 10 10 15 12 17 47 2% 44 2% 47 2% 91 2%

8 7 6 11 6 13 24 1% 23 1% 24 1% 54 1%

8 13 17 17 10 16 49 2% 49 2% 49 2% 92 2%

2 3 1 8 14 10 10 0% 10 0% 10 0% 42 1%

10 15 6 15 21 26 40 2% 40 2% 40 2% 102 2%

21 18 21 16 26 22 72 3% 70 3% 72 3% 136 3%

18 21 18 10 20 37 73 3% 71 3% 73 3% 140 3%

7 15 21 21 27 49 59 3% 59 3% 59 3% 156 3%

23 32 27 39 30 31 104 5% 102 5% 106 5% 206 4%

6 8 7 10 18 10 27 1% 27 1% 27 1% 65 1%

20 36 23 26 43 30 103 5% 101 5% 103 5% 202 4%

24 51 40 32 42 42 140 6% 139 6% 140 6% 256 5%

20 28 30 39 46 60 90 4% 89 4% 91 4% 236 5%

12 17 12 8 17 5 53 2% 53 2% 53 2% 83 2%

1 5 10 5 8 11 19 1% 19 1% 19 1% 43 1%

1 3 12 7 3 7 20 1% 19 1% 20 1% 37 1%

9 6 3 8 7 13 29 1% 27 1% 29 1% 57 1%

Uzrast (Age) 25-64 35-64 0-64

Ukupan broj i učešće (Total number and proportion)0-75+

Tabela 7. Broj novoobolelih od akutnog koronarnog sindroma prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 7. Number of new cases of acute coronary syndromeby region,administrative district, age and sex, Serbia, 2008



Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %1396 2049 1702 1853 2003 2960 6715 100% 6614 100% 6730 100% 13546 100%485 804 843 1091 1610 3227 2572 100% 2544 100% 2584 100% 8512 100%479 642 504 563 595 756 2129 31.7% 2105 31.8% 2132 31.7% 4046 29.9%149 255 249 367 473 846 793 30.8% 787 30.9% 796 30.8% 2482 29.2%917 1407 1198 1290 1408 2204 4586 68.3% 4509 68.2% 4598 68.3% 9500 70.1%336 549 594 724 1137 2381 1779 69.2% 1757 69.1% 1788 69.2% 6030 70.8%38 48 44 55 42 42 173 3% 172 3% 173 3% 312 2%11 20 21 30 31 62 65 3% 64 3% 65 3% 188 2%69 96 55 68 82 73 289 4% 286 4% 290 4% 513 4%28 33 33 53 56 89 115 4% 113 4% 116 4% 314 4%43 61 54 73 59 82 198 3% 197 3% 199 3% 413 3%19 32 27 41 35 78 96 4% 94 4% 96 4% 250 3%67 98 66 79 87 100 316 5% 312 5% 316 5% 582 4%25 29 44 57 84 152 119 5% 119 5% 119 5% 412 5%33 55 45 36 54 90 173 3% 173 3% 173 3% 353 3%10 29 20 38 61 82 70 3% 70 3% 70 3% 251 3%153 195 174 175 199 276 684 10% 673 10% 685 10% 1335 10%37 81 76 104 148 276 234 9% 233 9% 236 9% 764 9%76 89 66 77 72 93 296 4% 292 4% 296 4% 538 4%19 31 28 44 58 107 94 4% 94 4% 94 4% 303 4%254 471 371 376 424 795 1424 21% 1397 21% 1429 21% 3024 22%110 199 193 236 379 866 585 23% 580 23% 587 23% 2068 24%43 63 61 77 81 137 223 3% 216 3% 224 3% 519 4%18 26 30 31 70 144 96 4% 93 4% 96 4% 341 4%34 53 37 31 51 81 160 2% 159 2% 161 2% 324 2%14 16 12 28 31 65 49 2% 48 2% 49 2% 173 2%42 58 43 38 35 52 181 3% 180 3% 181 3% 306 2%13 12 19 27 22 67 55 2% 53 2% 56 2% 172 2%32 39 51 40 70 98 157 2% 154 2% 157 2% 365 3%6 20 14 23 50 136 46 2% 43 2% 46 2% 255 3%46 64 50 85 78 108 203 3% 199 3% 204 3% 475 4%19 27 26 38 62 123 80 3% 79 3% 80 3% 303 4%57 63 48 57 57 63 214 3% 211 3% 214 3% 391 3%12 19 23 33 48 80 78 3% 76 3% 78 3% 239 3%40 41 41 40 54 70 164 2% 161 2% 164 2% 328 2%14 25 21 16 28 51 78 3% 77 3% 79 3% 174 2%30 41 48 39 45 89 159 2% 156 2% 159 2% 332 2%8 17 14 31 29 84 48 2% 48 2% 48 2% 192 2%47 59 48 73 55 76 209 3% 203 3% 212 3% 416 3%16 24 32 28 54 85 85 3% 85 3% 86 3% 253 3%41 52 41 45 49 53 155 2% 154 2% 155 2% 302 2%7 14 31 22 39 75 61 2% 61 2% 61 2% 197 2%57 85 78 74 94 123 291 4% 286 4% 292 4% 583 4%22 44 38 44 76 122 130 5% 129 5% 130 5% 372 4%52 97 56 71 67 82 269 4% 269 4% 269 4% 489 4%8 25 39 41 42 93 86 3% 85 3% 86 3% 262 3%63 94 95 102 105 166 332 5% 327 5% 332 5% 705 5%32 34 49 55 96 176 135 5% 134 5% 137 5% 464 5%12 29 17 19 19 20 71 1% 71 1% 71 1% 129 1%9 15 11 11 29 22 48 2% 48 2% 48 2% 110 1%9 19 22 26 39 38 74 1% 74 1% 74 1% 177 1%3 4 7 13 21 43 18 1% 18 1% 18 1% 95 1%25 40 49 50 49 93 149 2% 148 2% 149 2% 341 3%9 17 22 24 37 87 53 2% 53 2% 54 2% 202 2%33 39 42 47 36 60 151 2% 144 2% 151 2% 294 2%16 11 13 23 24 62 48 2% 47 2% 49 2% 158 2%


0-64(Age) 25-64 35-64

Tabela 8. Broj novoobolelih od akutnog koronarnog sindroma prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 8. Number of new cases of acute coronary syndromeby region, administrative district and age, Serbia, 2008



(Age)Uzrast




628 897 753 930 1068 1602 2922 31.5% 2892 31.6% 2928 31.4% 6528 29.6%

1253 1956 1792 2014 2545 4585 6365 68.5% 6266 68.4% 6386 68.6% 15530 70.4%

49 68 65 85 73 104 238 3% 236 3% 238 3% 500 2%

97 129 88 121 138 162 404 4% 399 4% 406 4% 827 4%

62 93 81 114 94 160 294 3% 291 3% 295 3% 663 3%

92 127 110 136 171 252 435 5% 431 5% 435 5% 994 5%

43 84 65 74 115 172 243 3% 243 3% 243 3% 604 3%

190 276 250 279 347 552 918 10% 906 10% 921 10% 2099 10%

95 120 94 121 130 200 390 4% 386 4% 390 4% 841 4%

364 670 564 612 803 1661 2009 22% 1977 22% 2016 22% 5092 23%

61 89 91 108 151 281 319 3% 309 3% 320 3% 860 4%

48 69 49 59 82 146 209 2% 207 2% 210 2% 497 2%

55 70 62 65 57 119 236 3% 233 3% 237 3% 478 2%

38 59 65 63 120 234 203 2% 197 2% 203 2% 620 3%

65 91 76 123 140 231 283 3% 278 3% 284 3% 778 4%

69 82 71 90 105 143 292 3% 287 3% 292 3% 630 3%

54 66 62 56 82 121 242 3% 238 3% 243 3% 502 2%

38 58 62 70 74 173 207 2% 204 2% 207 2% 524 2%

63 83 80 101 109 161 294 3% 288 3% 298 3% 669 3%

48 66 72 67 88 128 216 2% 215 2% 216 2% 499 2%

79 129 116 118 170 245 421 5% 415 5% 422 5% 955 4%

60 122 95 112 109 175 355 4% 354 4% 355 4% 751 3%

95 128 144 157 201 342 467 5% 461 5% 469 5% 1169 5%

21 44 28 30 48 42 119 1% 119 1% 119 1% 239 1%

12 23 29 39 60 81 92 1% 92 1% 92 1% 272 1%

34 57 71 74 86 180 202 2% 201 2% 203 2% 543 2%

49 50 55 70 60 122 199 2% 191 2% 200 2% 452 2%

(Age)Uzrast

25-64 35-64 0-64Ukupan broj i učešće (Total number and proportion)

0-75+

IVd Stope incidencije od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVd Incidence rates of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008

Tabela 9. Stope incidencije od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 9. Incidence rates of myocardial infarctionby region, administrative district, age and sex, Serbia, 2008


Ž (Female) 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija M (Male) 0.0 0.0 1.5 1.3 2.4 7.3 22.8 64.7 143.6 274.1(Serbia) Ž (Female) 0.0 0.0 0.5 0.9 2.9 1.6 5.9 10.8 32.2 69.9Vojvodina M (Male) 0.0 0.0 0.0 0.0 1.4 8.3 18.4 75.7 173.5 312.4(Vojvodina) Ž (Female) 0.0 0.0 1.9 0.0 3.0 0.0 7.5 9.5 41.5 80.9Centralna Srbija M (Male) 0.0 0.0 2.0 1.9 2.8 6.9 24.4 60.6 131.8 258.9(Central Serbia) Ž (Female) 0.0 0.0 0.0 1.3 2.9 2.2 5.3 11.3 28.6 65.6Severnobački M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 14.1 16.0 141.5 284.4(North Backa) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.8 0.0 83.3Srednjebanatski M (Male) 0.0 0.0 0.0 0.0 0.0 15.0 0.0 110.7 144.4 388.4(Middle Banat) Ž (Female) 0.0 0.0 18.8 0.0 0.0 0.0 33.4 0.0 74.0 112.6Severnobanatski M (Male) 0.0 0.0 0.0 0.0 18.2 0.0 0.0 143.1 187.5 279.7(North Banat) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 41.4 0.0 94.9 101.3Južnobanatski M (Male) 0.0 0.0 0.0 0.0 0.0 9.3 28.2 110.3 194.4 346.4(South Banat) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 10.5 40.8 82.5Zapadnobački M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 31.6 131.1 204.9(West Backa) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 43.5 68.4Južnobački M (Male) 0.0 0.0 0.0 0.0 0.0 8.5 30.5 58.1 195.5 369.6(South Backa) Ž (Female) 0.0 0.0 0.0 0.0 9.5 0.0 4.3 4.8 28.8 94.6Sremski M (Male) 0.0 0.0 0.0 0.0 0.0 17.2 18.0 87.5 170.8 236.3(Srem) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 29.4 44.3 32.4Grad Beograd M (Male) 0.0 0.0 5.0 4.6 1.9 9.4 24.3 66.0 130.5 266.1(City of Belgrade) Ž (Female) 0.0 0.0 0.0 2.4 1.9 1.5 1.5 8.6 31.3 58.0Mačvanski M (Male) 0.0 0.0 0.0 0.0 9.1 19.0 18.5 58.8 104.9 226.5(Macva) Ž (Female) 0.0 0.0 0.0 0.0 0.0 10.5 19.6 19.8 37.8 58.5Kolubarski M (Male) 0.0 0.0 0.0 0.0 16.4 17.3 0.0 88.9 129.5 298.8(Kolubara) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 49.5 28.7Podunavski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 13.9 75.3 143.6 229.5(Danube) Ž (Female) 0.0 0.0 0.0 0.0 14.9 15.4 14.9 15.6 15.6 41.8Braničevski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 46.7 46.1 141.2 314.5(Branicevo) Ž (Female) 0.0 0.0 0.0 0.0 0.0 17.1 31.4 15.5 0.0 17.6Šumadijski M (Male) 0.0 0.0 0.0 11.5 0.0 0.0 39.3 22.2 125.5 191.1(Sumadija) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 10.2 11.2 10.8 27.8Pomoravski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 14.0 151.5 93.8 287.7(Morava) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 28.8 14.7 30.2 201.9Borski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 45.8 68.3 266.0 312.9(Bor) Ž (Female) 0.0 0.0 0.0 0.0 24.8 0.0 0.0 46.5 70.7 166.2Zaječarski M (Male) 0.0 0.0 0.0 0.0 0.0 26.8 51.9 77.6 139.1 425.9(Zajecar) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 54.6 47.8Zlatiborski M (Male) 0.0 0.0 11.9 0.0 9.2 0.0 42.0 10.4 80.2 214.0(Zlatibor) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 9.8 70.7Moravički M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 13.9 29.8 0.0 177.4(Moravica) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 14.0 73.8Raški M (Male) 0.0 0.0 0.0 0.0 9.0 0.0 38.1 52.8 163.8 345.9(Raska) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 73.7 90.3Rasinski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 25.7 283.3 267.2(Rasina) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 12.9 39.6 48.0Nišavski M (Male) 0.0 0.0 0.0 0.0 0.0 7.5 30.3 74.3 149.0 332.4(Nisava) Ž (Female) 0.0 0.0 0.0 0.0 8.4 0.0 0.0 41.6 8.1 72.7Toplički M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 93.9 149.5(Toplica) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 33.2 169.2Pirotski M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 98.0 178.4 362.5(Pirot) Ž (Female) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 35.5 33.4 30.4Jablanički M (Male) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 91.7 153.1 144.6(Jablanica) Ž (Female) 0.0 0.0 0.0 0.0 13.9 0.0 0.0 0.0 13.4 52.3Pčinjski M (Male) 0.0 0.0 0.0 0.0 0.0 25.2 38.8 50.4 74.8 182.1(Pcinj) Ž (Female) 0.0 0.0 0.0 11.4 0.0 0.0 13.3 0.0 13.0 41.2

(Age)Uzrast



50-54 55-59 60-64 65-69 70-74 75+ CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W383.1 591.1 726.8 868.8 998.1 1207.7 266.8 253.8 228.4 355.9 339.5 325.2 174.8 151.5 111.0 303.5 247.9 173.4111.4 187.7 284.0 390.7 588.3 853.4 86.8 78.7 70.4 114.2 105.6 100.7 58.6 47.2 34.5 172.5 109.4 72.6455.8 693.0 781.5 990.2 1251.8 1447.9 302.4 290.1 260.5 404.8 389.4 372.5 197.7 172.9 126.2 334.7 288.9 201.1125.2 239.4 321.5 477.4 665.1 927.5 102.7 92.4 82.3 134.6 124.2 118.1 69.0 55.4 40.3 191.2 125.4 83.6355.2 554.4 707.0 826.5 916.3 1140.2 253.4 240.1 216.3 337.4 320.7 307.4 166.1 143.5 105.3 292.0 233.9 163.8106.3 169.3 269.7 358.1 560.7 828.4 81.0 73.6 66.0 106.6 98.6 94.2 54.7 44.1 32.3 165.6 103.6 68.6355.2 517.8 666.5 941.0 818.1 818.7 238.6 228.6 205.5 322.8 308.2 295.6 158.2 136.2 99.5 251.1 216.1 153.588.4 159.0 221.7 377.6 340.5 600.4 71.5 63.8 57.0 94.9 86.7 82.8 48.3 38.0 27.6 128.8 83.2 55.8567.6 986.9 578.3 869.6 1559.4 1315.8 357.3 328.2 290.7 471.9 443.4 418.1 235.8 195.5 140.6 373.5 308.2 214.4255.4 342.9 409.0 605.1 732.0 871.3 162.6 140.2 124.5 204.3 184.5 174.3 110.2 85.0 62.1 239.3 156.6 108.0473.9 870.0 1016.5 1525.1 1485.1 1737.1 362.6 337.6 301.7 481.4 458.8 438.0 241.4 202.5 147.6 428.9 355.2 247.4113.0 315.2 367.4 491.1 447.5 900.6 134.0 116.7 104.9 167.0 151.1 144.3 89.8 69.5 50.8 202.8 130.9 88.9428.4 717.7 762.9 1041.2 1329.7 1293.1 317.9 300.7 271.4 420.8 402.0 386.1 206.4 179.1 131.3 340.7 292.7 205.8163.8 186.0 408.9 582.4 843.9 1171.9 110.8 98.9 88.9 145.9 134.5 129.1 73.0 58.9 43.0 228.6 147.9 97.8295.4 475.0 569.9 495.8 1012.0 1529.1 211.1 195.1 174.7 280.5 265.1 253.6 140.6 116.2 84.5 267.7 214.8 144.351.8 259.6 234.5 445.3 780.4 659.6 86.6 73.1 64.6 111.6 99.4 93.8 58.7 43.6 31.3 181.1 106.4 71.2510.0 688.7 944.1 1100.8 1413.0 1888.8 320.5 321.8 290.5 437.1 430.4 413.5 209.0 191.7 140.6 366.0 332.6 229.8112.1 244.3 309.6 485.6 719.8 1120.6 94.9 89.2 79.4 128.7 120.4 114.4 64.9 53.9 39.2 192.7 133.8 87.8466.6 653.4 723.6 899.0 1014.0 1115.9 286.3 273.8 245.7 378.3 365.8 348.7 182.7 163.1 118.9 294.0 256.1 180.1106.6 213.5 296.3 361.6 581.3 823.4 88.1 80.2 71.3 114.9 109.0 103.5 57.4 47.8 34.5 162.7 107.4 71.0318.6 604.6 664.7 796.9 922.1 1473.8 244.1 238.8 214.8 335.0 318.5 304.7 164.3 143.1 105.0 297.7 245.9 169.5109.2 176.2 269.9 366.6 623.1 984.9 79.5 73.2 65.3 108.3 98.9 94.1 56.1 43.9 32.0 172.4 111.8 72.9252.1 468.1 688.6 1024.9 1096.2 1513.7 219.2 207.8 188.7 284.6 275.6 265.5 143.6 124.4 92.1 300.6 245.2 168.6116.7 193.2 345.1 289.2 694.9 1058.5 96.2 89.1 80.8 120.6 115.7 110.7 63.7 53.1 39.1 190.6 122.0 80.1389.1 694.7 725.1 555.0 941.6 1139.0 292.0 269.0 241.5 380.3 362.5 346.1 195.4 161.5 118.3 319.9 239.7 168.2148.6 208.2 228.9 472.5 523.4 676.2 84.1 75.1 65.8 108.8 102.1 95.5 56.6 44.7 31.8 169.0 101.5 67.8444.5 569.8 709.1 721.2 650.4 787.7 270.2 251.2 224.7 361.2 338.8 323.5 175.0 149.6 108.7 253.4 213.0 151.5119.6 120.5 165.3 341.4 342.0 632.6 65.1 58.7 53.2 80.8 74.3 70.3 44.1 36.1 27.0 126.2 81.4 54.8481.6 527.9 1038.0 826.6 1485.5 1153.3 309.5 293.7 265.8 406.6 390.8 376.9 197.3 174.9 128.6 368.4 279.4 197.278.1 261.1 249.8 370.1 744.7 1037.0 87.2 74.2 65.7 107.9 92.1 84.9 56.9 44.2 31.8 238.5 118.0 76.3322.6 445.5 630.6 1108.4 1008.2 1094.7 217.3 202.5 181.9 287.3 268.1 256.5 145.1 121.5 89.1 285.2 226.5 158.2117.8 187.0 321.4 441.2 687.1 914.3 84.4 75.0 66.3 109.9 100.0 94.2 57.1 44.6 32.1 182.1 114.6 75.1485.7 657.5 636.8 919.2 838.5 669.3 298.3 270.9 241.9 394.3 365.6 348.5 194.3 161.3 117.1 298.5 232.3 166.682.4 106.1 243.7 429.1 470.1 538.8 88.6 82.3 77.0 111.4 106.6 106.2 58.9 49.0 37.3 159.1 96.4 67.7538.2 589.4 826.0 1028.4 1500.5 991.0 337.2 307.2 278.0 433.9 409.3 394.7 222.7 183.0 134.5 375.8 288.6 205.8151.5 246.6 282.2 280.8 433.5 560.6 129.2 112.0 101.6 164.5 152.2 147.5 89.4 68.6 51.3 167.5 107.7 76.0551.5 618.6 756.8 720.2 808.6 1209.3 356.2 309.5 280.9 449.0 406.5 390.8 245.5 184.3 135.9 393.9 265.5 188.4102.5 171.4 229.9 479.0 471.1 642.6 87.0 68.1 60.7 109.2 92.6 88.1 61.1 40.6 29.4 195.3 95.1 64.0275.3 325.3 454.4 649.3 597.4 771.4 174.2 161.8 146.1 222.2 212.4 204.0 113.9 98.0 72.6 199.4 162.0 114.458.8 121.6 238.5 181.9 451.9 555.5 61.0 54.7 49.3 78.8 74.3 71.5 39.9 32.6 23.8 111.0 72.0 47.8412.0 566.0 752.8 764.1 732.3 704.7 241.6 218.7 192.5 318.2 294.7 276.7 160.0 130.2 93.1 255.3 196.6 138.353.9 102.4 458.4 273.4 445.8 700.0 79.2 73.6 67.6 102.7 100.0 98.1 53.6 43.8 32.7 146.7 91.3 61.5454.3 639.3 1072.0 972.2 1193.7 1525.4 308.2 312.8 282.7 421.0 418.3 403.0 183.0 187.0 137.6 322.3 302.1 211.5111.0 319.6 349.3 489.3 792.9 1135.2 107.8 105.5 93.7 148.1 143.3 136.0 66.3 62.8 45.3 184.3 144.7 95.4341.5 600.1 524.6 913.0 722.2 736.6 263.9 238.6 214.7 349.3 324.3 311.7 175.6 142.1 103.9 278.6 214.1 153.220.1 87.0 283.8 359.4 320.0 560.3 58.6 52.6 48.6 76.5 71.4 70.6 39.5 31.3 23.5 126.3 74.2 50.3379.6 564.4 827.4 799.8 920.7 1057.0 289.7 270.5 245.4 384.3 360.8 348.4 193.8 161.1 118.7 322.6 245.2 174.0156.5 113.2 242.0 348.3 581.2 886.8 78.8 72.5 65.3 105.3 98.5 94.8 54.2 43.8 32.3 176.7 105.8 69.9235.8 521.1 465.3 578.2 418.7 559.3 187.3 166.2 146.3 244.4 225.8 212.4 119.3 99.0 70.8 193.0 146.1 102.832.5 242.4 148.0 198.4 586.2 373.8 82.0 72.4 65.3 106.1 98.5 94.8 52.4 43.1 31.6 132.6 78.9 54.5203.5 406.4 586.6 809.7 1161.6 695.6 236.6 212.6 196.1 303.2 288.9 284.6 162.1 126.6 94.9 309.3 207.7 149.785.1 54.0 71.0 329.1 501.3 707.2 40.8 37.2 33.8 52.2 50.5 49.1 27.8 22.1 16.4 160.2 76.2 49.3295.9 439.0 712.8 750.1 810.2 1297.9 219.8 207.5 187.2 290.8 281.9 271.7 141.7 123.6 90.6 276.6 216.2 148.9102.3 190.7 278.3 327.4 485.6 866.6 77.9 70.0 61.8 102.7 95.1 89.7 51.7 42.8 31.1 164.6 100.4 65.8332.7 521.9 838.8 902.5 763.9 1152.4 220.2 231.2 208.5 289.8 302.7 288.7 126.4 137.7 100.9 221.8 227.6 159.2210.4 152.1 230.4 407.0 419.0 806.3 74.3 75.7 66.4 98.4 100.4 93.8 44.4 46.0 33.2 123.5 102.0 67.6

Incidencija (Incidence)(Age) 0-75+0-6425-64

Uzrast 35-64

Tabela 10. Stope incidencije od infarkta m iokarda na 100.000 stanovnikaprem a regionim a, okruzim a i uzrastu, Srbija, 2008. godina

Table 10. Incidence rates of m yocardial infarctionby region, adm inistrative district and age, Serbia, 2008

Region/ okrug (Region/D istric t)

0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 1.0 1.1 2.6 4.5 14.4 37.7 87.2 170.2(Serbia)Vojvodina 0.0 0.0 0.9 0.0 2.2 4.3 13.1 43.0 107.2 195.6(Vojvodina)Centralna Srbija 0.0 0.0 1.0 1.6 2.8 4.6 14.9 35.8 79.4 160.3(Central Serbia)Severnobački 0.0 0.0 0.0 0.0 0.0 0.0 7.2 16.4 69.2 182.6(North Backa)Srednjebanatski 0.0 0.0 9.3 0.0 0.0 7.9 15.7 57.1 109.6 251.5(M iddle Banat) Severnobanatski 0.0 0.0 0.0 0.0 9.5 0.0 19.9 73.6 141.5 191.7(North Banat) Južnobanatski 0.0 0.0 0.0 0.0 0.0 4.8 14.5 61.6 117.5 214.9(South Banat)Zapadnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.1 87.1 136.7(W est Backa) Južnobački 0.0 0.0 0.0 0.0 4.7 4.2 17.4 31.2 111.4 227.8(South Backa) Srem ski 0.0 0.0 0.0 0.0 0.0 9.1 9.3 58.6 107.1 134.2(Srem ) Grad Beograd 0.0 0.0 2.6 3.6 1.9 5.4 12.5 36.4 78.8 155.0(C ity of Belgrade)M ačvanski 0.0 0.0 0.0 0.0 4.7 14.9 19.0 39.4 71.2 142.3(Macva) Kolubarski 0.0 0.0 0.0 0.0 8.6 8.9 0.0 44.1 89.9 164.2(Kolubara) Podunavski 0.0 0.0 0.0 0.0 7.2 7.3 14.3 46.0 78.8 134.3(Danube)Braničevski 0.0 0.0 0.0 0.0 0.0 8.5 39.1 30.9 70.6 166.8(Branicevo) Šum adijski 0.0 0.0 0.0 5.8 0.0 0.0 25.0 16.7 66.5 106.0(Sum adija) Pom oravski 0.0 0.0 0.0 0.0 0.0 0.0 21.3 82.0 61.5 244.4(Morava) Borski 0.0 0.0 0.0 0.0 12.0 0.0 23.6 57.5 167.1 239.4(Bor) Zaječarski 0.0 0.0 0.0 0.0 0.0 14.3 27.1 40.0 96.4 237.8(Zajecar) Zlatiborski 0.0 0.0 6.0 0.0 4.8 0.0 21.4 5.3 44.7 142.1(Z latibor)M oravički 0.0 0.0 0.0 0.0 0.0 0.0 7.0 14.8 7.1 124.8(Moravica)Raški 0.0 0.0 0.0 0.0 4.6 0.0 18.9 25.7 118.0 215.4(Raska) Rasinski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 19.3 160.0 157.0(Rasina) Nišavski 0.0 0.0 0.0 0.0 4.1 3.8 15.3 58.0 77.9 202.3(N isava) Toplički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 64.5 158.7(Toplica) Pirotski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 68.0 110.0 203.7(P irot) Jablanički 0.0 0.0 0.0 0.0 6.7 0.0 0.0 46.8 84.9 100.3(Jablanica)Pč in jski 0.0 0.0 0.0 5.5 0.0 13.0 26.2 25.4 44.6 113.5(Pcinj)

Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W244.8 383.0 490.9 606.2 766.1 992.8 175.5 163.5 147.0 232.2 218.8 209.4 116.6 97.7 71.5 236.2 173.9 119.9

289.0 459.7 532.5 701.4 908.1 1115.0 201.9 188.4 168.9 267.2 252.9 241.6 133.7 112.4 82.0 260.9 200.0 137.8

228.2 355.5 475.5 571.6 717.4 954.2 165.7 154.2 138.7 219.1 206.0 197.3 110.2 92.2 67.6 227.1 164.7 113.5

219.1 333.5 425.4 618.7 536.1 674.4 154.4 143.2 128.5 206.3 193.3 185.2 103.3 85.3 62.2 187.8 143.7 100.6

412.5 657.0 485.3 718.9 1069.2 1029.7 260.6 233.0 206.6 336.9 312.4 294.9 174.0 139.5 100.9 304.8 226.2 157.4

295.4 586.0 668.2 945.5 866.8 1204.1 249.4 224.7 201.2 323.4 301.8 288.2 166.8 134.6 98.2 313.4 231.8 161.1

296.9 448.9 572.9 785.2 1045.0 1216.9 214.8 198.7 179.1 282.5 266.5 256.0 140.5 118.3 86.7 283.5 216.7 149.4

174.2 365.3 391.7 467.2 875.1 960.9 149.3 133.0 118.6 195.3 180.7 172.2 100.3 79.2 57.4 223.3 153.9 104.1

303.6 455.5 596.1 753.3 1011.3 1398.5 204.5 199.7 179.7 277.3 267.5 256.3 136.2 119.3 87.3 276.0 222.6 152.0

287.6 429.8 494.7 601.2 762.3 932.3 187.5 175.4 157.0 245.1 235.0 223.7 120.9 104.4 76.0 227.2 177.1 122.6

206.2 370.9 446.4 556.1 753.3 1174.6 157.0 149.4 134.2 213.8 199.8 191.0 108.4 89.6 65.7 231.6 171.6 116.3

185.0 331.0 512.3 629.1 868.8 1242.5 158.2 148.1 134.4 202.5 195.2 187.6 104.3 88.6 65.5 245.1 179.8 122.0

269.2 454.8 466.4 510.5 710.1 870.3 188.6 171.6 153.2 244.4 231.6 220.0 126.9 102.9 74.9 243.4 168.1 116.5

281.7 344.5 427.8 508.9 476.7 693.6 168.2 153.6 137.7 220.0 204.9 195.2 110.4 92.1 67.3 188.8 144.3 101.2

280.3 392.0 614.1 570.7 1058.4 1082.3 197.4 181.1 163.1 255.4 237.5 227.0 127.3 107.8 78.9 301.2 193.8 133.3

218.9 314.1 469.3 750.9 831.8 986.5 150.2 137.0 122.5 196.7 181.7 173.0 101.1 82.1 59.8 232.5 167.5 114.5

283.3 380.0 429.1 648.8 627.0 590.1 192.7 175.0 158.0 250.6 233.9 225.2 126.8 104.2 76.4 226.5 161.1 114.9

343.4 411.4 541.4 606.9 895.8 735.5 232.9 207.4 187.9 297.0 277.6 268.1 156.7 124.5 91.9 269.4 191.3 136.3

323.2 385.0 485.4 587.4 619.7 864.8 221.8 187.0 169.3 276.8 246.6 236.9 154.2 111.3 81.9 291.6 175.8 123.5

167.5 222.8 343.1 400.4 515.5 645.9 117.8 107.9 97.4 150.2 142.8 137.2 77.3 65.1 48.1 154.7 115.3 80.0

230.1 332.5 598.9 497.6 574.1 702.0 160.1 144.8 128.9 208.7 195.6 185.7 107.1 86.3 62.4 200.0 142.0 98.4

278.9 475.7 688.9 712.4 976.1 1307.9 205.9 205.6 184.9 280.9 276.0 264.7 124.6 122.8 89.9 252.3 219.4 150.6

181.0 343.4 400.9 616.3 498.0 630.7 161.4 145.0 131.1 212.1 197.1 190.3 108.0 86.4 63.4 200.8 141.7 100.1

267.7 336.5 526.0 564.3 737.3 958.5 183.9 170.3 154.2 243.7 227.9 219.9 124.3 101.7 75.0 248.5 173.6 120.6

139.2 388.7 303.0 379.9 513.3 450.6 136.7 120.5 106.7 177.7 163.7 154.9 87.2 71.7 51.6 163.0 112.5 78.7

147.5 235.5 332.4 566.4 812.0 702.2 142.8 127.9 117.8 182.8 173.8 171.0 97.5 76.2 57.0 235.5 142.9 100.3

202.8 316.7 491.6 526.8 628.1 1045.3 150.5 139.7 125.3 198.8 189.8 181.9 97.9 83.7 61.2 220.5 156.2 106.2

273.1 336.1 521.2 639.0 569.4 947.2 148.2 152.7 136.9 195.0 200.5 190.2 86.3 91.4 66.8 172.7 161.9 111.6

0-6435-6425-64Uzrast (Age)

Incidencija (Incidence)0-75+

Tabela 11. Stope incidencije od nestabilne angine pektoris na 100.000 stanovnikaprema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 11. Incidence rates of unstable anginaby region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)




0-6435-64Uzrast (Age) 25-64


Tabela 12. Stope incidencije od nestabilne angine pektoris na 100.000 stanovnikaprema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 12. Incidence rates of unstable anginaby region, administrative district and age, Serbia, 2008


0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 0.3 0.2 0.6 2.3 3.9 10.8 24.3 46.0(Serbia)Vojvodina 0.0 0.0 0.0 0.8 0.7 0.7 3.6 15.6 26.1 53.2(Vojvodina)Centralna Srbija 0.0 0.0 0.3 0.0 0.6 3.0 4.0 9.1 23.6 43.2(Central Serbia)Severnobački 0.0 0.0 0.0 0.0 0.0 0.0 7.2 49.2 30.8 49.2(North Backa)Srednjebanatski 0.0 0.0 0.0 0.0 7.7 0.0 15.7 40.8 65.8 90.8(Middle Banat) Severnobanatski 0.0 0.0 0.0 0.0 0.0 9.8 0.0 21.0 37.7 33.3(North Banat) Južnobanatski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 10.3 20.4 64.0(South Banat)Zapadnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 8.0 50.8 61.5(W est Backa) Južnobački 0.0 0.0 0.0 2.8 0.0 0.0 4.3 9.6 14.5 53.5(South Backa) Sremski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.5 28.5(Srem) Grad Beograd 0.0 0.0 0.0 0.0 0.0 3.1 3.9 8.9 23.1 47.4(City of Belgrade)Mačvanski 0.0 0.0 0.0 0.0 0.0 10.0 4.8 9.9 14.2 25.1(Macva) Kolubarski 0.0 0.0 0.0 0.0 0.0 0.0 8.6 0.0 16.3 0.0(Kolubara) Podunavski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 39.4 42.4(Danube)Braničevski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 15.4 17.7 0.0(Branicevo) Šumadijski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5.6 22.2 19.3(Sumadija) Pomoravski 0.0 0.0 0.0 0.0 0.0 7.4 7.1 0.0 15.4 54.3(Morava) Borski 0.0 0.0 0.0 0.0 0.0 12.7 11.8 23.0 35.8 93.7(Bor) Zaječarski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 40.0 13.8 142.7(Zajecar) Zlatiborski 0.0 0.0 6.0 0.0 4.8 0.0 10.7 5.3 29.8 57.7(Zlatibor)Moravički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 14.3 25.0(Moravica)Raški 0.0 0.0 0.0 0.0 0.0 0.0 9.4 15.4 37.5 61.5(Raska) Rasinski 0.0 0.0 0.0 0.0 0.0 6.6 0.0 6.4 73.3 72.5(Rasina) Nišavski 0.0 0.0 0.0 0.0 4.1 0.0 3.8 8.3 4.1 32.4(Nisava) Toplički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.8 32.2 142.9(Toplica) Pirotski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 31.4 14.5(Pirot) Jablanički 0.0 0.0 0.0 0.0 0.0 0.0 6.5 0.0 13.1 6.3(Jablanica)Pč injski 0.0 0.0 0.0 0.0 0.0 13.0 0.0 25.4 12.7 20.0(Pcinj)

Uzrast(Age)




111.6 137.1 175.9 238.5 219.6 169.1 64.3 60.0 53.5 85.3 80.7 76.8 42.6 35.8 26.0 68.9 54.8 39.1

74.0 111.8 150.1 167.8 204.2 203.8 51.3 47.5 42.7 67.6 63.4 60.4 34.0 28.4 20.7 62.1 46.2 32.5

96.7 129.3 175.7 216.0 279.2 150.8 65.6 62.0 56.0 87.0 82.9 79.9 43.9 36.9 27.1 70.9 55.9 40.3

203.1 182.1 305.5 472.7 322.8 215.2 114.1 104.4 94.3 146.7 139.1 133.9 76.5 62.8 46.3 118.9 93.1 68.0

199.6 203.8 219.1 418.9 386.7 301.0 93.2 83.6 73.8 120.5 111.8 104.6 62.1 49.8 35.7 113.3 84.7 59.5

77.3 94.0 97.5 135.4 146.3 82.5 46.2 42.6 38.2 61.5 57.8 55.5 30.2 25.3 18.5 44.2 35.7 25.8

103.2 163.7 186.9 224.3 207.0 254.4 73.3 65.7 58.7 95.9 89.3 85.2 49.2 39.1 28.4 81.8 60.2 42.4

105.5 154.8 205.1 215.2 269.4 213.1 63.7 61.6 54.6 86.8 83.0 78.5 42.5 36.9 26.7 70.5 58.1 41.0

71.9 70.9 79.4 156.6 36.9 33.8 32.1 29.4 25.7 42.5 39.9 37.4 20.7 17.5 12.5 28.9 24.3 17.7

82.5 136.2 186.2 213.9 273.7 382.5 58.4 55.3 49.5 79.5 73.9 70.3 40.2 32.9 23.9 82.5 61.4 41.8

50.1 41.9 63.2 101.5 75.0 80.0 27.3 25.8 23.9 33.6 32.4 31.2 18.0 15.3 11.6 29.0 23.2 16.9

53.8 51.3 65.1 117.0 56.1 85.1 24.5 22.4 19.7 30.6 28.8 26.9 16.4 13.3 9.5 29.7 21.6 15.2

47.9 78.6 161.6 180.2 101.4 107.7 44.1 41.3 37.6 58.6 56.1 54.6 28.8 24.6 18.2 45.0 36.4 26.5

15.6 21.0 9.6 83.0 139.8 48.3 10.2 9.7 8.9 13.7 13.2 12.9 6.6 5.8 4.3 21.9 14.6 10.2

39.8 62.0 40.2 104.3 146.8 125.1 24.7 22.3 19.8 33.1 30.3 28.7 16.6 13.3 9.6 35.1 25.4 17.5

124.0 106.9 180.2 140.3 206.4 107.3 63.1 56.6 50.8 80.8 74.3 70.5 41.5 33.7 24.6 62.4 46.1 33.4

171.7 192.0 221.5 131.9 289.0 324.0 100.6 88.7 80.0 126.3 116.1 110.6 67.3 52.8 38.7 104.2 73.9 52.2

73.0 134.3 248.6 251.7 356.0 341.7 88.4 74.2 68.3 112.6 100.9 99.2 61.5 44.2 33.1 123.6 73.8 52.3

96.3 139.8 174.8 251.9 195.7 154.0 64.5 58.7 52.5 82.3 77.8 74.1 42.7 35.8 26.4 68.8 54.0 39.1

32.9 45.9 64.5 87.3 147.6 59.5 22.9 20.8 18.7 30.0 28.3 27.1 15.3 12.4 9.0 30.0 21.3 15.2

94.5 184.1 170.4 201.3 330.5 182.5 66.7 65.8 58.5 90.3 87.7 83.2 40.2 39.2 28.3 67.7 60.1 42.6

120.7 246.7 291.6 246.5 312.2 199.2 105.1 92.3 82.7 137.1 124.3 118.4 70.4 55.0 40.0 103.8 76.1 54.8

71.4 94.2 138.4 186.5 218.8 203.9 43.9 39.6 35.1 58.3 53.1 50.2 29.9 23.9 17.3 62.9 43.4 30.2

185.6 244.7 227.2 138.1 281.5 60.9 109.8 99.0 88.2 142.7 134.5 128.0 70.0 59.0 42.7 86.7 68.9 50.7

13.4 65.4 174.9 83.3 124.9 110.3 37.2 31.8 29.0 47.6 43.2 42.1 25.4 18.9 14.0 44.2 28.3 20.2

6.1 17.6 100.0 55.0 22.7 42.3 16.5 15.7 14.6 20.8 20.1 19.9 10.7 9.3 7.1 16.1 12.9 9.5

61.5 45.8 30.1 82.4 75.2 113.0 25.3 25.6 23.7 32.1 32.4 31.0 14.6 15.2 11.4 24.9 23.6 16.9

0-6435-6425-64Uzrast (Age)


Tabela 13. Stope incidencije od akutnog koronarnog sindroma na 100.000 stanovnikaprema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 13. Incidence rates of acute coronary syndrome by region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)




0-6435-6425-64Uzrast (Age)


Tabela 14. Stope incidencije od akutnog koronarnog sindroma na 100.000 stanovnikaprema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 14. Incidence rates of acute coronary syndrome by region, administrative district, age and sex, Serbia, 2008


0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 1.3 1.4 3.2 6.8 18.3 48.6 111.5 216.2(Serbia)Vojvodina 0.0 0.0 0.9 0.8 2.9 5.0 16.7 58.6 133.3 248.8(Vojvodina)Centralna Srbija 0.0 0.0 1.4 1.6 3.4 7.5 18.9 44.9 102.9 203.5(Central Serbia)Severnobački 0.0 0.0 0.0 0.0 0.0 0.0 14.5 65.6 100.0 231.8(North Backa)Srednjebanatski 0.0 0.0 9.3 0.0 7.7 7.9 31.4 98.0 175.4 342.4(M iddle Banat) Severnobanatski 0.0 0.0 0.0 0.0 9.5 9.8 19.9 94.6 179.2 225.0(North Banat) Južnobanatski 0.0 0.0 0.0 0.0 0.0 4.8 14.5 71.9 137.9 278.9(South Banat)Zapadnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 24.1 138.0 198.3(W est Backa) Južnobački 0.0 0.0 0.0 2.8 4.7 4.2 21.7 40.8 126.0 281.3(South Backa) Sremski 0.0 0.0 0.0 0.0 0.0 9.1 9.3 58.6 111.6 162.6(Srem) Grad Beograd 0.0 0.0 2.6 3.6 1.9 8.4 16.4 45.3 101.8 202.4(City of Belgrade)Mačvanski 0.0 0.0 0.0 0.0 4.7 24.9 23.8 49.3 85.5 167.5(Macva) Kolubarski 0.0 0.0 0.0 0.0 8.6 8.9 8.6 44.1 106.2 164.2(Kolubara) Podunavski 0.0 0.0 0.0 0.0 7.2 7.3 14.3 46.0 118.2 176.7(Danube)Braničevski 0.0 0.0 0.0 0.0 0.0 8.5 39.1 46.3 88.3 166.8(Branicevo) Šumadijski 0.0 0.0 0.0 5.8 0.0 0.0 25.0 22.2 88.7 125.3(Sumadija) Pomoravski 0.0 0.0 0.0 0.0 0.0 7.4 28.4 82.0 76.8 298.7(Morava) Borski 0.0 0.0 0.0 0.0 12.0 12.7 35.4 80.6 202.9 333.1(Bor) Zaječarski 0.0 0.0 0.0 0.0 0.0 14.3 27.1 79.9 110.2 380.5(Zajecar) Zlatiborski 0.0 0.0 12.0 0.0 9.5 0.0 32.1 10.5 74.4 199.8(Zlatibor)Moravički 0.0 0.0 0.0 0.0 0.0 0.0 7.0 14.8 21.4 149.8(Moravica)Raški 0.0 0.0 0.0 0.0 4.6 0.0 28.3 41.2 155.5 276.9(Raska) Rasinski 0.0 0.0 0.0 0.0 0.0 6.6 0.0 25.8 233.4 229.5(Rasina) Nišavski 0.0 0.0 0.0 0.0 8.3 3.8 19.1 66.3 82.0 234.6(Nisava) Toplički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 16.8 96.7 301.6(Toplica) Pirotski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 68.0 141.5 218.2(Pirot) Jablanički 0.0 0.0 0.0 0.0 6.7 0.0 6.5 46.8 97.9 106.6(Jablanica)Pč injski 0.0 0.0 0.0 5.5 0.0 26.1 26.2 50.9 57.4 133.6(Pcinj)

Uzrast(Age)




400.6 596.8 708.4 940.0 1127.7 1284.2 266.2 248.4 222.4 352.5 333.6 318.3 176.3 148.3 108.0 329.8 254.8 176.9

302.2 467.3 625.6 739.3 921.6 1158.1 217.0 201.7 181.4 286.7 269.4 257.8 144.3 120.6 88.4 289.2 210.9 146.0

315.8 462.8 601.1 834.7 815.4 825.2 220.0 205.2 184.6 293.3 276.3 265.1 147.3 122.2 89.3 258.6 199.6 140.9

615.5 839.1 790.8 1191.6 1392.0 1244.8 374.7 337.4 301.0 483.6 451.5 428.8 250.5 202.3 147.2 423.7 319.2 225.4

495.0 789.8 887.3 1364.5 1253.5 1505.2 342.6 308.3 275.0 444.0 413.6 392.8 228.9 184.3 133.9 426.7 316.4 220.6

374.2 542.9 670.4 920.6 1191.3 1299.4 261.0 241.2 217.4 344.0 324.4 311.5 170.7 143.7 105.2 327.6 252.4 175.3

277.4 529.0 578.6 691.5 1082.1 1215.3 222.5 198.7 177.3 291.2 270.0 257.4 149.5 118.3 85.8 305.1 214.0 146.5

409.1 610.2 801.2 968.5 1280.8 1611.6 268.2 261.3 234.3 364.1 350.4 334.8 178.6 156.2 114.1 346.5 280.6 193.0

359.5 500.7 574.0 757.8 799.2 966.1 219.6 204.7 182.7 287.5 274.9 261.1 141.6 121.9 88.4 256.1 201.4 140.3

288.6 507.1 632.6 770.0 1027.0 1557.1 215.5 204.6 183.7 293.4 273.7 261.3 148.6 122.5 89.6 314.1 232.9 158.1

235.1 372.9 575.5 730.5 943.8 1322.5 185.5 173.9 158.3 236.1 227.6 218.8 122.2 103.9 77.0 274.1 202.9 138.9

323.1 506.2 531.5 627.5 766.2 955.4 213.1 194.0 172.8 275.0 260.5 246.9 143.2 116.2 84.4 273.1 189.7 131.7

329.6 423.1 589.4 689.1 578.1 801.3 212.3 194.9 175.3 278.6 261.0 249.8 139.2 116.6 85.4 233.8 180.8 127.7

295.9 413.0 623.7 653.7 1198.2 1130.6 207.7 190.8 171.9 269.0 250.7 239.8 133.9 113.6 83.2 323.1 208.4 143.6

258.6 376.1 509.6 855.2 978.6 1111.6 174.9 159.3 142.3 229.7 212.0 201.7 117.7 95.3 69.4 267.5 192.9 132.0

407.3 486.8 609.4 789.1 833.4 697.4 255.7 231.5 208.8 331.4 308.2 295.7 168.2 137.9 101.0 288.9 207.2 148.2

515.1 603.5 762.9 738.8 1184.8 1059.5 333.5 296.1 267.9 423.3 393.8 378.7 224.1 177.3 130.6 373.6 265.2 188.5

396.1 519.3 734.1 839.1 975.7 1206.6 310.2 261.2 237.7 389.4 347.5 336.1 215.7 155.5 115.0 415.2 249.5 175.8

263.8 362.6 517.9 652.3 711.2 799.9 182.3 166.6 149.8 232.5 220.6 211.3 120.0 100.9 74.5 223.5 169.2 119.1

263.0 378.3 663.4 584.9 721.8 761.5 182.9 165.6 147.6 238.7 223.8 212.8 122.4 98.6 71.4 230.0 163.3 113.6

373.5 659.8 859.3 913.7 1306.6 1490.4 272.6 271.4 243.4 371.2 363.7 347.9 164.8 162.0 118.2 320.0 279.5 193.3

301.7 590.0 692.5 862.9 810.1 829.9 266.5 237.4 213.8 349.3 321.4 308.7 178.4 141.4 103.5 304.6 217.8 154.9

339.0 430.7 664.4 750.8 956.1 1162.4 227.8 209.8 189.3 302.0 281.0 270.1 154.2 125.6 92.3 311.4 217.0 150.7

324.8 633.5 530.2 518.0 794.8 511.4 246.6 219.5 194.9 320.4 298.2 282.9 157.3 130.7 94.3 249.7 181.3 129.4

160.9 300.9 507.3 649.7 936.9 812.5 179.9 159.7 146.8 230.4 217.0 213.0 122.9 95.1 71.0 279.8 171.2 120.5

209.0 334.3 591.6 581.9 650.8 1087.6 167.0 155.3 139.9 219.6 209.9 201.8 108.6 93.0 68.3 236.7 169.1 115.7

334.6 382.0 551.3 721.4 644.6 1060.2 173.5 178.3 160.5 227.1 232.9 221.2 100.9 106.6 78.2 197.6 185.5 128.5

0-6435-6425-64Uzrast (Age)


IVe Standardizovane stope incidencije od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma po okruzima u Srbiji, 2008. godina IVe Standardized incidence rates of myocardial infarction, unstable angina and acute coronary syndrome by administrative districts, Serbia, 2008

Slika 5. Standardizovane stope incidencije od akutnog infarkta miokarda na 100.000 stanovnika po okruzima, Srbija, 2008. godina

*

Figure 5. Age-standardized incidence rates of acute myocardial infarction per 100.000 population by administrative districts, Serbia, 2008

*

*Prema populaciji sveta*By World standard population

Zapadnoba kič

Severnoba kičSevernobanatski

Južnoba kičSrednjebanatski

JužnobanatskiSremski

Ma vanskičBeograd

P injskič

Jablani kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski

Moravi kič Pomoravski

Borski

Zaje arskič

PodunavskiBrani evskič

>150,1

130.1 - 150,0

110,1 - 130,0

90,1 - 110,0

<90,0

Zapadnoba kič




Ma vanskičBeograd

P injskič

Jablani kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski


Borski

Zaje arskič

Podunavski

Slika 6. Standardizovane stope incidencije od nestabilne angine pektoris na 100.000 Srbija, 2008. godina

stanovnika po okruzima, Figure 6. Age-standardized incidence rates of unstable angina per 100.000 population by administrative districts, Serbia, 2008

*


Brani evskič

>70,1

50.1 - 70,0

30,1 - 50,0

10,1 - 30,0

<10,0

Slika 7. Standardizovane stope incidencije akutnog koronarnog sindroma na 100.000 stanovnika po okruzima, Srbija, 2008. godina

* od

Figure 7. Age-standardized incidence rates of acute coronary syndrome per 100.000 population by administrative districts, Serbia, 2008

*


Zapadnoba kič




Ma vanskičBeograd

P injskič

Jablani kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski


Borski

Zaje arskič

PodunavskiBrani evskič

>180,1

160.1 - 180,0

140,1 - 160,0

120,1 - 140,0

<120,0

IVf Broj umrlih od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVf Number of deaths of myocardial infarction, unstable angina and acute coronary syndrome in Serbia, 2008

Tabela 15. Broj umrlih od infarkta miokarda prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 15. Number of death caused by myocardial infarctionby region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %301 502 476 582 724 1232 1600 100.0% 1581 100.0% 1602 100.0% 4140 100.0%71 139 195 285 546 1392 484 100.0% 478 100.0% 485 100.0% 2708 100.0%97 155 134 162 196 287 489 30.6% 484 30.6% 489 30.5% 1134 27.4%18 39 51 79 165 346 124 25.6% 124 25.9% 124 25.6% 714 26.4%204 347 342 420 528 945 1111 69.4% 1097 69.4% 1113 69.5% 3006 72.6%53 100 144 206 381 1046 360 74.4% 354 74.1% 361 74.4% 1994 73.6%8 14 15 14 11 20 46 3% 46 3% 46 3% 91 2%1 4 6 5 3 22 12 2% 12 3% 12 2% 42 2%14 21 13 21 25 31 60 4% 60 4% 60 4% 137 3%4 5 9 12 20 36 21 4% 21 4% 21 4% 89 3%10 17 22 23 21 35 62 4% 62 4% 62 4% 141 3%3 4 3 6 11 31 12 2% 12 3% 12 2% 60 2%13 20 10 21 27 20 55 3% 53 3% 55 3% 123 3%3 5 11 13 27 58 21 4% 21 4% 21 4% 119 4%11 15 15 3 23 38 49 3% 49 3% 49 3% 113 3%1 7 4 12 22 36 13 3% 13 3% 13 3% 83 3%28 44 42 52 62 95 150 9% 148 9% 150 9% 359 9%5 7 11 18 52 98 27 6% 27 6% 27 6% 195 7%13 24 17 28 27 48 67 4% 66 4% 67 4% 170 4%1 7 7 13 30 65 18 4% 18 4% 18 4% 126 5%41 90 90 102 139 263 271 17% 268 17% 272 17% 776 19%10 26 41 58 98 303 90 19% 90 19% 90 19% 549 20%14 26 29 29 38 69 83 5% 83 5% 83 5% 219 5%4 7 8 8 28 82 24 5% 24 5% 25 5% 143 5%4 20 11 10 15 37 43 3% 43 3% 44 3% 106 3%3 3 4 9 10 28 12 2% 12 3% 12 2% 59 2%13 18 15 14 21 36 61 4% 59 4% 61 4% 132 3%4 8 5 7 17 39 21 4% 21 4% 21 4% 84 3%8 14 17 17 39 57 48 3% 48 3% 48 3% 161 4%0 7 9 8 24 90 18 4% 17 4% 18 4% 140 5%15 20 17 27 18 41 63 4% 62 4% 63 4% 149 4%3 5 12 13 22 53 23 5% 23 5% 23 5% 111 4%12 10 8 12 17 14 37 2% 37 2% 37 2% 80 2%2 2 4 8 9 21 17 4% 16 3% 17 4% 55 2%5 6 10 16 16 24 31 2% 31 2% 31 2% 87 2%1 5 1 5 7 22 9 2% 9 2% 9 2% 43 2%6 9 6 13 19 33 25 2% 25 2% 25 2% 90 2%1 4 2 6 10 25 10 2% 10 2% 10 2% 51 2%16 16 10 24 25 41 51 3% 51 3% 51 3% 141 3%4 5 13 8 24 45 24 5% 24 5% 24 5% 101 4%5 8 10 15 10 21 26 2% 26 2% 26 2% 72 2%1 2 6 4 8 28 11 2% 10 2% 11 2% 51 2%19 19 30 32 47 70 87 5% 85 5% 87 5% 236 6%5 10 11 13 26 67 30 6% 30 6% 30 6% 136 5%8 22 9 16 19 26 47 3% 47 3% 47 3% 108 3%2 1 6 7 11 39 14 3% 12 3% 14 3% 71 3%11 21 24 24 25 64 72 5% 70 4% 72 4% 185 4%5 5 3 7 19 62 14 3% 14 3% 14 3% 102 4%8 13 10 6 15 21 40 3% 40 3% 40 2% 82 2%0 2 3 9 12 20 7 1% 7 1% 7 1% 48 2%2 8 7 13 16 22 20 1% 20 1% 20 1% 71 2%0 0 1 4 12 28 2 0% 2 0% 2 0% 46 2%7 11 13 24 24 62 41 3% 39 2% 41 3% 151 4%2 2 7 20 29 53 11 2% 11 2% 11 2% 113 4%10 16 26 26 25 44 65 4% 63 4% 65 4% 160 4%6 6 8 12 15 41 23 5% 22 5% 23 5% 91 3%

Uzrast Ukupan broj i učešće (Total number and proportion)(Age) 25-64 35-64 0-64 0-75+

Tabela 16. Broj umrlih od infarkta miokarda prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 16. Number of death caused by myocardial infarctionby region, administrative district and age, Serbia, 2008



Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ Broj % Broj % Broj % Broj %372 641 671 867 1270 2624 2084 100.0% 2059 100.0% 2087 100.0% 6848 100.0%

115 194 185 241 361 633 613 29.4% 608 29.5% 613 29.4% 1848 27.0%

257 447 486 626 909 1991 1471 70.6% 1451 70.5% 1474 70.6% 5000 73.0%

9 18 21 19 14 42 58 3% 58 3% 58 3% 133 2%

18 26 22 33 45 67 81 4% 81 4% 81 4% 226 3%

13 21 25 29 32 66 74 4% 74 4% 74 4% 201 3%

16 25 21 34 54 78 76 4% 74 4% 76 4% 242 4%

12 22 19 15 45 74 62 3% 62 3% 62 3% 196 3%

33 51 53 70 114 193 177 8% 175 8% 177 8% 554 8%

14 31 24 41 57 113 85 4% 84 4% 85 4% 296 4%

51 116 131 160 237 566 361 17% 358 17% 362 17% 1325 19%

18 33 37 37 66 151 107 5% 107 5% 108 5% 362 5%

7 23 15 19 25 65 55 3% 55 3% 56 3% 165 2%

17 26 20 21 38 75 82 4% 80 4% 82 4% 216 3%

8 21 26 25 63 147 66 3% 65 3% 66 3% 301 4%

18 25 29 40 40 94 86 4% 85 4% 86 4% 260 4%

14 12 12 20 26 35 54 3% 53 3% 54 3% 135 2%

6 11 11 21 23 46 40 2% 40 2% 40 2% 130 2%

7 13 8 19 29 58 35 2% 35 2% 35 2% 141 2%

20 21 23 32 49 86 75 4% 75 4% 75 4% 242 4%

6 10 16 19 18 49 37 2% 36 2% 37 2% 123 2%

24 29 41 45 73 137 117 6% 115 6% 117 6% 372 5%

10 23 15 23 30 65 61 3% 59 3% 61 3% 179 3%

16 26 27 31 44 126 86 4% 84 4% 86 4% 287 4%

8 15 13 15 27 41 47 2% 47 2% 47 2% 130 2%

2 8 8 17 28 50 22 1% 22 1% 22 1% 117 2%

9 13 20 44 53 115 52 2% 50 2% 52 2% 264 4%

16 22 34 38 40 85 88 4% 85 4% 88 4% 251 4%


Tabela 17. Broj umrlih od nestabilne angine pektoris prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 17. Number of death caused by unstable angina by region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)





Tabela 18. Broj umrlih od nestabilne angine pektoris prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 18. Number of death caused by unstable angina by region, administrative district and age, Serbia, 2008



Uzrast(Age)




0 6 2 7 10 27 9 16.4% 8 15.1% 9 16.4% 53 17.1%

6 19 17 32 52 127 46 83.6% 45 84.9% 46 83.6% 257 82.9%

0 0 0 0 0 0 0 0% 0 0% 0 0% 0 0%

0 0 1 1 1 1 1 2% 1 2% 1 2% 4 1%

0 0 0 0 0 2 0 0% 0 0% 0 0% 2 1%

0 1 0 0 2 0 1 2% 1 2% 1 2% 3 1%

0 3 0 3 2 6 3 5% 3 6% 3 5% 14 5%

0 2 0 1 0 7 2 4% 2 4% 2 4% 10 3%

0 0 1 2 5 11 2 4% 1 2% 2 4% 20 6%

4 8 12 19 32 106 27 49% 27 51% 27 49% 184 59%

1 2 0 2 1 1 3 5% 3 6% 3 5% 7 2%

0 0 0 0 1 0 0 0% 0 0% 0 0% 1 0%

0 2 0 0 1 2 2 4% 2 4% 2 4% 5 2%

0 1 1 0 0 0 3 5% 2 4% 3 5% 3 1%

1 1 0 3 2 3 2 4% 2 4% 2 4% 10 3%

0 1 2 0 2 0 3 5% 3 6% 3 5% 5 2%

0 0 0 0 1 0 0 0% 0 0% 0 0% 1 0%

0 1 0 0 0 2 1 2% 1 2% 1 2% 3 1%

0 0 1 2 0 2 1 2% 1 2% 1 2% 5 2%

0 0 0 0 2 0 0 0% 0 0% 0 0% 2 1%

0 0 0 1 1 1 0 0% 0 0% 0 0% 3 1%

0 0 0 1 2 1 0 0% 0 0% 0 0% 4 1%

0 1 0 1 3 8 1 2% 1 2% 1 2% 13 4%

0 0 0 0 0 1 0 0% 0 0% 0 0% 1 0%

0 0 1 1 1 0 1 2% 1 2% 1 2% 3 1%

0 1 0 1 3 0 1 2% 1 2% 1 2% 5 2%

0 1 0 1 0 0 1 2% 1 2% 1 2% 2 1%


Tabela 19. Broj umrlih od akutnog koronarnog sindroma prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 19. Number of death caused by acute coronary syndromeby region,administrative district, age and sex, Serbia, 2008



Uzrast(Age)





Tabela 20. Broj umrlih od akutnog koronarnog sindroma prema regionima, okruzima i uzrastu, Srbija, 2008. godina

Table 20. Number of death caused by acute coronary syndromeby region, administrative district and age, Serbia, 2008



Uzrast(Age)




115 200 187 248 371 660 622 29.1% 616 29.2% 622 29.0% 1901 26.6%

263 466 503 658 961 2118 1517 70.9% 1496 70.8% 1520 71.0% 5257 73.4%

9 18 21 19 14 42 58 3% 58 3% 58 3% 133 2%

18 26 23 34 46 68 82 4% 82 4% 82 4% 230 3%

13 21 25 29 32 68 74 3% 74 4% 74 3% 203 3%

16 26 21 34 56 78 77 4% 75 4% 77 4% 245 3%

12 25 19 18 47 80 65 3% 65 3% 65 3% 210 3%

33 53 53 71 114 200 179 8% 177 8% 179 8% 564 8%

14 31 25 43 62 124 87 4% 85 4% 87 4% 316 4%

55 124 143 179 269 672 388 18% 385 18% 389 18% 1509 21%

19 35 37 39 67 152 110 5% 110 5% 111 5% 369 5%

7 23 15 19 26 65 55 3% 55 3% 56 3% 166 2%

17 28 20 21 39 77 84 4% 82 4% 84 4% 221 3%

8 22 27 25 63 147 69 3% 67 3% 69 3% 304 4%

19 26 29 43 42 97 88 4% 87 4% 88 4% 270 4%

14 13 14 20 28 35 57 3% 56 3% 57 3% 140 2%

6 11 11 21 24 46 40 2% 40 2% 40 2% 131 2%

7 14 8 19 29 60 36 2% 36 2% 36 2% 144 2%

20 21 24 34 49 88 76 4% 76 4% 76 4% 247 3%

6 10 16 19 20 49 37 2% 36 2% 37 2% 125 2%

24 29 41 46 74 138 117 5% 115 5% 117 5% 375 5%

10 23 15 24 32 66 61 3% 59 3% 61 3% 183 3%

16 27 27 32 47 134 87 4% 85 4% 87 4% 300 4%

8 15 13 15 27 42 47 2% 47 2% 47 2% 131 2%

2 8 9 18 29 50 23 1% 23 1% 23 1% 120 2%

9 14 20 45 56 115 53 2% 51 2% 53 2% 269 4%

16 23 34 39 40 85 89 4% 86 4% 89 4% 253 4%


IVg Stope mortaliteta od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma u Srbiji, 2008. godina IVg Mortality rates of myocardial infarction, unstable angina and acute coronary syndrome, Serbia, 2008

Tabela 21. Stope mortaliteta od infarkta miokarda na 100.000 stanovnika prema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 21. Mortality rates of myocardial infarction per 100.000 populationby region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W107.3 182.3 259.3 347.7 449.9 601.7 80.5 76.4 68.6 107.7 102.6 98.0 52.7 45.6 33.2 115.8 92.0 62.424.4 47.4 93.2 139.7 260.1 440.6 23.7 21.5 19.4 31.1 28.8 27.6 15.9 12.8 9.4 71.7 42.4 27.0124.9 212.3 274.9 374.8 499.7 638.3 89.7 86.0 76.9 120.2 115.6 110.3 58.6 51.2 37.2 117.9 101.1 68.622.8 50.5 88.6 141.8 297.4 433.7 22.5 20.1 18.0 29.7 27.4 26.1 15.0 12.0 8.7 70.2 42.6 27.0100.5 171.5 253.7 338.3 433.9 591.4 77.1 72.8 65.4 103.0 97.7 93.4 50.4 43.5 31.7 115.1 88.9 60.225.0 46.2 95.0 138.9 246.7 443.0 24.1 22.0 19.9 31.6 29.3 28.2 16.3 13.2 9.7 72.3 42.4 27.0105.2 195.9 303.0 321.3 300.0 467.8 85.8 82.2 73.7 116.9 111.7 107.0 56.9 48.9 35.7 97.6 84.1 58.212.6 53.0 102.3 85.8 56.8 264.2 22.0 19.3 17.2 29.2 26.2 25.0 14.9 11.5 8.3 41.9 25.9 16.7176.6 280.1 259.2 480.5 618.8 668.7 110.5 102.4 90.7 146.7 139.1 131.6 72.9 61.0 43.9 143.7 118.8 81.051.1 63.5 147.2 207.5 340.5 429.7 39.2 33.8 30.4 50.5 45.9 44.1 26.3 20.1 14.7 89.1 53.6 35.3158.0 295.8 520.1 626.4 693.1 907.4 143.2 133.5 120.5 190.1 181.5 174.9 94.7 79.5 58.3 185.5 152.9 105.048.4 66.4 61.2 128.1 246.1 457.7 28.2 24.4 21.5 36.4 33.2 31.2 18.9 14.5 10.4 75.6 43.8 27.6105.1 172.9 131.5 321.5 454.5 278.1 65.7 60.9 54.0 85.1 79.5 74.7 42.7 36.3 26.1 82.8 69.9 48.624.6 42.3 124.9 157.7 320.9 475.3 25.3 22.5 20.3 33.3 30.6 29.5 16.7 13.4 9.8 76.8 46.9 29.8141.3 192.6 285.0 64.7 529.0 774.7 89.2 82.1 73.1 118.5 111.6 106.1 59.4 48.9 35.4 117.2 93.0 60.913.0 86.5 67.0 197.9 350.4 389.3 24.0 19.7 17.0 30.9 26.8 24.7 16.2 11.8 8.2 81.7 44.5 28.4125.3 204.7 298.1 414.8 544.1 766.8 90.2 90.7 81.7 123.5 121.7 116.9 58.8 54.0 39.5 123.2 111.6 75.420.8 29.5 64.3 110.6 331.2 448.2 15.3 14.6 13.1 20.9 19.8 19.0 10.4 8.7 6.3 62.0 40.0 24.897.8 203.6 223.7 393.3 396.8 622.8 75.2 71.9 63.8 99.5 96.1 90.9 48.0 42.8 30.9 105.5 90.7 60.97.6 57.5 79.8 146.9 317.1 500.2 20.3 18.5 16.6 26.5 25.2 24.1 13.2 11.0 8.0 75.4 45.2 28.270.2 149.9 225.8 291.3 408.2 635.4 61.7 60.3 54.2 85.4 81.1 77.5 41.5 36.0 26.4 101.3 81.4 54.114.8 36.1 83.2 130.4 222.0 464.1 18.2 16.9 15.3 25.0 23.0 22.2 12.8 10.1 7.4 64.2 39.4 24.5107.0 217.3 376.8 424.6 548.1 803.4 95.8 90.5 81.0 127.0 122.9 117.6 62.4 53.9 39.2 141.0 113.5 76.231.1 58.8 98.6 100.6 308.8 647.8 28.1 25.9 23.3 36.6 35.2 33.8 19.4 16.2 12.3 90.2 53.7 33.653.7 289.5 249.3 231.3 313.9 577.3 87.2 78.9 69.5 114.3 107.3 101.0 59.3 48.3 35.1 118.2 84.7 57.440.5 44.6 83.2 177.2 168.8 315.6 24.6 22.3 20.0 31.9 30.3 29.0 16.6 13.3 9.7 63.9 36.6 24.0156.2 218.2 295.5 336.5 487.8 616.4 109.2 102.2 92.3 142.1 133.9 128.6 70.7 60.9 44.7 131.2 106.9 73.747.8 96.4 91.9 132.8 306.0 432.8 38.0 33.7 29.9 49.9 45.8 43.4 25.0 20.1 14.5 80.9 49.7 32.2124.3 199.7 352.9 401.5 919.6 706.8 99.0 92.9 83.7 132.8 126.2 121.5 63.1 55.3 40.5 174.0 121.2 82.20.0 96.2 160.6 148.0 415.7 712.4 36.5 30.4 27.3 45.9 38.6 36.5 23.8 18.1 13.2 140.9 63.0 39.3

121.0 168.1 238.2 404.4 279.2 493.2 78.7 73.3 65.5 104.8 97.9 93.2 52.3 43.7 31.7 104.9 83.1 57.123.6 40.7 154.3 168.7 279.9 425.1 28.1 25.9 23.6 37.2 35.2 34.3 19.0 15.4 11.4 74.6 45.9 29.8142.1 119.5 145.6 234.7 316.8 173.5 65.3 59.1 52.5 86.8 80.3 76.3 42.5 35.2 25.4 75.8 57.1 40.523.5 23.6 65.0 127.1 124.4 168.9 29.5 28.4 27.1 36.4 36.0 36.6 19.6 16.9 13.1 48.9 30.6 21.996.1 114.1 258.1 484.0 533.5 517.0 85.7 79.3 73.3 112.1 107.7 106.5 56.6 47.2 35.5 132.4 98.1 68.518.9 88.1 23.5 117.0 178.5 324.5 24.7 20.2 17.6 31.5 27.4 25.5 16.8 12.0 8.5 62.6 33.7 21.5127.3 168.7 146.5 346.8 569.0 586.9 74.8 62.8 55.3 96.8 85.3 80.3 51.6 37.4 26.8 147.1 87.7 58.420.5 68.6 46.0 130.6 235.6 286.9 30.0 24.3 22.0 37.7 33.0 32.0 21.1 14.5 10.7 78.4 36.6 24.3133.5 140.7 133.6 331.5 373.4 486.6 63.0 57.5 50.7 82.7 78.2 73.6 40.6 34.3 24.5 95.3 74.4 50.033.6 43.4 163.2 97.0 278.1 384.6 29.9 27.1 24.5 38.6 36.8 35.5 19.5 16.1 11.8 66.7 42.0 27.255.7 92.4 193.0 286.5 183.1 296.0 44.2 41.0 36.6 58.7 55.8 53.2 29.3 24.4 17.7 67.6 50.5 34.710.8 22.8 105.8 64.3 118.9 288.2 18.5 17.5 16.2 21.8 21.2 20.7 12.5 10.4 7.8 46.2 26.9 17.3183.6 199.1 473.0 536.4 790.2 961.9 115.1 117.7 106.7 156.3 156.6 151.2 68.0 70.1 51.6 160.5 146.0 99.146.3 99.9 153.7 187.1 368.1 731.4 38.0 37.4 33.2 52.3 50.8 48.1 23.4 22.2 16.0 89.8 67.6 42.580.4 212.9 134.9 265.6 319.1 308.9 70.5 61.1 53.6 93.3 83.0 77.8 46.9 36.4 25.9 89.5 64.9 44.720.1 9.7 85.1 100.6 146.6 307.8 21.1 20.1 19.6 23.5 22.7 22.6 14.2 12.0 9.5 56.4 31.4 20.978.8 142.8 228.2 240.0 258.6 516.4 70.5 65.2 59.3 92.5 85.9 82.7 47.1 38.8 28.7 100.1 72.6 49.435.6 33.3 26.9 64.2 167.3 364.1 13.6 12.1 10.4 18.2 16.4 15.1 9.2 7.2 5.0 53.5 28.6 17.2235.8 356.6 387.7 216.8 571.0 618.2 159.4 145.2 129.9 208.0 197.4 188.5 101.5 86.5 62.8 170.2 127.5 88.70.0 60.6 111.0 297.6 351.7 415.4 30.2 26.3 24.3 39.1 35.7 35.2 19.3 15.6 11.7 101.0 53.0 35.250.9 203.2 241.5 438.6 531.0 510.1 75.1 63.8 56.6 96.3 86.7 82.1 51.5 38.0 27.4 144.5 87.7 59.40.0 0.0 35.5 131.6 353.9 495.0 8.2 7.4 7.2 10.4 10.0 10.5 5.6 4.4 3.5 95.7 39.6 24.282.9 127.1 220.6 400.1 413.7 904.2 66.3 62.8 56.9 83.4 80.8 77.7 42.7 37.4 27.5 131.7 97.9 64.025.6 23.8 114.6 297.7 391.2 546.8 18.6 16.9 15.1 24.6 22.9 22.0 12.1 10.1 7.3 98.4 54.5 34.5133.1 245.6 545.2 572.3 616.1 939.0 111.8 118.9 107.4 148.4 157.0 150.9 64.2 70.8 52.0 139.7 142.0 96.684.2 91.3 153.6 232.6 285.7 601.1 40.7 41.3 36.6 52.8 53.8 50.5 23.7 24.6 17.7 79.7 63.8 41.2

Uzrast Mortalitet (Mortality)(Age) 25-64 35-64 0-64 0-75+

Tabela 22. Stope m ortaliteta od infarkta m iokarda na 100.000 stanovnikaprem a regionim a, okruzim a i uzrastu, Srbija, 2008. godina

Table 22. M ortality rates of m yocardial infarction per 100.000 populationby region, adm inistrative district and age, Serbia, 2008


0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 0.0 0.2 0.4 0.8 4.1 8.8 22.4 43.9(Serb ia)Vojvodina 0.0 0.0 0.0 0.0 0.0 0.0 3.6 7.8 27.5 46.3(Vojvodina)Centralna Srbija 0.0 0.0 0.0 0.3 0.6 1.1 4.3 9.1 20.4 43.0(Central Serbia)Severnobački 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 30.8 42.1(North Backa)Srednjebanatski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 24.5 36.5 48.9(M iddle Banat) Severnobanatski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 31.5 18.9 83.3(North Banat) Južnobanatski 0 .0 0.0 0.0 0.0 0.0 0.0 9.7 5.1 25.5 27.4(South Banat)Zapadnobački 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 29.0 34.2(W est Backa) Južnobački 0 .0 0.0 0.0 0.0 0.0 0.0 4.3 2.4 26.6 60.4(South Backa) Srem ski 0.0 0.0 0.0 0.0 0.0 0.0 4.7 9.8 26.8 28.5(Srem ) Grad Beograd 0.0 0.0 0.0 0.0 0.9 1.5 0.8 8.9 16.3 30.1(C ity of Belgrade)M ačvanski 0 .0 0.0 0.0 5.1 0.0 0.0 0.0 9.9 19.0 54.4(Macva) Kolubarski 0 .0 0.0 0.0 0.0 8.6 0.0 0.0 0.0 24.5 50.0(Kolubara) Podunavski 0 .0 0.0 0.0 0.0 0.0 0.0 14.3 15.3 31.5 77.7(Danube)Braničevski 0 .0 0.0 0.0 0.0 0.0 0.0 7.8 7.7 26.5 52.7(Branicevo) Šum adijski 0 .0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 38.8 28.9(Sum adija) Pom oravski 0.0 0.0 0.0 0.0 0.0 0.0 7.1 22.4 7.7 74.7(Morava) Borski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47.7 83.3(Bor) Zaječarski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 13.8 71.3(Zajecar) Zlatiborski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 5.3 19.9 26.6(Z latibor)M oravički 0 .0 0.0 0.0 0.0 0.0 0.0 7.0 0.0 0.0 25.0(Moravica)Raški 0 .0 0.0 0.0 0.0 0.0 0.0 9.4 10.3 32.2 66.7(Raska) Rasinski 0 .0 0.0 0.0 0.0 0.0 6.6 6.0 12.9 26.7 30.2(Rasina) Nišavski 0.0 0.0 0.0 0.0 0.0 3.8 3.8 8.3 16.4 36.4(N isava) Toplički 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 50.5 48.4 79.4(Toplica) Pirotski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 15.7 43.6(P irot) Jablanički 0 .0 0.0 0.0 0.0 0.0 0.0 13.1 13.4 19.6 18.8(Jablanica)Pč in jski 0 .0 0.0 0.0 0.0 0.0 0.0 19.7 12.7 6.4 66.8(Pcin j)

Uzrast(Age)




73.4 129.1 174.0 243.6 381.2 507.4 55.9 52.0 46.5 74.1 70.0 66.8 36.9 31.0 22.5 93.4 69.0 46.0

62.0 106.8 169.7 229.8 329.2 502.9 50.1 46.5 41.9 66.4 62.3 59.7 33.3 27.8 20.3 93.1 63.9 42.5

58.0 122.5 194.2 186.6 156.4 333.3 53.6 49.5 44.3 72.1 67.2 64.3 35.9 29.5 21.4 68.8 51.7 35.3

114.2 169.1 197.7 325.0 453.9 514.8 75.1 67.4 60.0 98.2 91.6 87.0 50.0 40.1 29.0 115.8 82.9 56.1

103.8 178.3 273.9 347.1 426.7 620.9 86.2 77.4 69.6 112.9 105.2 101.0 57.4 46.1 33.7 129.4 92.5 62.7

65.1 106.9 128.0 230.1 376.2 402.2 45.6 41.7 37.1 59.1 55.0 52.0 29.8 24.8 18.0 79.8 58.7 39.2

77.4 138.6 169.1 140.2 423.4 522.9 56.8 50.2 44.4 74.3 68.2 64.4 38.2 29.9 21.5 99.0 65.8 43.1

71.1 112.8 169.8 243.0 420.8 563.5 51.7 50.6 45.5 70.3 67.9 65.2 34.3 30.1 22.0 91.5 71.7 47.5

53.0 129.4 146.6 256.8 350.4 545.8 47.9 44.7 39.7 62.6 59.9 56.7 30.9 26.6 19.2 90.1 66.3 43.5

40.4 87.8 146.9 201.3 303.1 530.6 38.7 36.8 33.1 53.1 49.5 47.5 26.7 22.0 16.1 81.7 57.9 37.7

69.4 138.2 234.0 250.3 412.5 710.7 62.2 57.9 51.9 81.8 78.7 75.3 41.3 34.9 25.6 115.4 81.9 53.8

47.1 168.7 162.7 202.1 233.6 425.3 56.1 50.5 44.6 73.1 68.6 64.8 38.2 30.8 22.3 90.7 59.5 40.0

101.9 157.1 190.1 222.6 385.4 505.0 73.8 67.5 60.7 95.7 89.2 85.4 48.2 40.2 29.4 105.7 76.5 51.8

62.3 147.0 249.5 259.4 629.1 710.2 67.5 60.9 54.8 88.8 81.4 78.0 43.5 36.3 26.5 156.8 89.9 59.2

71.6 103.3 194.4 278.1 279.6 452.3 53.1 49.1 44.1 70.2 65.8 63.1 35.6 29.2 21.3 89.4 63.6 42.8

82.6 71.2 103.0 175.4 206.4 170.7 47.3 43.5 39.6 61.2 57.8 56.1 31.1 25.9 19.2 61.9 43.1 30.6

57.2 100.6 135.4 277.0 332.3 402.8 55.1 49.0 44.8 71.1 66.6 65.0 36.9 29.2 21.7 96.7 63.1 43.2

73.0 116.4 94.7 227.8 382.4 404.5 52.4 43.0 38.2 66.8 58.4 55.5 36.5 25.6 18.5 111.7 59.5 39.8

83.7 91.7 148.9 206.7 319.7 427.3 46.5 42.3 37.6 60.5 57.5 54.6 30.2 25.2 18.2 80.8 57.4 38.1

32.9 57.3 147.4 165.9 147.6 291.5 31.3 29.0 26.1 40.0 38.1 36.6 21.0 17.2 12.6 56.7 38.1 25.5

113.5 148.3 303.7 348.5 561.1 833.4 75.8 76.1 68.6 102.9 101.7 97.7 45.7 45.3 33.2 124.6 104.4 69.2

50.3 111.2 109.3 177.2 223.0 308.2 45.8 40.4 36.5 58.2 52.7 50.1 30.7 24.1 17.6 72.6 47.5 32.3

57.1 87.5 124.6 148.2 209.3 428.3 41.9 38.3 34.5 55.0 50.6 48.4 28.3 22.8 16.7 76.4 49.6 32.7

123.7 216.0 246.2 259.0 447.1 499.3 97.4 87.6 78.6 126.6 119.0 114.1 62.1 52.1 38.0 135.8 90.1 62.1

26.8 104.7 140.0 283.2 437.2 501.6 43.0 36.4 32.6 55.1 49.5 47.4 29.4 21.7 15.8 120.3 63.8 42.0

55.3 76.3 166.7 346.0 401.1 694.9 43.0 40.2 36.4 54.6 52.3 50.3 27.8 24.0 17.6 115.1 75.0 48.7

109.3 168.1 340.8 391.6 429.7 738.7 76.7 79.5 71.4 101.1 104.6 99.9 44.4 47.4 34.6 109.7 100.3 67.3


Tabela 23. Stope mortaliteta od nestabilne angine pektoris na 100.000 stanovnikaprema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 23. Mortality rates of unstable angina per 100.000 populationby region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)





Tabela 24. Stope m ortaliteta od nestabilne angine pektoris na 100.000 stanovnikaprem a regionim a, okruzim a, uzrastu i polu, Srbija, 2008. godina

Table 24. M ortality rates of unstable angina per 100.000 population by region, adm inistrative district, age and sex, Serbia, 2008


0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 0.0 0.0 0.0 0.0 0.4 0.0 0.2 0.4(Serbia)Vojvodina 0.0 0.0 0.0 0.0 0.0 0.0 0.7 0.0 0.0 0.0(Vojvodina)Centralna Srbija 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.3 0.5(Central Serbia)Severnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(North Backa)Srednjebanatski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(M iddle Banat) Severnobanatski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(North Banat) Južnobanatski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(South Banat)Zapadnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(W est Backa) Južnobački 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(South Backa) Srem ski 0.0 0.0 0.0 0.0 0.0 0.0 4.7 0.0 0.0 0.0(Srem ) Grad Beograd 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 1.8(City of Belgrade)M ačvanski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Macva) Kolubarski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Kolubara) Podunavski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Danube)Braničevski 0.0 0.0 0.0 0.0 0.0 0.0 7.8 0.0 0.0 0.0(Branicevo) Šum adijski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Sumadija) Pom oravski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Morava) Borski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Bor) Zaječarski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Zajecar) Zlatiborski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Zlatibor)M oravički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Moravica)Raški 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Raska) Rasinski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Rasina) Nišavski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Nisava) Toplički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Toplica) Pirotski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Pirot) Jablanički 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Jablanica)Pč injski 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0(Pcinj)

Uzrast(Age)




0.0 4.0 1.9 7.1 10.6 21.6 0.8 0.7 0.6 1.0 0.9 0.8 0.5 0.4 0.3 2.7 1.9 1.1

1.4 4.5 5.9 11.7 18.8 32.1 1.6 1.4 1.2 2.1 1.9 1.7 1.0 0.8 0.6 4.8 3.1 1.9

0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

0.0 0.0 9.0 9.8 10.1 7.7 0.9 0.8 0.8 1.2 1.2 1.2 0.6 0.5 0.4 2.0 1.5 1.0

0.0 0.0 0.0 0.0 0.0 18.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.3 0.8 0.4

0.0 4.3 0.0 0.0 13.9 0.0 0.6 0.5 0.4 0.8 0.7 0.6 0.4 0.3 0.2 1.0 0.7 0.4

0.0 18.9 0.0 28.0 18.8 42.4 2.7 2.1 1.7 3.6 2.9 2.4 1.8 1.3 0.8 7.1 4.5 2.8

0.0 4.4 0.0 3.5 0.0 20.4 0.6 0.5 0.4 0.8 0.7 0.6 0.4 0.3 0.2 1.7 1.2 0.7

0.0 0.0 6.1 12.5 30.7 53.1 1.1 1.2 1.2 0.7 0.8 0.8 0.7 0.7 0.6 6.1 4.2 2.6

3.2 6.1 13.5 23.9 40.9 99.4 2.9 2.7 2.5 4.0 3.7 3.6 2.0 1.6 1.2 11.3 7.6 4.6

3.9 8.4 0.0 13.5 6.3 4.7 1.7 1.5 1.2 2.3 2.0 1.7 1.1 0.9 0.6 2.2 1.7 1.2

0.0 0.0 0.0 0.0 9.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.5 0.3 0.2

0.0 12.1 0.0 0.0 10.1 13.5 1.8 1.4 1.1 2.4 1.9 1.6 1.2 0.8 0.5 2.4 1.6 1.0

0.0 7.0 9.6 0.0 0.0 0.0 3.1 2.7 2.5 2.7 2.3 2.1 2.0 1.6 1.2 1.6 1.4 1.1

4.0 4.1 0.0 20.9 14.0 14.4 1.2 1.0 0.8 1.7 1.3 1.2 0.8 0.6 0.4 3.4 2.4 1.6

0.0 5.9 17.2 0.0 15.9 0.0 2.6 2.3 2.1 3.5 3.1 3.0 1.7 1.4 1.0 2.3 1.7 1.2

0.0 0.0 0.0 0.0 14.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.7 0.4 0.3

0.0 9.0 0.0 0.0 0.0 13.9 1.5 1.0 0.8 1.9 1.4 1.2 1.0 0.6 0.4 2.4 1.1 0.6

0.0 0.0 6.5 12.9 0.0 9.9 0.6 0.6 0.6 0.8 0.8 0.8 0.4 0.4 0.3 1.7 1.2 0.8

0.0 0.0 0.0 0.0 16.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.9 0.5 0.3

0.0 0.0 0.0 7.7 7.7 6.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.8 0.5

0.0 0.0 0.0 7.7 14.9 4.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.6 0.9 0.6

0.0 3.4 0.0 4.8 14.3 27.2 0.5 0.4 0.3 0.7 0.5 0.4 0.3 0.2 0.1 3.5 1.9 1.1

0.0 0.0 0.0 0.0 0.0 12.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.5 0.2

0.0 0.0 17.5 16.7 15.6 0.0 2.0 1.7 1.6 2.5 2.2 2.3 1.3 1.0 0.8 3.1 2.0 1.5

0.0 5.9 0.0 7.9 22.7 0.0 0.8 0.7 0.5 1.1 0.9 0.8 0.5 0.4 0.3 2.2 1.3 0.9

0.0 7.6 0.0 10.3 0.0 0.0 0.9 0.9 0.7 1.2 1.2 1.0 0.5 0.5 0.3 0.9 0.9 0.6


Tabela 25. Stope mortaliteta od akutnog koronarnog sindroma na 100.000 stanovnikaprema regionima, okruzima, uzrastu i polu, Srbija, 2008. godina

Table 25. Mortality rates of acute coronary syndrome per 100.000 population by region, administrative district, age and sex, Serbia, 2008



Uzrast(Age)



50-54 55-59 60-64 65-69 70-74 75+ CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W CR ASR-E ASR-W109.0 188.1 268.0 363.9 466.7 636.4 82.5 78.3 70.2 110.4 105.0 100.3 54.0 46.7 34.0 120.5 95.6 64.624.8 50.4 94.7 145.6 276.7 466.9 24.4 22.1 19.9 32.0 29.6 28.4 16.4 13.2 9.7 75.5 44.6 28.2124.9 219.1 279.0 384.0 509.9 665.0 91.0 87.2 77.9 121.9 117.2 111.7 59.4 51.9 37.7 120.7 103.5 70.122.8 51.8 88.6 147.2 308.2 452.5 22.8 20.5 18.3 29.9 27.6 26.3 15.2 12.2 8.9 72.7 44.1 27.9103.0 176.9 264.1 356.9 452.8 628.3 79.3 75.0 67.3 106.0 100.5 96.1 51.9 44.7 32.7 120.4 92.8 62.725.5 49.9 96.9 145.0 265.4 471.8 25.0 22.7 20.5 32.8 30.3 29.2 16.8 13.6 10.0 76.6 44.7 28.4105.2 195.9 303.0 321.3 300.0 467.8 85.8 82.2 73.7 116.9 111.7 107.0 56.9 48.9 35.7 97.6 84.1 58.212.6 53.0 102.3 85.8 56.8 264.2 22.0 19.3 17.2 29.2 26.2 25.0 14.9 11.5 8.3 41.9 25.9 16.7176.6 280.1 279.2 503.4 643.6 690.3 112.3 104.2 92.4 149.1 141.7 134.2 74.1 62.1 44.7 147.9 122.3 83.451.1 63.5 147.2 207.5 340.5 429.7 39.2 33.8 30.4 50.5 45.9 44.1 26.3 20.1 14.7 89.1 53.6 35.3158.0 295.8 520.1 626.4 693.1 933.4 143.2 133.5 120.5 190.1 181.5 174.9 94.7 79.5 58.3 186.8 154.0 105.548.4 66.4 61.2 128.1 246.1 472.5 28.2 24.4 21.5 36.4 33.2 31.2 18.9 14.5 10.4 76.8 44.4 27.9105.1 181.6 131.5 321.5 471.3 278.1 66.9 61.9 54.7 86.7 80.8 75.8 43.5 36.9 26.5 84.2 70.9 49.324.6 42.3 124.9 157.7 332.8 475.3 25.3 22.5 20.3 33.3 30.6 29.5 16.7 13.4 9.8 77.5 47.2 30.0141.3 218.3 285.0 86.2 529.0 795.1 92.8 85.0 75.4 123.3 115.6 109.4 61.8 50.6 36.5 121.4 96.2 63.013.0 98.9 67.0 230.9 382.2 443.3 25.8 21.1 18.1 33.3 28.7 26.3 17.5 12.6 8.8 91.5 49.6 31.6125.3 214.1 298.1 414.8 544.1 774.9 91.4 91.7 82.5 125.1 123.1 118.1 59.6 54.6 39.9 124.3 112.5 75.920.8 29.5 64.3 116.8 331.2 475.7 15.3 14.6 13.1 20.9 19.8 19.0 10.4 8.7 6.3 64.2 41.4 25.597.8 203.6 236.8 421.4 426.2 726.6 76.3 73.2 65.0 101.0 97.8 92.6 48.7 43.6 31.5 113.5 97.5 65.07.6 57.5 79.8 146.9 348.8 523.3 21.5 19.8 17.9 26.5 25.2 24.1 14.0 11.8 8.7 79.5 47.8 29.975.4 156.6 248.3 331.3 443.4 756.2 65.8 64.4 57.9 91.2 86.6 82.9 44.3 38.5 28.2 113.6 91.0 60.116.2 41.6 89.3 141.7 267.3 549.9 20.1 18.5 16.7 27.5 25.2 24.3 14.1 11.0 8.1 74.7 45.5 28.1114.6 234.1 376.8 453.9 562.5 803.4 99.2 93.4 83.4 131.6 126.9 121.0 64.7 55.6 40.3 144.8 116.7 78.531.1 58.8 98.6 100.6 308.8 655.7 28.1 25.9 23.3 36.6 35.2 33.8 19.4 16.2 12.3 90.9 54.0 33.853.7 289.5 249.3 231.3 313.9 577.3 87.2 78.9 69.5 114.3 107.3 101.0 59.3 48.3 35.1 118.2 84.7 57.440.5 44.6 83.2 177.2 185.7 315.6 24.6 22.3 20.0 31.9 30.3 29.0 16.6 13.3 9.7 65.0 37.1 24.3156.2 230.3 295.5 336.5 511.0 633.6 110.9 103.6 93.4 144.5 135.8 130.2 71.8 61.7 45.2 134.2 109.0 75.047.8 108.5 91.9 132.8 306.0 443.9 39.8 35.1 31.0 52.3 47.7 45.0 26.2 20.9 15.0 82.8 50.8 32.9124.3 214.0 373.7 401.5 919.6 706.8 105.2 98.5 88.9 138.3 131.1 126.0 67.1 58.7 43.0 177.2 124.1 84.60.0 96.2 160.6 148.0 415.7 712.4 36.5 30.4 27.3 45.9 38.6 36.5 23.8 18.1 13.2 140.9 63.0 39.3

129.0 176.5 238.2 434.4 294.7 493.2 81.2 75.3 67.2 108.2 100.6 95.6 53.9 44.9 32.5 108.4 85.9 59.023.6 40.7 154.3 181.7 292.7 449.1 28.1 25.9 23.6 37.2 35.2 34.3 19.0 15.4 11.4 78.0 47.8 30.9142.1 119.5 182.0 234.7 335.4 173.5 68.8 62.5 55.8 91.5 85.0 81.0 44.8 37.2 27.0 78.6 59.5 42.323.5 35.4 65.0 127.1 138.3 168.9 31.3 29.7 28.2 38.6 37.8 38.1 20.8 17.7 13.6 50.7 31.8 22.696.1 114.1 258.1 484.0 533.5 517.0 85.7 79.3 73.3 112.1 107.7 106.5 56.6 47.2 35.5 132.4 98.1 68.518.9 88.1 23.5 117.0 204.0 324.5 24.7 20.2 17.6 31.5 27.4 25.5 16.8 12.0 8.5 64.1 34.5 22.0127.3 168.7 146.5 346.8 569.0 604.7 74.8 62.8 55.3 96.8 85.3 80.3 51.6 37.4 26.8 148.7 88.4 58.820.5 85.7 46.0 130.6 235.6 298.3 33.0 26.2 23.5 41.4 35.6 34.2 23.2 15.6 11.4 81.5 38.1 25.2133.5 140.7 147.0 359.2 373.4 486.6 64.2 58.8 51.9 84.3 79.9 75.3 41.4 35.0 25.1 97.3 76.2 51.333.6 43.4 163.2 97.0 278.1 401.7 29.9 27.1 24.5 38.6 36.8 35.5 19.5 16.1 11.8 68.0 42.6 27.555.7 92.4 193.0 286.5 201.4 296.0 44.2 41.0 36.6 58.7 55.8 53.2 29.3 24.4 17.7 68.5 51.1 35.010.8 22.8 105.8 64.3 133.7 288.2 18.5 17.5 16.2 21.8 21.2 20.7 12.5 10.4 7.8 47.1 27.4 17.6183.6 199.1 473.0 553.1 807.0 975.7 115.1 117.7 106.7 156.3 156.6 151.2 68.0 70.1 51.6 162.5 147.8 100.346.3 99.9 153.7 187.1 368.1 731.4 38.0 37.4 33.2 52.3 50.8 48.1 23.4 22.2 16.0 89.8 67.6 42.580.4 212.9 134.9 265.6 335.9 308.9 70.5 61.1 53.6 93.3 83.0 77.8 46.9 36.4 25.9 90.4 65.4 45.020.1 9.7 85.1 115.0 160.0 315.7 21.1 20.1 19.6 23.5 22.7 22.6 14.2 12.0 9.5 58.8 32.7 21.878.8 149.6 228.2 240.0 279.3 564.8 71.4 66.0 59.9 93.8 86.9 83.6 47.8 39.3 29.0 105.0 75.5 51.135.6 33.3 26.9 73.3 176.1 375.9 13.6 12.1 10.4 18.2 16.4 15.1 9.2 7.2 5.0 55.6 29.7 17.9235.8 356.6 387.7 216.8 571.0 618.2 159.4 145.2 129.9 208.0 197.4 188.5 101.5 86.5 62.8 170.2 127.5 88.70.0 60.6 111.0 297.6 351.7 436.1 30.2 26.3 24.3 39.1 35.7 35.2 19.3 15.6 11.7 103.1 53.8 35.650.9 203.2 276.1 438.6 531.0 510.1 78.9 67.1 59.7 101.1 91.1 86.6 54.0 39.9 28.9 146.5 89.4 60.80.0 0.0 35.5 164.5 383.4 495.0 8.2 7.4 7.2 10.4 10.0 10.5 5.6 4.4 3.5 99.8 41.8 25.782.9 127.1 220.6 416.7 448.2 904.2 66.3 62.8 56.9 83.4 80.8 77.7 42.7 37.4 27.5 134.3 99.6 65.225.6 35.7 114.6 297.7 404.6 546.8 20.3 18.2 16.2 26.8 24.8 23.5 13.2 10.9 7.8 100.2 55.6 35.3133.1 260.9 545.2 594.3 616.1 939.0 113.5 120.7 108.8 150.8 159.4 152.9 65.2 71.9 52.6 141.5 143.8 97.984.2 91.3 153.6 232.6 285.7 601.1 40.7 41.3 36.6 52.8 53.8 50.5 23.7 24.6 17.7 79.7 63.8 41.2


Tabela 26. Stope m ortaliteta od akutnog koronarnog sindrom a na 100.000 stanovnikaprem a regionim a, okruzim a i uzrastu, Srbija, 2008. godina

Table 26. M ortality rates of acute coronary syndrom e per 100.000 populationby region, adm inistrative district and age, Serbia, 2008


0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49Srbija 0.0 0.0 0.0 0.2 0.4 0.8 4.5 8.8 22.6 44.3(Serb ia)Vojvodina 0.0 0.0 0.0 0.0 0.0 0.0 4.4 7.8 27.5 46.3(Vojvodina)Centralna Srbija 0.0 0.0 0.0 0.3 0.6 1.1 4.5 9.1 20.6 43.5(Central Serbia)Severnobački 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 30.8 42.1(North Backa)Srednjebanatski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 24.5 36.5 48.9(M iddle Banat) Severnobanatski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 31.5 18.9 83.3(North Banat) Južnobanatski 0 .0 0.0 0.0 0.0 0.0 0.0 9.7 5.1 25.5 27.4(South Banat)Zapadnobački 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 29.0 34.2(W est Backa) Južnobački 0 .0 0.0 0.0 0.0 0.0 0.0 4.3 2.4 26.6 60.4(South Backa) Srem ski 0.0 0.0 0.0 0.0 0.0 0.0 9.3 9.8 26.8 28.5(Srem ) Grad Beograd 0.0 0.0 0.0 0.0 0.9 1.5 0.8 8.9 17.3 31.9(C ity of Belgrade)M ačvanski 0 .0 0.0 0.0 5.1 0.0 0.0 0.0 9.9 19.0 54.4(Macva) Kolubarski 0 .0 0.0 0.0 0.0 8.6 0.0 0.0 0.0 24.5 50.0(Kolubara) Podunavski 0 .0 0.0 0.0 0.0 0.0 0.0 14.3 15.3 31.5 77.7(Danube)Braničevski 0 .0 0.0 0.0 0.0 0.0 0.0 15.6 7.7 26.5 52.7(Branicevo) Šum adijski 0 .0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 38.8 28.9(Sum adija) Pom oravski 0.0 0.0 0.0 0.0 0.0 0.0 7.1 22.4 7.7 74.7(Morava) Borski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 47.7 83.3(Bor) Zaječarski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 13.8 71.3(Zajecar) Zlatiborski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 5.3 19.9 26.6(Z latibor)M oravički 0 .0 0.0 0.0 0.0 0.0 0.0 7.0 0.0 0.0 25.0(Moravica)Raški 0 .0 0.0 0.0 0.0 0.0 0.0 9.4 10.3 32.2 66.7(Raska) Rasinski 0 .0 0.0 0.0 0.0 0.0 6.6 6.0 12.9 26.7 30.2(Rasina) Nišavski 0.0 0.0 0.0 0.0 0.0 3.8 3.8 8.3 16.4 36.4(N isava) Toplički 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 50.5 48.4 79.4(Toplica) Pirotski 0 .0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 15.7 43.6(P irot) Jablanički 0 .0 0.0 0.0 0.0 0.0 0.0 13.1 13.4 19.6 18.8(Jablanica)Pč in jski 0 .0 0.0 0.0 0.0 0.0 0.0 19.7 12.7 6.4 66.8(Pcin j)

Uzrast(Age)




73.4 133.1 175.9 250.7 391.7 529.1 56.7 52.7 47.1 75.1 70.9 67.5 37.4 31.4 22.8 96.0 70.9 47.1

63.4 111.3 175.6 241.6 348.0 535.0 51.7 48.0 43.1 68.5 64.2 61.4 34.3 28.6 20.9 97.9 67.0 44.4

58.0 122.5 194.2 186.6 156.4 333.3 53.6 49.5 44.3 72.1 67.2 64.3 35.9 29.5 21.4 68.8 51.7 35.3

114.2 169.1 206.7 334.8 464.0 522.5 76.0 68.3 60.8 99.4 92.8 88.2 50.6 40.6 29.4 117.8 84.4 57.1

103.8 178.3 273.9 347.1 426.7 639.7 86.2 77.4 69.6 112.9 105.2 101.0 57.4 46.1 33.7 130.6 93.3 63.0

65.1 111.1 128.0 230.1 390.1 402.2 46.2 42.2 37.5 59.9 55.6 52.6 30.2 25.1 18.2 80.8 59.4 39.6

77.4 157.5 169.1 168.2 442.3 565.3 59.5 52.4 46.1 77.9 71.1 66.9 40.0 31.2 22.3 106.1 70.4 45.9

71.1 117.2 169.8 246.5 420.8 583.9 52.3 51.1 45.9 71.1 68.6 65.8 34.7 30.4 22.2 93.1 72.9 48.2

53.0 129.4 152.7 269.3 381.2 599.0 49.0 45.9 40.9 63.3 60.7 57.5 31.6 27.3 19.8 96.2 70.5 46.1

43.6 93.9 160.4 225.2 344.0 629.9 41.6 39.5 35.6 57.1 53.3 51.1 28.7 23.6 17.3 93.1 65.5 42.3

73.2 146.6 234.0 263.8 418.8 715.4 64.0 59.3 53.1 84.1 80.7 77.0 42.4 35.7 26.2 117.6 83.5 54.9

47.1 168.7 162.7 202.1 242.9 425.3 56.1 50.5 44.6 73.1 68.6 64.8 38.2 30.8 22.3 91.2 59.8 40.2

101.9 169.2 190.1 222.6 395.5 518.5 75.5 68.9 61.8 98.1 91.1 86.9 49.3 41.0 29.9 108.1 78.0 52.8

62.3 154.0 259.1 259.4 629.1 710.2 70.6 63.6 57.3 91.5 83.7 80.2 45.5 37.9 27.7 158.4 91.4 60.4

75.6 107.4 194.4 299.0 293.6 466.8 54.4 50.1 44.9 71.9 67.2 64.3 36.5 29.8 21.7 92.8 66.0 44.4

82.6 77.2 120.2 175.4 222.2 170.7 49.9 45.8 41.6 64.7 60.9 59.1 32.8 27.2 20.1 64.2 44.8 31.9

57.2 100.6 135.4 277.0 346.8 402.8 55.1 49.0 44.8 71.1 66.6 65.0 36.9 29.2 21.7 97.5 63.6 43.5

73.0 125.3 94.7 227.8 382.4 418.5 53.9 44.0 39.0 68.7 59.8 56.6 37.5 26.2 18.9 114.1 60.6 40.4

83.7 91.7 155.4 219.6 319.7 437.2 47.1 42.9 38.2 61.4 58.4 55.4 30.6 25.6 18.5 82.5 58.6 38.9

32.9 57.3 147.4 165.9 164.0 291.5 31.3 29.0 26.1 40.0 38.1 36.6 21.0 17.2 12.6 57.6 38.6 25.8

113.5 148.3 303.7 356.2 568.7 839.5 75.8 76.1 68.6 102.9 101.7 97.7 45.7 45.3 33.2 125.7 105.2 69.7

50.3 111.2 109.3 184.9 237.8 313.0 45.8 40.4 36.5 58.2 52.7 50.1 30.7 24.1 17.6 74.2 48.5 33.0

57.1 90.8 124.6 153.0 223.6 455.5 42.4 38.7 34.8 55.7 51.2 48.8 28.6 23.0 16.9 79.9 51.5 33.8

123.7 216.0 246.2 259.0 447.1 511.4 97.4 87.6 78.6 126.6 119.0 114.1 62.1 52.1 38.0 136.9 90.6 62.3

26.8 104.7 157.5 299.9 452.8 501.6 45.0 38.1 34.2 57.6 51.8 49.6 30.7 22.7 16.5 123.4 65.8 43.5

55.3 82.1 166.7 353.8 423.8 694.9 43.8 40.9 36.9 55.7 53.2 51.0 28.4 24.4 17.9 117.2 76.3 49.6

109.3 175.7 340.8 401.9 429.7 738.7 77.6 80.4 72.1 102.3 105.7 100.9 44.9 47.9 34.9 110.6 101.1 67.9


IVh Standardizovane stope mortaliteta od infarkta miokarda, nestabilne angine pektoris i akutnog koronarnog sindroma po okruzima u Srbiji, 2008. godina IVh Standardized mortality rates of myocardial infarction, unstable angina and acute coronary syndrome by administrative districts, Serbia, 2008

Slika 8. Standardizovane stope mortaliteta od akutnog infarkta miokarda na 100.000 Srbija, 2008. godina

* stanovnika po okruzima, Figure 8. Age-standardized mortality rates of acute myocardial infarction per 100.000 population by administractive districts, Serbia, 2008

*


Zapadnoba kič

Severnoba kič

Severnobanatski



Ma vanskičBeograd

Brani evskič

P injskič

Jablani kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski


Borski

Zaje arskič

Podunavski

>60,1

50,1 - 60,0

40,1 - 50,0

30,1 - 40,0

<30,0

Zapadnoba kič

Severnoba kič

Severnobanatski



Ma vanskičBeograd

Brani evskič

P injskič

Jablani kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski


Borski

Zaje arskič

Podunavski

Slika 9. Standardizovane stope mortaliteta od nestabilne angine pektoris na 100.000 stanovnika po okruzima Srbija, 2008. godina

*,

Figure 9. Age-standardized incidence rates of unstable angina per 100.000 population by administrative districts, Serbia, 2008

*

>2,1

1,5 - 2,0

1,0 - 1,4

0,4 - 0,9

<0,39


Zapadnoba kič

Severnoba kič

Severnobanatski

Južnoba kič

Srednjebanatski


Ma vanskičBeograd

Brani evskič

P injskič

Jablan kič

Topli kič

Rasinski

Nišavski

Pirotski

Raški

Zlatiborski

Kolubarski

Šumadijski


Borski

Zaje arskič

Podunavski

Slika 10. Standardizovane stope mortaliteta od akutnog koronarnog sindroma na 100.000 stanovnika po okruzima Srbija, 2008. godina

*,

Figure 10. Age-standardized mortality rates of acute coronary syndrome per 100.000 population by administrative districts, Serbia, 2008

*

>60,1

50.1 - 60,0

40,1 - 50,0

30,1 - 40,0

<30,0


IVi Karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama u Srbiji, 2008. godina IVi Characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

Tabela 27. Demografske karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 27. Demographic characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

Subotica (Subotica) 191 61.0 122 39.0 313 100.0Zrenjanin (Zrenjanin) 314 61.6 196 38.4 510 100.0Senta (Senta) 117 51.3 111 48.7 228 100.0Kikinda (Kikinda) 142 66.0 73 34.0 215 100.0Vršac (Vrsac) 73 62.9 43 37.1 116 100.0Pančevo (Pancevo) 249 57.6 183 42.4 432 100.0Sombor (Sombor) 143 49.3 147 50.7 290 100.0Sremska Kamenica (Sremska Kamenica) 1031 64.2 574 35.8 1605 100.0Vrbas (Vrbas) 116 61.7 72 38.3 188 100.0Sremska Mitrovica (Sremska Mitrovica) 220 66.1 113 33.9 333 100.0Mladenovac (Mladenovac) 85 61.6 53 38.4 138 100.0Bežanijska kosa (Bezanijska kosa) 491 62.8 291 37.2 782 100.0Zemun (Zemun) 105 57.1 79 42.9 184 100.0Zvezdara (Zvezdara) 81 61.4 51 38.6 132 100.0Dragiša Mišović (Dragisa Misovic) 286 59.2 197 40.8 483 100.0Urgentni centar (Emergency center) 656 67.8 312 32.2 968 100.0Loznica (Loznica) 80 63.5 46 36.5 126 100.0Šabac (Sabac) 162 58.3 116 41.7 278 100.0Valjevo (Valjevo) 205 65.3 109 34.7 314 100.0Smederevo (Smederevo) 109 69.4 48 30.6 157 100.0S. Palanka (S.Palanka) 95 67.4 46 32.6 141 100.0Požarevac (Pozarevac) 169 63.3 98 36.7 267 100.0Petrovac (Petrovac) 49 67.1 24 32.9 73 100.0Kragujevac (Kragujevac) 240 63.3 139 36.7 379 100.0Aranđelovac (Arandjelovac) 80 61.5 50 38.5 130 100.0Ćuprija (Cuprija) 67 65.0 36 35.0 103 100.0Jagodina (Jagodina) 142 59.2 98 40.8 240 100.0Paraćin (Paracin) 84 60.9 54 39.1 138 100.0Bor (Bor) 95 59.4 65 40.6 160 100.0Negotin (Negotin) 73 70.2 31 29.8 104 100.0Kladovo (Kladovo) 39 60.0 26 40.0 65 100.0Majdanpek (Majdanpek) 22 73.3 8 26.7 30 100.0Zaječar (Zajecar) 189 63.6 108 36.4 297 100.0Sokobanja (Sokobanja) 27 71.1 11 28.9 38 100.0Knjaževac (Knjazevac) 34 54.8 28 45.2 62 100.0Užice (Uzice) 143 64.7 78 35.3 221 100.0Priboj (Priboj) 38 58.5 27 41.5 65 100.0Prijepolje (Prijepolje) 82 64.1 46 35.9 128 100.0Čačak (Cacak) 179 60.1 119 39.9 298 100.0Gornji Milanovac (Gornji Milanovac) 57 57.0 43 43.0 100 100.0Kraljevo (Kraljevo) 163 66.3 83 33.7 246 100.0Novi Pazar (Novi Pazar) 128 57.9 93 42.1 221 100.0Vrnjačka Banja (Vrnjacka Banja) 87 49.7 88 50.3 175 100.0Kruševac (Krusevac) 340 67.9 161 32.1 501 100.0Aleksinac (Aleksinac) 21 60.0 14 40.0 35 100.0Niška Banja (Niska Banja) 92 57.1 69 42.9 161 100.0Niš (Nis) 351 64.5 193 35.5 544 100.0Prokuplje (Prokuplje) 69 54.3 58 45.7 127 100.0Pirot (Pirot) 107 69.0 48 31.0 155 100.0Leskovac (Leskovac) 92 60.5 60 39.5 152 100.0Vranje (Vranje) 101 77.7 29 22.3 130 100.0Surdulica (Surdulica) 17 53.1 15 46.9 32 100.0Sve koronarne jedinice (All coronary care units) 8328 62.6 4982 37.4 13310 100.0n – broj (number) – aritmetička sredina (mean)SD – standardna devijacija (standard deviation)min – najmlađi (the youngest)max – najstariji (the oldest)

Demografske karakteristike bolesnika (Demographic characteristics of patients)

Muški (Male) Ženski (Female) Ukupno (Total)Pol (Sex)

Koronarne jedinice (Coronary care units)

%%n n n%

x

T a b e la 2 7 . n a s ta v a k

T a b le 2 7 . (c o n t in u e d )

3 4 9 3 6 3 .5 0 ± 1 1 ,2 13 0 8 8 6 2 .9 9 ± 1 1 ,2 82 4 8 8 6 4 .0 8 ± 1 2 ,1 22 3 8 9 6 3 .2 9 ± 1 1 ,3 63 4 8 6 6 5 .0 7 ± 1 1 ,7 43 5 8 6 6 4 .0 1 ± 1 1 ,3 33 6 1 0 8 6 6 .8 0 ± 1 1 ,1 02 1 9 6 6 4 .5 1 ± 1 1 ,6 32 9 8 7 6 3 .1 9 ± 1 2 ,0 42 8 9 4 6 3 .6 1 ± 1 2 ,0 03 6 9 3 6 5 .4 3 ± 1 1 ,4 21 8 9 4 6 5 .1 2 ± 1 1 ,7 43 5 8 6 6 3 .3 9 ± 1 1 ,1 73 1 9 1 6 6 .1 9 ± 1 2 ,5 82 0 1 0 8 6 6 .5 1 ± 1 1 ,8 82 3 9 4 6 2 .3 3 ± 1 2 ,0 92 8 8 3 6 2 .2 4 ± 1 2 ,0 32 1 8 7 6 3 .3 2 ± 1 2 ,0 22 3 9 1 6 4 .7 3 ± 1 2 ,0 13 5 9 0 6 1 .9 4 ± 1 1 ,3 12 4 8 4 6 3 .6 5 ± 1 2 ,2 22 9 8 7 6 4 .7 8 ± 1 1 ,8 53 5 8 8 6 6 .6 3 ± 1 1 ,6 33 3 8 8 6 6 .5 9 ± 1 1 ,2 53 8 9 0 6 6 .8 9 ± 1 0 ,3 73 8 9 5 6 4 .7 0 ± 1 2 ,6 33 3 8 7 6 4 .7 5 ± 1 1 ,9 52 8 9 2 6 4 .8 6 ± 1 1 ,9 32 2 8 9 5 8 .7 6 ± 1 2 ,4 13 5 8 7 6 7 .5 8 ± 1 1 ,4 03 0 8 9 6 5 .8 0 ± 1 1 ,6 24 2 8 1 6 2 .3 0 ± 1 0 ,7 62 6 8 6 6 5 .3 2 ± 1 1 ,9 54 0 8 3 6 4 .7 9 ± 1 1 ,1 33 9 8 7 6 8 .6 0 ± 1 0 ,1 33 0 8 6 6 2 .2 4 ± 1 1 ,5 33 4 8 7 6 3 .5 1 ± 1 1 ,0 12 4 8 5 6 2 .9 5 ± 1 1 ,6 33 8 9 0 6 6 .3 6 ± 1 0 ,3 13 3 8 6 6 3 .7 9 ± 1 1 ,5 32 4 8 6 6 3 .7 9 ± 1 1 ,3 73 4 8 8 6 2 .7 1 ± 1 1 ,6 62 9 8 5 6 4 .1 5 ± 1 2 ,3 83 7 9 1 6 4 .0 9 ± 1 1 ,3 03 2 8 5 6 4 .7 4 ± 1 2 ,3 43 3 8 9 6 5 .7 9 ± 1 1 ,0 82 5 9 0 6 4 .1 5 ± 1 2 ,1 14 4 8 2 6 3 .6 0 ± 9 ,5 23 8 9 5 6 4 .7 7 ± 1 2 ,3 62 2 8 8 6 2 .8 6 ± 1 1 ,4 92 5 8 4 5 8 .3 5 ± 1 2 ,4 13 9 8 2 6 1 .4 4 ± 1 1 ,5 41 8 1 0 8 6 4 .2 4 ± 1 1 ,7 4

U z ra s t (A g e )

D e m o g r a fs k e k a r a k te r is t ik e b o le s n ik a (D e m o g r a p h ic c h a ra c te r is t ic s o f p a t ie n ts )

U k u p n o (T o ta l)S Dm in m a x x

Tabela 28. Faktori rizika kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godinaTable 28. Risk factors in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

n % n % n % n %

Subotica (Subotica) 33 11.9 186 68.4 21 7.6 11 4.0Zrenjanin (Zrenjanin) 199 40.2 248 50.5 187 38.8 251 52.0Senta (Senta) 51 26.0 119 70.8 46 23.5 32 16.3Kikinda (Kikinda) 83 47.2 121 70.8 91 51.7 72 41.1Vršac (Vrsac) 50 43.9 62 66.7 42 36.8 16 14.0Pančevo (Pancevo) 171 41.2 257 64.1 122 29.5 102 24.9Sombor (Sombor) 178 62.2 191 67.5 61 21.3 72 25.1Sremska Kamenica (Sremska Kamenica) 956 65.7 806 68.7 820 57.1 745 52.5Vrbas (Vrbas) 97 56.7 152 88.9 57 33.1 46 26.7Sremska Mitrovica (Sremska Mitrovica) 92 30.7 21 77.8 59 20.3 60 21.1Mladenovac (Mladenovac) 48 42.9 99 80.5 53 44.9 18 16.1Bežanijska kosa (Bezanijska kosa) 471 61.4 505 66.6 313 40.7 243 31.7Zemun (Zemun) 84 45.7 86 46.7 27 14.7Zvezdara (Zvezdara) 89 70.1 57 64.0 29 22.8 21 16.5Dragiša Mišović (Dragisa Misovic) 112 52.1 94 45.2 57 26.4 10 4.6Urgentni centar (Emergency center) 395 41.9 283 57.9 239 25.3 68 7.2Loznica (Loznica) 26 29.9 41 63.1 19 21.3 14 15.7Šabac (Sabac) 166 60.1 171 64.5 126 45.7 42 15.3Valjevo (Valjevo) 93 35.1 153 59.8 130 49.1 85 32.0Smederevo (Smederevo) 26 42.6 11 78.6 22 35.5 13 21.0S. Palanka (S.Palanka) 67 58.3 48 65.8 29 24.6 33 28.0Požarevac (Pozarevac) 26 10.0 126 89.4 194 74.9 13 5.0Petrovac (Petrovac) 17 23.6 50 70.4 17 23.6 26 36.1Kragujevac (Kragujevac) 188 50.8 225 65.2 121 32.6 161 43.5Aranđelovac (Arandjelovac) 67 51.9 84 67.7 62 48.1 36 28.3Ćuprija (Cuprija) 36 37.9 45 65.2 31 32.6 23 24.2Jagodina (Jagodina) 34 14.6 68 69.4 68 28.7 30 12.9Paraćin (Paracin) 35 31.0 53 64.6 69 54.8 74 59.7Bor (Bor) 47 64.4 51 72.9 41 53.9 17 22.4Negotin (Negotin) 54 75.0 48 65.8 48 65.8 35 50.7Kladovo (Kladovo) 25 39.1 38 60.3 18 28.1 21 32.8Majdanpek (Majdanpek) 4 33.3 7 58.3 4 33.3 3 25.0Zaječar (Zajecar) 89 32.6 190 65.5 82 28.8 63 22.0Sokobanja (Sokobanja) 20 52.6 27 71.1 12 32.4 6 15.8Knjaževac (Knjazevac) 31 50.0 33 55.0 41 66.1 11 17.7Užice (Uzice) 86 52.8 109 67.7 52 31.7 41 25.0Priboj (Priboj) 14 21.5 44 67.7 36 55.4 25 38.5Prijepolje (Prijepolje) 106 83.5 103 80.5 78 61.4 110 86.6Čačak (Cacak) 138 56.6 138 59.7 61 24.9 34 14.1Gornji Milanovac (Gornji Milanovac) 16 76.2 13 81.3 9 33.3 22 71.0Kraljevo (Kraljevo) 55 53.4 44 65.7 40 38.5 42 40.8Novi Pazar (Novi Pazar) 147 66.5 77 70.6 144 65.2 163 74.1Vrnjačka Banja (Vrnjacka Banja) 122 70.5 123 70.7 2 1.1 8 4.6Kruševac (Krusevac) 136 33.3 260 64.4 6 1.5 5 1.4Aleksinac (Aleksinac) 11 33.3 18 56.3 19 55.9 10 30.3Niška Banja (Niska Banja) 49 49.0 52 61.9 48 47.5 16 15.8Niš (Nis) 265 50.5 202 71.4 131 24.7 39 7.4Prokuplje (Prokuplje) 92 73.0 74 61.2 29 23.2 11 8.8Pirot (Pirot) 65 46.8 81 60.9 81 59.1 40 29.4Leskovac (Leskovac) 86 58.5 91 62.8 78 54.2 43 30.5Vranje (Vranje) 48 39.3 94 76.4 36 29.5 44 35.8Surdulica (Surdulica) 15 48.4 13 40.6 13 41.9 11 35.5Sve koronarne jedinice (All coronary care units) 5527 48.2 6290 65.4 4280 36.7 3164 27.4n – broj (number)– – bez podataka (no data)

Faktori rizika (Risk factors)

(Heredity) (Obesity) (Physical inactivity)Nasleđe Gojaznost Fizička neaktivnost Stres

(Stress)


Tabela 28. nastavak


n % n % n % n %104 33.2 63 22.9 128 45.9 74 26.5143 28.0 329 66.2 358 71.0 136 27.3192 84.2 65 31.6 130 61.6 44 21.6167 77.7 87 46.8 131 67.5 62 32.846 39.7 35 30.7 83 72.8 26 23.4

138 31.9 244 58.7 326 78.2 130 31.396 33.1 161 56.7 225 78.9 71 25.0

1066 66.4 862 59.0 1075 73.2 394 27.0162 86.2 114 66.3 139 80.8 42 24.4122 36.6 118 36.6 232 70.1 81 24.855 39.9 75 60.0 106 81.5 46 36.8

329 42.1 445 57.6 576 74.2 210 27.1184 100.0 168 91.3 167 90.8 83 45.147 35.6 83 65.9 92 73.0 36 28.655 11.4 171 40.1 359 82.5 148 34.3

449 46.4 415 43.2 667 69.3 225 23.423 18.3 34 38.2 47 52.8 14 15.7

144 51.8 93 33.9 199 72.4 71 25.8109 34.7 109 42.1 182 68.9 66 24.927 17.2 50 54.9 75 76.5 19 20.249 34.8 45 36.3 94 72.9 25 20.368 25.5 26 10.0 135 51.3 56 21.370 95.9 20 27.8 45 62.5 15 20.8

341 90.0 79 21.3 251 67.3 82 22.0125 96.2 45 34.9 93 71.5 35 26.925 24.3 50 49.0 70 69.3 28 28.073 30.4 121 50.8 184 76.7 80 33.644 31.9 66 53.7 94 70.7 35 26.937 23.1 25 37.9 59 75.6 22 27.817 16.3 53 77.9 53 75.7 24 32.931 47.7 20 31.3 50 78.1 22 34.47 23.3 1 9.1 0 0.0 1 10.0

132 44.4 54 18.6 199 67.5 75 25.318 47.4 12 32.4 32 86.5 11 31.428 45.2 29 48.3 38 62.3 13 21.3

160 72.4 57 34.8 89 54.3 35 21.565 100.0 26 40.0 45 69.2 13 20.0

127 99.2 95 74.2 109 85.2 21 16.4109 36.6 96 39.7 160 63.5 66 26.615 15.0 31 77.5 35 81.4 16 50.040 16.3 59 57.3 146 85.4 25 23.886 38.9 66 30.3 157 71.0 42 19.189 50.9 86 49.1 123 70.3 48 27.4

124 24.8 145 35.6 271 64.7 106 25.626 74.3 20 60.6 21 61.8 9 28.196 59.6 69 68.3 104 78.8 37 34.9

488 89.7 256 50.5 418 77.7 155 28.9116 91.3 38 31.9 95 76.0 25 20.298 63.2 55 41.0 85 62.5 29 21.357 37.5 42 30.0 101 70.1 24 17.170 53.8 70 56.0 84 66.1 27 21.415 46.9 11 36.7 26 81.3 3 10.0

6504 48.9 5589 46.6 8763 71.4 3183 26.3

(D iabetes)

Faktori rizika (Risk factors)

Pušenje D islip idem ija Hipertenzija D ijabetes(Sm oking) (Dyslip idem ia) (Hypertension)

Tabela 29. Lična anamneza bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 29. Personal anamnesis in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

n % n % n % n %

Subotica (Subotica) 50 17.9 6 2.2 6 2.2 10 3.6Zrenjanin (Zrenjanin) 138 27.6 23 4.6 13 2.6 40 8.0Senta (Senta) 47 23.2 15 7.6 9 4.6 4 2.0Kikinda (Kikinda) 62 32.3 11 6.0 7 3.9 11 6.1Vršac (Vrsac) 18 15.7 3 2.6 7 6.1 8 7.0Pančevo (Pancevo) 106 25.0 16 3.8 11 2.6 34 8.0Sombor (Sombor) 60 20.8 15 5.2 5 1.7 29 10.0Sremska Kamenica (Sremska Kamenica) 437 29.8 103 7.0 420 28.7 122 8.3Vrbas (Vrbas) 24 14.0 2 1.2 4 2.3 7 4.1Sremska Mitrovica (Sremska Mitrovica) 60 18.2 9 2.7 8 2.4 33 10.0Mladenovac (Mladenovac) 25 21.7 4 3.5 5 4.3 7 6.1Bežanijska kosa (Bezanijska kosa) 214 27.6 47 6.1 41 5.3 84 10.8Zemun (Zemun) 47 26 18 10 0 0 0 0Zvezdara (Zvezdara) 28 22.2 5 4.0 4 3.2 8 6.3Dragiša Mišović (Dragisa Misovic) 145 33.2 29 6.6 39 8.9 45 10.3Urgentni centar (Emergency center) 243 25.2 49 5.1 85 8.8 71 7.4Loznica (Loznica) 6 6.7 2 2.2 2 2.2 4 4.5Šabac (Sabac) 53 19.2 16 5.8 14 5.1 21 7.6Valjevo (Valjevo) 40 14.4 6 2.2 5 1.8 10 3.6Smederevo (Smederevo) 122 87.1 7 6.9 4 4.0 6 5.9S. Palanka (S.Palanka) 25 21.6 3 2.6 3 2.6 10 8.6Požarevac (Pozarevac) 46 17.5 7 2.7 2 0.8 17 6.5Petrovac (Petrovac) 14 19.2 0 0.0 0 0.0 1 1.4Kragujevac (Kragujevac) 54 14.5 13 3.5 9 2.4 33 8.9Aranđelovac (Arandjelovac) 21 16.3 2 1.6 3 2.3 11 8.5Ćuprija (Cuprija) 24 23.5 2 2.0 2 2.0 5 4.9Jagodina (Jagodina) 42 17.5 10 4.2 7 2.9 19 8.0Paraćin (Paracin) 47 34.8 2 1.5 0 0.0 3 2.2Bor (Bor) 10 17.5 3 5.7 0 0.0 4 7.4Negotin (Negotin) 16 22.2 2 2.7 0 0.0 2 2.7Kladovo (Kladovo) 10 15.6 3 4.7 3 4.7 2 3.1Majdanpek (Majdanpek) 12 100.0 0 0.0 0 0.0 0 0.0Zaječar (Zajecar) 79 27.6 9 3.1 6 2.1 18 6.3Sokobanja (Sokobanja) 14 36.8 2 5.3 4 10.5 3 7.9Knjaževac (Knjazevac) 16 26.2 3 4.9 0 0.0 3 4.9Užice (Uzice) 25 11.4 9 4.1 2 0.9 8 3.6Priboj (Priboj) 30 46.2 1 1.5 0 0.0 3 4.6Prijepolje (Prijepolje) 31 24.2 13 10.2 10 7.8 7 5.5Čačak (Cacak) 60 23.5 17 6.9 17 6.9 14 5.6Gornji Milanovac (Gornji Milanovac) 13 50.0 2 10.0 0 0.0 3 14.3Kraljevo (Kraljevo) 19 17.9 6 5.9 3 2.9 10 9.8Novi Pazar (Novi Pazar) 124 56.1 11 5.0 10 4.5 17 7.7Vrnjačka Banja (Vrnjacka Banja) 46 26.3 8 4.6 16 9.1 16 9.1Kruševac (Krusevac) 94 22.3 18 4.3 9 2.1 15 3.6Aleksinac (Aleksinac) 8 24.2 1 3.0 0 0.0 0 0.0Niška Banja (Niska Banja) 37 36.3 1 1.0 1 1.0 7 7.0Niš (Nis) 183 34.0 26 4.8 38 7.1 38 7.1Prokuplje (Prokuplje) 35 28.0 2 1.6 3 2.4 7 5.6Pirot (Pirot) 23 16.7 4 2.9 4 2.9 8 5.8Leskovac (Leskovac) 29 20.6 7 5.0 1 0.7 4 2.8Vranje (Vranje) 31 24.4 4 3.2 3 2.4 6 4.8Surdulica (Surdulica) 11 35.5 0 0.0 1 3.2 3 9.7Sve koronarne jedinice (All coronary care units) 3154 25.8 577 4.8 846 7.1 851 7.1n – broj (number)– – bez podataka (no data)*PTKA – perkutana transluminalna koronarna angioplastika (PTCA – percutaneous transluminal coronary angioplasty)

****HOBP – hronična opstruktivna bolest pluća (COPD – chronic obstructive pulmonary disease)

PTKA (PTCA)*

**CVI – cerebrovaskularni insult (CVI – cerebrovascular insult) ***PVB – periferna vaskularna bolest (PVD – peripheral vascular disease )

Koronarne jedinice (Coronary care units)Infarkt

(Infarct)Bajpas

(Bypass)

Lična anamneza (Personal anamnesis)CVI

(CVI)**

Tabela 29. nastavak


n % n % n % n % n % n %89 31.9 4 1.4 1 0.4 4 1.4 3 1.1 0 0.0360 72.4 81 16.3 32 6.4 23 4.6 5 1.0 50 10.185 42.5 16 8.1 22 11.1 15 7.5 5 2.5 16 8.094 49.5 8 4.6 16 8.9 22 12.2 6 3.4 21 11.543 37.4 1 0.9 7 6.1 5 4.3 5 4.3 2 1.7176 41.5 25 5.9 40 9.4 16 3.8 15 3.5 19 4.5147 50.9 64 22.1 19 6.6 18 6.2 9 3.1 19 6.6720 49.0 80 5.5 87 6.0 108 7.4 31 2.1 46 3.267 39.0 2 1.2 12 7.0 4 2.3 2 1.2 4 2.345 13.6 28 8.5 21 6.3 23 6.9 5 1.5 12 3.937 31.9 9 7.8 4 3.5 4 3.5 3 2.6 12 10.4370 47.7 61 7.9 71 9.1 71 9.1 31 4.0 62 8.0106 58 0 0 0 0 0 0 0 0 0 056 44.4 34 27.0 20 15.9 7 5.6 6 4.8 8 6.3194 44.4 42 9.6 27 6.2 28 6.4 10 2.3 30 6.9320 33.2 59 6.1 76 7.9 73 7.6 34 3.5 62 6.48 9.1 1 1.1 4 4.5 2 2.2 2 2.2 0 0.080 29.0 14 5.1 35 12.7 23 8.3 11 4.0 13 4.858 20.8 12 4.3 21 7.6 14 5.0 12 4.3 16 5.782 70.1 5 5.0 2 2.0 2 2.0 0 0.0 1 1.036 31.0 6 5.2 8 6.9 2 1.7 3 2.6 4 3.428 10.6 9 3.4 10 3.8 0 0.0 5 1.9 4 1.531 43.1 3 4.2 21 29.2 2 2.8 0 0.0 2 2.8103 27.7 33 8.9 23 6.2 35 9.4 15 4.0 19 5.149 38.3 11 8.5 19 14.7 22 17.1 6 4.7 16 12.418 17.6 2 2.0 5 4.9 13 12.7 5 4.9 9 8.865 27.1 22 9.2 13 5.4 16 6.7 10 4.2 23 9.745 33.6 6 4.5 10 7.5 16 11.8 6 4.5 16 11.928 39.4 5 10.0 17 23.3 5 7.0 2 2.9 18 23.423 31.5 7 9.7 8 11.0 3 4.1 1 1.4 11 15.115 23.4 0 0.0 3 4.7 0 0.0 0 0.0 1 1.61 8.3 0 0.0 3 25.0 0 0.0 0 0.0 0 0.085 29.8 5 1.7 29 10.1 14 4.9 6 2.1 8 2.817 44.7 5 13.2 2 5.3 0 0.0 1 2.6 2 5.327 44.3 7 11.7 2 3.2 5 8.1 0 0.0 10 16.147 21.4 6 2.7 10 4.5 8 3.6 4 1.8 8 3.624 36.9 2 3.1 7 10.8 1 1.5 0 0.0 2 3.177 60.2 17 13.3 59 46.1 8 6.3 6 4.7 9 7.055 21.0 28 10.8 17 6.7 8 3.3 18 7.3 13 5.324 75.0 12 50.0 10 47.6 3 16.7 1 6.7 3 17.650 45.5 19 18.6 13 12.5 7 6.9 1 1.0 6 5.9131 59.5 80 36.4 56 25.3 19 8.6 8 3.6 17 7.799 56.6 14 8.0 13 7.5 4 2.3 5 2.9 7 4.039 9.2 3 0.7 16 3.8 7 1.7 2 0.5 4 1.012 35.3 3 9.4 5 14.7 2 6.1 3 9.1 1 3.053 53.0 8 8.0 13 12.9 13 12.9 2 2.0 16 16.2268 49.9 20 3.7 47 8.8 56 10.5 12 2.2 48 9.059 47.2 16 12.8 7 5.6 14 11.2 8 6.4 22 17.69 6.6 4 2.9 6 4.4 6 4.4 2 1.5 9 6.731 22.0 2 1.4 8 5.7 4 2.8 2 1.4 10 7.140 31.7 4 3.2 8 6.3 4 3.1 0 0.0 7 5.613 41.9 0 0.0 5 16.7 1 3.2 1 3.2 0 0.0

4739 38.8 905 7.6 990 8.3 760 6.4 330 2.8 718 6.0

Lična anamneza (Personal anamnesis)Anemija (Anemia)

Bolesti bubrega (Kidney diseases)

HOBP (COPD)****

Bolesti štitnjače (Thyroid diseases)

Angina (Angina)

PVB (PVD)***

Tabela 30. Vremenski period od pojave bola do prijema i simptomi pre prijema kod bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina Table 30. Patient delay before admission and symptoms before admission in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

med mod n % n %

Subotica (Subotica) 702 240 120 271 86.6 8 2.6Zrenjanin (Zrenjanin) 900 240 120 461 90.4 43 8.4Senta (Senta) 1113 240 120 162 71.1 30 13.2Kikinda (Kikinda) 440 120 60 169 78.6 10 4.7Vršac (Vrsac) 273 120 60 87 75.0 27 23.3Pančevo (Pancevo) 547 135 60 375 86.8 45 10.4Sombor (Sombor) 681 180 120 239 82.4 46 15.9Sremska Kamenica (Sremska Kamenica) 983 240 120 1280 79.8 129 8.0Vrbas (Vrbas) 311 85 30 159 84.6 6 3.2Sremska Mitrovica (Sremska Mitrovica) 277 120 60 291 87.4 34 10.2Mladenovac (Mladenovac) 637 180 120 94 68.1 17 12.3Bežanijska kosa (Bezanijska kosa) 930 180 120 679 86.8 68 8.7Zemun (Zemun) 1403 360 1440 0 0.0 0 0.0Zvezdara (Zvezdara) 1153 180 1440 109 82.6 16 12.1Dragiša Mišović (Dragisa Misovic) 1092 300 1440 392 81.2 45 9.3Urgentni centar (Emergency center) 673 180 120 834 86.2 88 9.1Loznica (Loznica) 264 120 60 103 81.7 6 4.8Šabac (Sabac) 339 180 120 231 83.1 38 13.7Valjevo (Valjevo) 978 285 120 245 78.0 15 4.8Smederevo (Smederevo) 78 60 60 114 72.6 14 8.9S. Palanka (S.Palanka) 333 120 60 78 55.3 18 12.8Požarevac (Pozarevac) 1037 240 120 237 88.8 25 9.4Petrovac (Petrovac) 328 150 60 53 72.6 17 23.3Kragujevac (Kragujevac) 730 180 60 332 87.6 40 10.6Aranđelovac (Arandjelovac) 1928 240 60 95 73.1 24 18.5Ćuprija (Cuprija) 368 90 60 87 84.5 8 7.8Jagodina (Jagodina) 217 120 60 204 85.0 27 11.3Paraćin (Paracin) 183 60 30 98 71.0 21 15.2Bor (Bor) 217 180 60 71 44.4 12 7.5Negotin (Negotin) 214 120 120 62 59.6 3 2.9Kladovo (Kladovo) 1254 180 120 60 92.3 4 6.2Majdanpek (Majdanpek) 70 70 70 12 40.0 0 0.0Zaječar (Zajecar) 280 120 120 196 66.0 54 18.2Sokobanja (Sokobanja) 383 180 180 33 86.8 4 10.5Knjaževac (Knjazevac) 177 60 30 48 77.4 12 19.4Užice (Uzice) 397 180 120 196 88.7 17 7.7Priboj (Priboj) 741 270 60 54 83.1 10 15.4Prijepolje (Prijepolje) 302 120 120 106 82.8 13 10.2Čačak (Cacak) 1350 180 60 152 51.0 89 29.9Gornji Milanovac (Gornji Milanovac) 613 222 120 55 55.0 3 3.0Kraljevo (Kraljevo) 517 180 90 89 36.2 13 5.3Novi Pazar (Novi Pazar) 574 250 120 199 90.0 20 9.0Vrnjačka Banja (Vrnjacka Banja) 389 120 60 149 85.1 24 13.7Kruševac (Krusevac) 457 240 1440 390 77.8 12 2.4Aleksinac (Aleksinac) 1337 240 180 27 77.1 5 14.3Niška Banja (Niska Banja) 545 150 120 84 52.2 8 5.0Niš (Nis) 305 90 60 437 80.3 67 12.3Prokuplje (Prokuplje) 2570 400 60 113 89.0 8 6.3Pirot (Pirot) 574 120 60 127 81.9 10 6.5Leskovac (Leskovac) 201 90 60 119 78.3 18 11.8Vranje (Vranje) 531 120 60 92 70.8 20 15.4Surdulica (Surdulica) 224 120 60 25 78.1 6 18.8Sve koronarne jedinice (All coronary care units) 731 180 120 10375 77.9 1297 9.7n – broj (number)– – bez podataka (no data) – aritmetička sredina (mean)med – medijana (mediana)mod – mod (mod)


Tipični (Typical)

Atipični (Atypical)

Simptomi pre prijema (Symptoms before admission)

Vreme od pojave bola do prijema u minutima

(Patient delay before admission in minutes)

x

x

n % n % n %

0 0 . 0 3 4 1 0 .9 3 1 3 1 0 0 .01 0 . 2 5 1 .0 5 1 0 1 0 0 .00 0 . 0 3 6 1 5 .8 2 2 8 1 0 0 .00 0 . 0 3 6 1 6 .7 2 1 5 1 0 0 .00 0 . 0 2 1 .7 1 1 6 1 0 0 .01 0 . 2 1 1 2 .5 4 3 2 1 0 0 .00 0 . 0 5 1 .7 2 9 0 1 0 0 .0

3 2 2 . 0 1 6 4 1 0 .2 1 6 0 5 1 0 0 .03 1 . 6 2 0 1 0 .6 1 8 8 1 0 0 .01 0 . 3 7 2 .1 3 3 3 1 0 0 .01 0 . 7 2 6 1 8 .8 1 3 8 1 0 0 .05 0 . 6 3 0 3 .8 7 8 2 1 0 0 .00 0 . 0 1 8 4 1 0 0 .0 1 8 4 1 0 0 .01 0 . 8 6 4 .5 1 3 2 1 0 0 .04 0 . 8 4 2 8 .7 4 8 3 1 0 0 .03 0 . 3 4 3 4 .4 9 6 8 1 0 0 .00 0 . 0 1 7 1 3 .5 1 2 6 1 0 0 .02 0 . 7 7 2 .5 2 7 8 1 0 0 .00 0 . 0 5 4 1 7 .2 3 1 4 1 0 0 .00 0 . 0 2 9 1 8 .5 1 5 7 1 0 0 .00 0 . 0 4 5 3 1 .9 1 4 1 1 0 0 .01 0 . 4 4 1 .5 2 6 7 1 0 0 .01 1 . 4 2 2 .7 7 3 1 0 0 .00 0 . 0 7 1 .8 3 7 9 1 0 0 .01 0 . 8 1 0 7 .7 1 3 0 1 0 0 .00 0 . 0 8 7 .8 1 0 3 1 0 0 .00 0 . 0 9 3 .8 2 4 0 1 0 0 .04 2 . 9 1 5 1 0 .9 1 3 8 1 0 0 .02 1 . 3 7 5 4 6 .9 1 6 0 1 0 0 .02 1 . 9 3 7 3 5 .6 1 0 4 1 0 0 .00 0 . 0 1 1 .5 6 5 1 0 0 .00 0 . 0 1 8 6 0 .0 3 0 1 0 0 .08 2 . 7 3 9 1 3 .1 2 9 7 1 0 0 .00 0 . 0 1 2 .6 3 8 1 0 0 .00 0 . 0 2 3 .2 6 2 1 0 0 .00 0 . 0 8 3 .6 2 2 1 1 0 0 .01 1 . 5 0 0 .0 6 5 1 0 0 .00 0 . 0 9 7 .0 1 2 8 1 0 0 .08 2 . 7 4 9 1 6 .4 2 9 8 1 0 0 .00 0 . 0 4 2 4 2 .0 1 0 0 1 0 0 .01 0 . 4 1 4 3 5 8 .1 2 4 6 1 0 0 .02 0 . 9 0 0 .0 2 2 1 1 0 0 .00 0 . 0 2 1 .1 1 7 5 1 0 0 .02 0 . 4 9 7 1 9 .4 5 0 1 1 0 0 .00 0 . 0 3 8 .6 3 5 1 0 0 .00 0 . 0 6 9 4 2 .9 1 6 1 1 0 0 .00 0 . 0 4 0 7 .4 5 4 4 1 0 0 .01 0 . 8 5 3 .9 1 2 7 1 0 0 .00 0 . 0 1 8 1 1 .6 1 5 5 1 0 0 .00 0 . 0 1 5 9 .9 1 5 2 1 0 0 .03 2 . 3 1 5 1 1 .5 1 3 0 1 0 0 .00 0 . 0 1 3 .1 3 2 1 0 0 .0

9 1 0 . 7 1 5 4 7 1 1 .6 1 3 3 1 0 1 0 0 .0

N e p o z n a to ( U k n o w n )

U k u p n o ( T o ta l )

T a b e la 3 0 . n a s t a v a k

T a b le 3 0 . ( c o n t in u e d )

S i m p t o m i p r e p r i j e m a ( S y m p t o m s b e f o r e a d m is s io n )

B e z s im p to m a ( N o s y m p to m s )

Tabela 31. Ustanove u kojima je izvršen prvi pregled bolesnika sa akutnim koronarnim sindromom, Srbija, 2008. godinaTable 31. First contact with health service facilities in patients with acute coronary syndrome, Serbia, 2008


n % n % n %

Subotica (Subotica) 55 17.6 25 8.0 188 60.1Zrenjanin (Zrenjanin) 343 67.3 43 8.4 95 18.6Senta (Senta) 27 11.8 135 59.2 26 11.4Kikinda (Kikinda) 42 19.5 70 32.6 66 30.7Vršac (Vrsac) 21 18.1 40 34.5 50 43.1Pančevo (Pancevo) 56 13.0 142 32.9 209 48.4Sombor (Sombor) 20 6.9 92 31.7 162 55.9Sremska Kamenica (Sremska Kamenica) 128 8.0 260 16.2 901 56.1Vrbas (Vrbas) 21 11.2 36 19.1 111 59.0Sremska Mitrovica (Sremska Mitrovica) 33 9.9 75 22.5 181 54.4Mladenovac (Mladenovac) 1 0.7 42 30.4 82 59.4Bežanijska kosa (Bezanijska kosa) 233 29.8 68 8.7 360 46.0Zemun (Zemun) 61 33.2 2 1.1 95 51.6Zvezdara (Zvezdara) 20 15.2 28 21.2 46 34.8Dragiša Mišović (Dragisa Misovic) 79 16.4 71 14.7 289 59.8Urgentni centar (Emergency center) 302 31.2 84 8.7 343 35.4Loznica (Loznica) 23 18.3 37 29.4 44 34.9Šabac (Sabac) 19 6.8 128 46.0 118 42.4Valjevo (Valjevo) 33 10.5 190 60.5 35 11.1Smederevo (Smederevo) 13 8.3 3 1.9 133 84.7S. Palanka (S.Palanka) 23 16.3 54 38.3 55 39.0Požarevac (Pozarevac) 81 30.3 139 52.1 39 14.6Petrovac (Petrovac) 1 1.4 15 20.5 51 69.9Kragujevac (Kragujevac) 22 5.8 106 28.0 197 52.0Aranđelovac (Arandjelovac) 18 13.8 29 22.3 68 52.3Ćuprija (Cuprija) 11 10.7 21 20.4 60 58.3Jagodina (Jagodina) 12 5.0 14 5.8 199 82.9Paraćin (Paracin) 19 13.8 29 21.0 66 47.8Bor (Bor) 2 1.3 4 2.5 70 43.8Negotin (Negotin) 3 2.9 6 5.8 55 52.9Kladovo (Kladovo) 9 13.8 14 21.5 41 63.1Majdanpek (Majdanpek) 0 0.0 7 23.3 5 16.7Zaječar (Zajecar) 15 5.1 50 16.8 163 54.9Sokobanja (Sokobanja) 0 0.0 25 65.8 13 34.2Knjaževac (Knjazevac) 6 9.7 6 9.7 48 77.4Užice (Uzice) 45 20.4 45 20.4 106 48.0Priboj (Priboj) 16 24.6 10 15.4 29 44.6Prijepolje (Prijepolje) 9 7.0 58 45.3 47 36.7Čačak (Cacak) 59 19.8 37 12.4 123 41.3Gornji Milanovac (Gornji Milanovac) 16 16.0 18 18.0 11 11.0Kraljevo (Kraljevo) 6 2.4 20 8.1 76 30.9Novi Pazar (Novi Pazar) 5 2.3 34 15.4 141 63.8Vrnjačka Banja (Vrnjacka Banja) 5 2.9 46 26.3 115 65.7Kruševac (Krusevac) 207 41.3 6 1.2 201 40.1Aleksinac (Aleksinac) 13 37.1 11 31.4 8 22.9Niška Banja (Niska Banja) 7 4.3 3 1.9 80 49.7Niš (Nis) 66 12.1 51 9.4 345 63.4Prokuplje (Prokuplje) 15 11.8 28 22.0 73 57.5Pirot (Pirot) 37 23.9 69 44.5 24 15.5Leskovac (Leskovac) 22 14.5 68 44.7 51 33.6Vranje (Vranje) 9 6.9 57 43.8 42 32.3Surdulica (Surdulica) 4 12.5 20 62.5 2 6.3Sve koronarne jedinice (All coronary care units) 2293 17.2 2671 20.1 6138 46.1n – broj (number)– – bez podataka (no data)* – potom prebačen u koronarnu jedinicu (then transfered to coronary care unit)

Ustanova gde je izvršen prvi pregled (First contact with health service)

Urgentni prijem (Emergency admission)*

Upućen iz doma zdravlja (From primary health care

facility)*

Dovežen hitnom pomoći (By emergency ambulance)*



n % n % n % n %2 0.6 8 2.6 35 11.2 313 100.08 1.6 20 3.9 1 0.2 510 100.07 3.1 1 0.4 32 14.0 228 100.00 0.0 1 0.5 36 16.7 215 100.04 3.4 1 0.9 0 0.0 116 100.09 2.1 11 2.5 5 1.2 432 100.02 0.7 13 4.5 1 0.3 290 100.0

137 8.5 23 1.4 156 9.7 1605 100.02 1.1 1 0.5 17 9.0 188 100.05 1.5 8 2.4 31 9.3 333 100.03 2.2 3 2.2 7 5.1 138 100.0

51 6.5 63 8.1 7 0.9 782 100.022 12.0 4 2.2 0 0.0 184 100.027 20.5 7 5.3 4 3.0 132 100.031 6.4 10 2.1 3 0.6 483 100.0

198 20.5 18 1.9 23 2.4 968 100.03 2.4 3 2.4 16 12.7 126 100.06 2.2 5 1.8 2 0.7 278 100.06 1.9 9 2.9 41 13.1 314 100.00 0.0 3 1.9 5 3.2 157 100.02 1.4 5 3.5 2 1.4 141 100.02 0.7 3 1.1 3 1.1 267 100.03 4.1 2 2.7 1 1.4 73 100.0

26 6.9 26 6.9 2 0.5 379 100.010 7.7 5 3.8 0 0.0 130 100.04 3.9 1 1.0 6 5.8 103 100.03 1.3 9 3.8 3 1.3 240 100.03 2.2 7 5.1 14 10.1 138 100.02 1.3 7 4.4 75 46.9 160 100.00 0.0 4 3.8 36 34.6 104 100.00 0.0 0 0.0 1 1.5 65 100.00 0.0 0 0.0 18 60.0 30 100.0

11 3.7 8 2.7 50 16.8 297 100.00 0.0 0 0.0 0 0.0 38 100.00 0.0 1 1.6 1 1.6 62 100.0

24 10.9 1 0.5 0 0.0 221 100.09 13.8 1 1.5 0 0.0 65 100.05 3.9 1 0.8 8 6.3 128 100.0

10 3.4 12 4.0 57 19.1 298 100.04 4.0 0 0.0 51 51.0 100 100.02 0.8 1 0.4 141 57.3 246 100.0

40 18.1 0 0.0 1 0.5 221 100.08 4.6 1 0.6 0 0.0 175 100.03 0.6 4 0.8 80 16.0 501 100.02 5.7 0 0.0 1 2.9 35 100.03 1.9 2 1.2 66 41.0 161 100.0

57 10.5 12 2.2 13 2.4 544 100.01 0.8 3 2.4 7 5.5 127 100.07 4.5 0 0.0 18 11.6 155 100.01 0.7 2 1.3 8 5.3 152 100.0

15 11.5 3 2.3 4 3.1 130 100.06 18.8 0 0.0 0 0.0 32 100.0

786 5.9 333 2.5 1089 8.2 13310 100.0

Ustanova gde je izvršen prvi pregled (First contact with health service)

Ukupno (Total)Upućen iz druge ustanove (From another facility)*

Upućen iz nekoronarnog odeljenja u bolnici

(From noncoronary hospital department)*

Nepoznato (Uknown)

Tabela 32. Dijagnoza akutnog koronarnog sindroma prema promenama u EKG-u kod

Table 32. Diagnosis of acute coronary syndrome according to ECG in patients admitted in coronary care units, Serbia, 2008


n % n %

Subotica (Subotica) 164 52.4 39 12.5Zrenjanin (Zrenjanin) 227 44.5 99 19.4Senta (Senta) 69 30.3 47 20.6Kikinda (Kikinda) 100 46.5 59 27.4Vršac (Vrsac) 72 62.1 28 24.1Pančevo (Pancevo) 206 47.7 155 35.9Sombor (Sombor) 111 38.3 95 32.8Sremska Kamenica (Sremska Kamenica) 691 43.1 443 27.6Vrbas (Vrbas) 89 47.3 20 10.6Sremska Mitrovica (Sremska Mitrovica) 205 61.6 112 33.6Mladenovac (Mladenovac) 78 56.5 16 11.6Bežanijska kosa (Bezanijska kosa) 295 37.7 178 22.8Zemun (Zemun) 50 27.2 53 28.8Zvezdara (Zvezdara) 74 56.1 41 31.1Dragiša Mišović (Dragisa Misovic) 209 43.3 134 27.7Urgentni centar (Emergency center) 606 62.6 184 19.0Loznica (Loznica) 98 77.8 18 14.3Šabac (Sabac) 161 57.9 41 14.7Valjevo (Valjevo) 173 55.1 113 36.0Smederevo (Smederevo) 111 70.7 8 5.1S. Palanka (S.Palanka) 73 51.8 34 24.1Požarevac (Pozarevac) 189 70.8 66 24.7Petrovac (Petrovac) 28 38.4 26 35.6Kragujevac (Kragujevac) 193 50.9 124 32.7Aranđelovac (Arandjelovac) 63 48.5 31 23.8Ćuprija (Cuprija) 56 54.4 22 21.4Jagodina (Jagodina) 122 50.8 58 24.2Paraćin (Paracin) 64 46.4 37 26.8Bor (Bor) 54 33.8 50 31.3Negotin (Negotin) 36 34.6 25 24.0Kladovo (Kladovo) 44 67.7 7 10.8Majdanpek (Majdanpek) 12 40.0 16 53.3Zaječar (Zajecar) 100 33.7 73 24.6Sokobanja (Sokobanja) 23 60.5 9 23.7Knjaževac (Knjazevac) 17 27.4 27 43.5Užice (Uzice) 117 52.9 23 10.4Priboj (Priboj) 31 47.7 12 18.5Prijepolje (Prijepolje) 33 25.8 7 5.5Čačak (Cacak) 189 63.4 91 30.5Gornji Milanovac (Gornji Milanovac) 42 42.0 26 26.0Kraljevo (Kraljevo) 130 52.8 29 11.8Novi Pazar (Novi Pazar) 115 52.0 73 33.0Vrnjačka Banja (Vrnjacka Banja) 34 19.4 47 26.9Kruševac (Krusevac) 219 43.7 102 20.4Aleksinac (Aleksinac) 18 51.4 6 17.1Niška Banja (Niska Banja) 62 38.5 23 14.3Niš (Nis) 253 46.5 223 41.0Prokuplje (Prokuplje) 64 50.4 9 7.1Pirot (Pirot) 93 60.0 34 21.9Leskovac (Leskovac) 101 66.4 24 15.8Vranje (Vranje) 72 55.4 23 17.7Surdulica (Surdulica) 12 37.5 6 18.8Sve koronarne jedinice (All coronary care units) 6448 48.4 3246 24.4n – broj (number)– – bez podataka (no data)

bolesnika primljenih u koronarne jedinice, Srbija, 2008. godina

Akutni koronarni sindrom prema promenama u EKG-u (Acute coronary syndrome according to ECG)

Infarkt sa ST elevacijom (ST elevation infarction)

Infarkt bez ST elevacije ( Non ST elevation infarction)



n % n % n %12 3.8 98 31.3 313 100.015 2.9 169 33.1 510 100.02 0.9 110 48.2 228 100.04 1.9 52 24.2 215 100.00 0.0 16 13.8 116 100.0

14 3.2 57 13.2 432 100.08 2.8 76 26.2 290 100.0

30 1.9 441 27.5 1605 100.03 1.6 76 40.4 188 100.07 2.1 9 2.7 333 100.05 3.6 39 28.3 138 100.0

35 4.5 274 35.0 782 100.00 0.0 81 44.0 184 100.04 3.0 13 9.8 132 100.08 1.7 132 27.3 483 100.0

18 1.9 160 16.5 968 100.00 0.0 10 7.9 126 100.07 2.5 69 24.8 278 100.04 1.3 24 7.6 314 100.01 0.6 37 23.6 157 100.00 0.0 34 24.1 141 100.0

10 3.7 2 0.7 267 100.00 0.0 19 26.0 73 100.08 2.1 54 14.2 379 100.01 0.8 35 26.9 130 100.02 1.9 23 22.3 103 100.0

10 4.2 50 20.8 240 100.01 0.7 36 26.1 138 100.00 0.0 56 35.0 160 100.00 0.0 43 41.3 104 100.00 0.0 14 21.5 65 100.00 0.0 2 6.7 30 100.05 1.7 119 40.1 297 100.00 0.0 6 15.8 38 100.02 3.2 16 25.8 62 100.00 0.0 81 36.7 221 100.00 0.0 22 33.8 65 100.01 0.8 87 68.0 128 100.02 0.7 16 5.4 298 100.02 2.0 30 30.0 100 100.00 0.0 87 35.4 246 100.07 3.2 26 11.8 221 100.00 0.0 94 53.7 175 100.03 0.6 177 35.3 501 100.00 0.0 11 31.4 35 100.02 1.2 74 46.0 161 100.0

25 4.6 43 7.9 544 100.00 0.0 54 42.5 127 100.03 1.9 25 16.1 155 100.01 0.7 26 17.1 152 100.06 4.6 29 22.3 130 100.01 3.1 13 40.6 32 100.0

269 2.0 3347 25.1 13310 100.0

Akutni koronarni sindrom prem a prom enam a u EKG -u (Acute coronary syndrom e according to ECG )

Ukupno (Tota l)

Infarkt sa b lokom leve grane (Infarct w ith le ft bundle–branch

block)Nestabilna angina (Unstable angina)

Tabela 33. Lokalizacija infarkta miokarda prema EKG-u kod bolesnika sa akutnim koronarnim

Table 33. Localization of myocardial infarction according to ECG in patients with acute coronary


n % n %

Subotica (Subotica) 72 33.5 106 49.3Zrenjanin (Zrenjanin) 155 45.5 164 48.1Senta (Senta) 42 35.6 53 44.9Kikinda (Kikinda) 74 45.4 68 41.7Vršac (Vrsac) 56 56.0 40 40.0Pančevo (Pancevo) 136 36.3 158 42.1Sombor (Sombor) 94 43.9 72 33.6Sremska Kamenica (Sremska Kamenica) 498 42.8 468 40.2Vrbas (Vrbas) 52 46.4 44 39.3Sremska Mitrovica (Sremska Mitrovica) 161 49.7 129 39.8Mladenovac (Mladenovac) 35 35.4 20 20.2Bežanijska kosa (Bezanijska kosa) 232 45.7 225 44.3Zemun (Zemun) 37 35.9 64 62.1Zvezdara (Zvezdara) 63 52.9 46 38.7Dragiša Mišović (Dragisa Misovic) 126 35.9 189 53.8Urgentni centar (Emergency center) 364 45.0 382 47.3Loznica (Loznica) 58 50.0 48 41.4Šabac (Sabac) 69 33.0 92 44.0Valjevo (Valjevo) 73 25.2 88 30.3Smederevo (Smederevo) 42 35.0 44 36.7S. Palanka (S.Palanka) 21 19.6 33 30.8Požarevac (Pozarevac) 92 34.7 113 42.6Petrovac (Petrovac) 13 24.1 23 42.6Kragujevac (Kragujevac) 105 32.3 123 37.8Aranđelovac (Arandjelovac) 35 36.8 49 51.6Ćuprija (Cuprija) 41 51.3 28 35.0Jagodina (Jagodina) 66 34.7 115 60.5Paraćin (Paracin) 40 39.2 45 44.1Bor (Bor) 55 52.9 31 29.8Negotin (Negotin) 24 39.3 22 36.1Kladovo (Kladovo) 25 49.0 25 49.0Majdanpek (Majdanpek) 6 21.4 6 21.4Zaječar (Zajecar) 95 53.4 62 34.8Sokobanja (Sokobanja) 12 37.5 14 43.8Knjaževac (Knjazevac) 20 43.5 11 23.9Užice (Uzice) 68 48.6 47 33.6Priboj (Priboj) 15 34.9 23 53.5Prijepolje (Prijepolje) 23 56.1 17 41.5Čačak (Cacak) 108 38.3 69 24.5Gornji Milanovac (Gornji Milanovac) 20 28.6 25 35.7Kraljevo (Kraljevo) 38 23.9 44 27.7Novi Pazar (Novi Pazar) 71 36.4 78 40.0Vrnjačka Banja (Vrnjacka Banja) 37 45.7 36 44.4Kruševac (Krusevac) 120 37.0 123 38.0Aleksinac (Aleksinac) 9 37.5 9 37.5Niška Banja (Niska Banja) 44 50.6 33 37.9Niš (Nis) 196 39.1 176 35.1Prokuplje (Prokuplje) 25 34.2 39 53.4Pirot (Pirot) 44 33.8 52 40.0Leskovac (Leskovac) 44 34.9 60 47.6Vranje (Vranje) 49 48.5 33 32.7Surdulica (Surdulica) 9 47.4 4 21.1Sve koronarne jedinice (All coronary care units) 4009 40.2 4068 40.8n – broj (number)– – bez podataka (no data)

Prednji zid (Anterior wall)

Zadnje-donji zid (Posterior-inferior wall)

Lokalizacija infarkta miokarda prema EKG-u (Localization of myocardial infarction according to ECG)

sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina

syndrome treated in coronary care units, Serbia, 2008



n % n %37 17.2 215 100.022 6.5 341 100.023 19.5 118 100.021 12.9 163 100.04 4.0 100 100.0

81 21.6 375 100.048 22.4 214 100.0198 17.0 1164 100.016 14.3 112 100.034 10.5 324 100.044 44.4 99 100.051 10.0 508 100.02 1.9 103 100.0

10 8.4 119 100.036 10.3 351 100.062 7.7 808 100.010 8.6 116 100.048 23.0 209 100.0129 44.5 290 100.034 28.3 120 100.053 49.5 107 100.060 22.6 265 100.018 33.3 54 100.097 29.8 325 100.011 11.6 95 100.011 13.8 80 100.09 4.7 190 100.0

17 16.7 102 100.018 17.3 104 100.015 24.6 61 100.01 2.0 51 100.0

16 57.1 28 100.021 11.8 178 100.06 18.8 32 100.0

15 32.6 46 100.025 17.9 140 100.05 11.6 43 100.01 2.4 41 100.0

105 37.2 282 100.025 35.7 70 100.077 48.4 159 100.046 23.6 195 100.08 9.9 81 100.0

81 25.0 324 100.06 25.0 24 100.0

10 11.5 87 100.0129 25.7 501 100.0

9 12.3 73 100.034 26.2 130 100.022 17.5 126 100.019 18.8 101 100.06 31.6 19 100.0

1886 18.9 9963 100.0

Neoznačeno (Unmarked)

Ukupno (Total)

Lokalizacija infarkta miokarda prema EKG-u (Localization of myocardial infarction according to ECG)

Tabela 34. Vrednosti laboratorijskih analiza na prijemu kod bolesnika sa akutnim koronarnim

Table 34. Values of laboratory analyses on admission in patients with acute coronary syndrome treated in coronary care units, Serbia, 2008


med mod med mod med mod

Subotica (Subotica) 9.2 7.7 7.7 132 133 114 2.7 1.8 1.5Zrenjanin (Zrenjanin) 7.8 6.2 5.1 135 136 136 2.8 2.1 1.2Senta (Senta) 7.8 6.4 5.0 133 133 126 2.8 2.0 1.0Kikinda (Kikinda) 7.6 6.0 5.0 139 140 140 2.6 2.0 1.0Vršac (Vrsac) 9.7 7.8 6.1 141 141 140 3.0 1.9 1.2Pančevo (Pancevo) 10.1 8.1 6.0 134 135 144 3.0 2.1 1.5Sombor (Sombor) 7.9 6.3 6.1 128 130 130 3.2 2.3 2.6Sremska Kamenica (Sremska Kamenica) 9.2 7.5 5.5 139 141 141 2.8 2.0 1.4Vrbas (Vrbas) 9.0 7.0 6.2 135 138 139 2.8 2.0 1.3Sremska Mitrovica (Sremska Mitrovica) 9.2 7.8 6.0 136 136 134 2.9 2.0 2.0Mladenovac (Mladenovac) 7.7 6.0 4.7 135 132 132 2.9 1.9 1.9Bežanijska kosa (Bezanijska kosa) 9.5 7.7 6.9 136 139 140 2.9 2.1 1.2Zemun (Zemun) . . . . . . . . .Zvezdara (Zvezdara) 10.1 7.6 6.0 138 140 140 3.1 2.1 8.0Dragiša Mišović (Dragisa Misovic) 7.7 6.2 6.0 127 126 130 3.2 2.2 1.3Urgentni centar (Emergency center) 8.2 6.5 5.8 139 141 140 3.1 1.9 1.2Loznica (Loznica) 7.2 6.4 5.5 141 141 135 3.0 1.8 8.0Šabac (Sabac) 7.4 6.2 5.2 135 135 132 2.7 1.9 1.2Valjevo (Valjevo) 7.6 6.3 5.0 133 133 134 3.2 2.1 1.4Smederevo (Smederevo) 8.4 7.2 5.5 136 136 134 2.7 2.0 1.2S. Palanka (S.Palanka) 8.6 6.9 4.7 137 139 140 2.7 1.9 1.1Požarevac (Pozarevac) 9.0 6.9 5.9 129 131 140 3.2 2.0 1.2Petrovac (Petrovac) 9.3 7.3 5.8 132 133 107 3.0 2.1 1.4Kragujevac (Kragujevac) 9.3 7.6 6.2 135 136 139 2.9 1.9 1.2Aranđelovac (Arandjelovac) 8.4 6.9 4.7 128 128 144 2.4 2.1 2.0Ćuprija (Cuprija) 8.3 6.5 5.0 131 132 130 3.1 2.0 1.4Jagodina (Jagodina) 8.6 7.2 5.3 133 136 136 2.8 2.0 1.2Paraćin (Paracin) 9.0 7.0 5.5 125 130 141 3.3 2.3 1.2Bor (Bor) 8.1 6.4 6.0 130 130 142 2.7 1.7 1.0Negotin (Negotin) 7.5 6.5 5.3 116 116 110 2.8 2.2 1.2Kladovo (Kladovo) 9.4 7.7 4.5 135 134 130 3.5 2.2 1.4Majdanpek (Majdanpek) 9.1 7.9 4.6 131 134 134 3.7 4.1 4.2Zaječar (Zajecar) 7.0 5.8 4.4 130 130 130 3.2 1.8 1.8Sokobanja (Sokobanja) 7.3 4.6 3.3 133 134 129 2.8 1.8 1.5Knjaževac (Knjazevac) 6.8 6.2 6.4 126 128 133 2.8 2.1 1.3Užice (Uzice) 8.3 6.9 5.0 130 130 130 3.1 2.0 2.0Priboj (Priboj) 8.1 6.5 8.0 139 139 142 3.3 2.3 1.2Prijepolje (Prijepolje) 5.8 5.0 4.2 125 128 112 2.7 2.3 2.9Čačak (Cacak) 8.2 6.7 5.2 134 135 132 2.5 1.6 1.2Gornji Milanovac (Gornji Milanovac) 7.3 6.1 5.0 132 138 124 3.0 2.0 8.0Kraljevo (Kraljevo) 8.4 6.6 5.7 141 143 142 3.1 2.2 1.4Novi Pazar (Novi Pazar) 8.2 6.5 5.5 136 138 141 2.9 1.8 1.4Vrnjačka Banja (Vrnjacka Banja) 6.4 5.6 4.9 125 125 132 3.0 2.0 2.1Kruševac (Krusevac) 8.8 6.8 5.3 135 135 120 3.1 2.0 1.4Aleksinac (Aleksinac) 8.0 6.0 5.3 129 128 135 3.5 2.4 1.0Niška Banja (Niska Banja) 7.9 6.4 5.0 135 135 119 2.9 2.1 2.0Niš (Nis) 8.8 7.0 6.0 131 134 142 3.0 2.0 1.0Prokuplje (Prokuplje) 7.1 5.9 5.0 129 130 141 3.1 2.0 1.0Pirot (Pirot) 7.3 6.0 4.7 126 128 120 3.1 2.1 1.0Leskovac (Leskovac) 6.9 6.0 6.0 127 128 130 3.2 2.4 4.0Vranje (Vranje) 7.4 6.1 5.3 139 140 136 3.1 2.1 1.1Surdulica (Surdulica) 6.5 5.7 4.7 138 142 145 3.5 2.3 1.2Sve koronarne jedinice (All coronary care units) 8.4 6.8 6.0 134 135 140 3.0 2.0 1.0 – aritmetička sredina (mean)med – medijana (mediana)mod – mod (mod)

sindromom lečenih u koronarnim jedinicama, Srbija, 2008. godina

Glukoza u krvi (Glucosa in blood)*

Hemoglobin (Hemoglobin)**

Trigliceridi (Triglicerides)*

* – mmol/L (mmol/L)** – g/L (g/L)– – bez podataka (no data)

Vrednosti laboratorijskih analiza na prijemu (Values of laboratory analyses on admission)

x x x

x

med mod med mod med mod

5.9 5.8 4.9 1.1 1.1 0.9 3.8 3.7 3.15.5 5.3 4.8 1.1 1.1 1.1 . . .5.5 5.5 6.0 1.0 1.0 0.7 3.8 3.6 4.05.6 5.4 5.0 1.5 1.4 1.0 3.4 3.3 4.45.6 5.6 5.2 1.8 1.4 1.4 2.6 2.5 1.15.3 5.2 4.7 1.4 1.4 1.3 3.0 3.0 3.05.9 5.9 5.6 1.0 1.0 1.0 . . .5.7 5.6 5.0 1.0 1.0 1.0 3.2 3.0 2.76.1 5.8 5.2 1.2 1.2 0.9 3.7 3.6 2.66.0 6.0 4.0 1.2 1.1 1.0 4.0 4.0 4.05.3 5.4 5.1 1.3 1.3 1.0 3.3 3.2 3.55.9 5.8 5.2 1.2 1.1 1.0 3.7 3.7 4.0

. . . . . . . . .5.6 5.6 6.6 1.2 1.1 1.0 3.6 3.6 3.35.8 5.7 5.4 1.1 1.1 1.1 4.3 4.3 4.55.3 5.3 4.7 1.2 1.1 1.0 3.4 3.4 3.26.5 6.2 5.0 1.5 1.0 1.0 . . .5.8 5.7 5.2 1.1 1.1 0.5 . . .5.6 5.5 5.6 1.2 1.0 1.0 3.5 3.5 4.05.3 5.2 4.3 . . . . . .5.6 5.6 5.5 . . . . . .5.2 5.2 5.2 . . . . . .5.3 5.3 5.3 0.5 0.5 0.5 . . .5.3 5.2 4.2 1.1 1.0 0.9 3.3 3.3 3.15.1 4.9 4.9 2.3 1.3 1.3 4.6 4.6 2.05.1 5.0 4.5 1.5 1.2 0.8 3.9 3.7 1.45.6 5.4 5.2 1.1 1.0 0.9 3.5 3.5 3.55.7 5.3 5.3 . . . . . .5.6 5.4 5.4 1.0 0.9 0.9 3.8 3.7 3.45.9 6.0 5.2 1.6 1.6 1.5 3.8 3.8 3.55.9 5.8 6.1 . . . . . .4.6 4.7 3.0 . . . . . .5.2 5.2 4.6 1.1 1.2 0.8 3.3 3.8 0.85.0 5.0 4.8 . . . . . .5.2 5.2 6.0 1.3 1.1 1.1 3.8 4.4 4.45.6 5.6 6.0 1.1 1.0 1.0 3.5 3.7 4.06.0 5.8 5.8 1.2 1.2 1.0 3.9 3.7 3.35.9 6.0 6.8 . . . . . .5.4 5.4 4.6 1.0 1.0 0.9 3.7 3.5 2.55.4 5.4 4.8 1.2 1.0 0.9 3.6 3.6 3.25.7 5.8 5.4 . . . 1.2 1.2 1.25.8 5.6 4.6 0.8 0.8 0.3 2.1 2.1 1.05.2 5.2 5.3 1.2 1.1 1.0 3.3 3.3 3.85.6 5.6 5.6 0.9 0.9 0.6 3.5 3.5 3.56.4 5.6 5.1 1.3 1.3 1.2 3.9 3.5 3.55.4 5.3 6.0 1.2 1.1 1.0 3.2 3.1 3.05.7 5.8 6.0 1.2 1.0 1.0 3.6 3.6 4.05.5 5.5 5.0 . . . . . .5.5 5.5 5.5 1.1 1.1 0.9 3.0 3.0 1.65.6 5.6 6.0 1.6 1.6 0.5 3.5 3.5 3.55.3 5.2 5.0 0.9 0.9 0.7 3.1 3.1 1.05.4 5.2 5.2 . . . . . .5.6 5.5 5.0 1.1 1.1 1.0 3.5 3.4 3.0

Lipoprotein niske gustine (Low density lipoprotein)*

Vrednosti laboratorijskih analiza na prijemu (Values of laboratory analyses on admission)

Ukupni holeslerol (Total Cholesterol)*



Lipoprotein visoke gustine (High density lipoprotein)*

x x x

Tabela 35. Komplikacije tokom hospitalizacije kod bolesnika sa infarktom miokarda lečenih u koronarnimjedinicama, Srbija, 2008. godina Table 35.Complications during hospitalization in patiens with myocardial infarction treated in coronary care units, Serbia, 2008

n % n % n %

Subotica (Subotica) 215 2.2 83 43.5 43 22.5Zrenjanin (Zrenjanin) 341 3.4 146 45.5 79 24.6Senta (Senta) 118 1.2 33 31.1 17 16.0Kikinda (Kikinda) 163 1.6 52 36.9 19 14.0Vršac (Vrsac) 100 1.0 38 39.2 17 17.5Pančevo (Pancevo) 375 3.8 149 40.7 56 15.3Sombor (Sombor) 214 2.1 133 62.1 51 23.8Sremska Kamenica (Sremska Kamenica) 1164 11.7 187 17.1 57 5.2Vrbas (Vrbas) 112 1.1 36 34.3 38 36.2Sremska Mitrovica (Sremska Mitrovica) 324 3.3 79 24.6 21 6.5Mladenovac (Mladenovac) 99 1.0 34 41.0 1 1.4Bežanijska kosa (Bezanijska kosa) 508 5.1 289 57.8 44 8.8Zemun (Zemun) 103 1 18 17.5 3 3Zvezdara (Zvezdara) 119 1.2 36 30.8 11 9.4Dragiša Mišović (Dragisa Misovic) 351 3.5 107 31.6 35 10.3Urgentni centar (Emergency center) 808 8.1 242 31.2 56 7.2Loznica (Loznica) 116 1.2 31 36.0 5 5.8Šabac (Sabac) 209 2.1 95 46.1 21 10.2Valjevo (Valjevo) 290 2.9 86 33.6 35 13.7Smederevo (Smederevo) 120 1.2 17 23.9 25 35.2S. Palanka (S.Palanka) 107 1.1 30 40.0 4 6.3Požarevac (Pozarevac) 265 2.7 44 16.8 9 3.4Petrovac (Petrovac) 54 0.5 24 45.3 13 24.5Kragujevac (Kragujevac) 325 3.3 135 42.3 34 10.7Aranđelovac (Arandjelovac) 95 1.0 46 48.9 30 31.9Ćuprija (Cuprija) 80 0.8 23 29.5 12 15.4Jagodina (Jagodina) 190 1.9 45 24.5 40 21.9Paraćin (Paracin) 102 1.0 41 42.7 28 29.2Bor (Bor) 104 1.0 43 75.4 2 18.2Negotin (Negotin) 61 0.6 25 54.3 16 34.8Kladovo (Kladovo) 51 0.5 36 70.6 5 9.8Majdanpek (Majdanpek) 28 0.3 3 25.0 1 8.3Zaječar (Zajecar) 178 1.8 45 25.7 11 6.3Sokobanja (Sokobanja) 32 0.3 10 31.3 9 29.0Knjaževac (Knjazevac) 46 0.5 14 30.4 9 19.6Užice (Uzice) 140 1.4 20 16.9 9 7.6Priboj (Priboj) 43 0.4 19 44.2 11 25.6Prijepolje (Prijepolje) 41 0.4 16 41.0 18 46.2Čačak (Cacak) 282 2.8 98 41.7 38 16.0Gornji Milanovac (Gornji Milanovac) 70 0.7 23 74.2 11 55.0Kraljevo (Kraljevo) 159 1.6 30 33.0 28 30.8Novi Pazar (Novi Pazar) 195 2.0 65 33.3 62 31.8Vrnjačka Banja (Vrnjacka Banja) 81 0.8 40 49.4 12 14.8Kruševac (Krusevac) 324 3.3 40 13.8 9 3.1Aleksinac (Aleksinac) 24 0.2 6 27.3 4 18.2Niška Banja (Niska Banja) 87 0.9 27 32.9 30 39.0Niš (Nis) 501 5.0 111 29.4 70 19.2Prokuplje (Prokuplje) 73 0.7 16 22.9 7 10.0Pirot (Pirot) 130 1.3 20 17.2 3 2.6Leskovac (Leskovac) 126 1.3 24 20.0 15 12.6Vranje (Vranje) 101 1.0 31 35.2 12 14.1Surdulica (Surdulica) 19 0.2 4 23.5 4 23.5Sve koronarne jedinice (All coronary care units) 9963 4.5 3045 33.5 1200 13.4n – broj (number)– – bez podataka (no data)*– Kilip 4 Kilip klasifikacije srčane insuficijencije (Killip 4 of Killip?s heart failure classification)

Koronarne jedinice (Coronary care units) Komplikacije (Complications)

Srčana insuficijencija (Heart failure)*

Poremećaji ritma i sprovođenja (Rithym and conductional disorders)

Postinfarktna angina (Postinfarction angina)

Tabela 35. nastavak


n % n % n %

23 12.0 6 3.1 29 15.2105 33.1 8 2.5 60 18.9

0 0.0 3 2.8 7 6.63 2.2 2 1.4 15 10.89 9.3 1 1.0 12 12.48 2.2 11 3.0 32 8.75 2.3 3 1.4 22 10.3

34 3.1 49 4.5 143 13.12 1.9 2 1.9 14 13.38 2.5 9 2.8 35 10.92 2.7 0 0.0 10 13.5

44 8.8 6 1.2 56 11.20 0 0 0 0 01 0.9 3 2.6 13 11.1

13 3.8 17 5.0 52 15.314 1.8 23 3.0 89 11.57 8.1 3 3.5 6 7.15 2.4 15 7.3 25 12.17 2.7 14 5.5 14 5.53 4.3 6 8.5 13 18.30 0.0 1 1.6 4 6.33 1.1 3 1.1 32 12.20 0.0 3 5.7 5 9.4

17 5.3 14 4.4 36 11.32 2.2 3 3.2 15 16.07 9.0 4 5.1 9 11.56 3.3 7 3.8 21 11.52 2.1 10 10.4 15 15.60 0.0 3 25.0 6 40.05 10.9 2 4.3 9 19.60 0.0 0 0.0 4 8.00 0.0 0 0.0 4 33.36 3.4 6 3.4 17 9.72 6.3 1 3.1 2 6.32 4.3 4 8.7 5 10.91 0.8 1 0.8 12 10.10 0.0 0 0.0 7 16.33 7.7 4 10.3 4 10.3

35 15.4 28 12.4 38 16.90 0.0 0 0.0 1 10.03 3.3 0 0.0 4 4.41 0.5 16 8.2 14 7.21 1.2 0 0.0 3 3.70 0.0 0 0.0 13 4.60 0.0 2 9.1 0 0.03 3.7 11 13.3 9 11.0

11 3.1 41 11.3 21 5.80 0.0 9 12.9 1 1.42 1.7 3 2.6 7 6.11 0.8 5 4.2 4 3.44 4.6 9 10.3 6 6.90 0.0 0 0.0 0 0.0

410 4.6 371 4.2 975 11.0

Komplikacije (Complications)

Mehaničke komplikacije (Mechanical complications)

Reinfarkt (Reinfarct)

KPR (CPR)

Tabela 36. Terapija kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godinaTable 36. Therapy in patients with acute coronary syndrome in coronary care units, Serbia, 2008


n % n % n % n % n %

Subotica (Subotica) 244 87.8 195 69.9 33 11.9 265 95.3 129 46.4Zrenjanin (Zrenjanin) 492 97.0 179 35.9 38 7.7 467 93.2 366 73.1Senta (Senta) 184 93.9 189 96.4 8 4.1 169 86.2 134 68.4Kikinda (Kikinda) 155 88.6 167 94.9 42 23.9 166 94.3 140 79.5Vršac (Vrsac) 112 98.2 97 85.1 46 40.4 80 70.2 74 64.9Pančevo (Pancevo) 381 90.5 386 90.0 33 7.7 363 84.6 239 55.7Sombor (Sombor) 278 95.9 249 85.9 99 34.1 204 70.6 151 52.1Sremska Kamenica (Sremska Kamenica) 1333 91.9 248 17.4 236 16.6 790 54.8 1150 79.6Vrbas (Vrbas) 166 97.1 130 76.0 0 0.0 167 97.1 115 67.3Sremska Mitrovica (Sremska Mitrovica) 325 98.2 298 89.8 102 30.9 224 67.5 130 39.3Mladenovac (Mladenovac) 133 97.8 123 93.2 52 44.1 41 35.3 41 33.9Bežanijska kosa (Bezanijska kosa) 744 95.9 432 55.8 117 15.2 635 81.8 431 55.8Zemun (Zemun) 183 99.5 176 96.2 184 100.0 0 0.0 169 91.8Zvezdara (Zvezdara) 120 96.0 110 88.0 32 25.6 92 73.6 104 83.2Dragiša Mišović (Dragisa Misovic) 451 93.4 420 87.0 201 41.6 176 36.4 191 39.5Urgentni centar (Emergency center) 872 90.9 640 66.7 704 73.4 580 60.5 692 72.2Loznica (Loznica) 78 83.9 56 53.8 21 19.4 71 79.8 86 78.2Šabac (Sabac) 273 99.3 139 50.5 4 1.5 268 97.5 190 69.1Valjevo (Valjevo) 255 94.8 45 16.7 71 26.4 203 75.5 195 72.5Smederevo (Smederevo) 95 95.0 91 91.9 19 19.2 79 80.6 78 78.8S. Palanka (S.Palanka) 122 93.8 120 90.9 16 14.8 65 61.9 65 59.1Požarevac (Pozarevac) 248 93.6 217 81.9 122 46.4 191 72.3 214 80.8Petrovac (Petrovac) 71 98.6 70 97.2 23 31.9 46 63.9 54 75.0Kragujevac (Kragujevac) 362 96.3 302 79.9 149 39.6 305 81.3 254 67.4Aranđelovac (Arandjelovac) 121 93.8 114 88.4 50 39.1 61 47.3 101 78.3Ćuprija (Cuprija) 97 94.2 78 76.5 40 38.8 52 50.5 78 75.7Jagodina (Jagodina) 235 98.7 221 92.9 14 5.9 216 91.1 201 84.1Paraćin (Paracin) 124 92.5 120 89.6 55 41.0 59 44.0 70 52.2Bor (Bor) 84 98.8 85 100.0 0 0.0 71 100.0 57 100.0Negotin (Negotin) 70 98.6 67 94.4 2 2.8 61 85.9 32 45.1Kladovo (Kladovo) 64 98.5 63 98.4 40 61.5 24 36.9 43 66.2Majdanpek (Majdanpek) 12 100.0 12 100.0 7 58.3 2 16.7 3 25.0Zaječar (Zajecar) 286 97.3 98 33.7 17 5.9 225 77.6 246 84.2Sokobanja (Sokobanja) 38 100.0 36 94.7 4 10.8 31 88.6 27 71.1Knjaževac (Knjazevac) 59 95.2 60 96.8 1 1.8 59 95.2 57 91.9Užice (Uzice) 204 92.3 125 56.6 56 25.3 144 65.2 168 76.0Priboj (Priboj) 65 100.0 64 98.5 29 44.6 28 43.1 46 71.9Prijepolje (Prijepolje) 116 90.6 120 93.8 39 30.5 36 28.1 91 71.1Čačak (Cacak) 234 95.1 237 96.7 119 48.6 160 65.6 230 93.9Gornji Milanovac (Gornji Milanovac) 47 100.0 46 95.8 34 75.6 13 72.2 39 90.7Kraljevo (Kraljevo) 101 96.2 95 90.5 30 28.6 98 93.3 91 86.7Novi Pazar (Novi Pazar) 221 100.0 220 99.5 4 1.8 218 98.6 209 94.6Vrnjačka Banja (Vrnjacka Banja) 173 98.9 168 96.0 3 1.7 170 97.1 168 96.6Kruševac (Krusevac) 407 96.9 73 17.5 0 0.0 224 53.5 273 65.0Aleksinac (Aleksinac) 32 97.0 34 100.0 12 41.4 32 94.1 24 72.7Niška Banja (Niska Banja) 97 99.0 89 90.8 2 2.1 91 92.9 88 91.7Niš (Nis) 496 98.2 466 96.1 44 11.8 486 96.8 419 90.9Prokuplje (Prokuplje) 115 92.0 122 98.4 2 1.7 104 84.6 76 61.8Pirot (Pirot) 131 97.0 133 97.8 4 2.9 128 94.1 101 75.4Leskovac (Leskovac) 142 97.3 129 88.4 13 9.0 136 94.4 113 77.4Vranje (Vranje) 119 93.0 93 78.2 2 1.7 120 95.2 104 85.2Surdulica (Surdulica) 30 96.8 28 90.3 2 6.5 30 93.8 25 80.6Sve koronarne jedinice (All coronary care units) 11597 94.8 8275 67.9 2977 25.0 8726 73.1 8572 70.7n – broj (number)

**NM – niskomolekularni (LMW – low molecular weight)

Terapija (Therapy)

*ASK – acetilsalicilna kiselina (ASA – acetilsalicil acid)

NMheparin (LMWheparin)**

ASK (ASA)*

Nitrati (Nitroglycerin)

Heparin (Heparin)

Beta blokatori (Beta blockers)

n % n % n % n % n % n % n %124 44.6 135 48.4 50 35.0 0 0.0 18 6.5 182 65.5 165 59.8340 67.5 185 36.6 129 58.1 1 0.5 181 36.0 220 43.7 436 86.396 49.0 40 20.4 28 43.1 0 0.0 19 9.7 131 66.8 101 51.593 52.8 84 47.7 35 40.7 3 3.5 46 26.1 21 11.9 113 64.296 84.2 57 50.0 25 35.2 8 11.3 9 7.9 71 62.3 100 87.7277 64.6 247 57.6 109 53.7 11 5.4 64 15.0 249 58.5 238 55.6179 61.7 147 50.7 37 33.3 1 0.9 47 16.2 204 70.3 168 57.9

1013 70.3 605 42.2 115 18.1 305 47.9 179 12.5 1077 75.1 1309 90.4125 73.5 82 48.2 28 33.7 0 0.0 12 7.1 165 97.1 160 94.1252 76.6 184 55.8 59 29.1 1 0.5 25 7.6 34 10.3 175 52.959 45.7 60 45.8 19 32.2 0 0.0 26 20.8 50 43.1 63 54.3637 82.1 361 46.6 98 33.7 79 27.2 102 13.2 609 79.0 664 85.6181 98.4 61 33.3 20 40.0 0 0.0 0 0.0 0 0.0 0 0.0116 92.8 56 44.8 13 17.6 15 20.3 20 16.1 88 70.4 114 91.2367 76.0 312 64.6 34 16.3 5 2.4 65 13.5 231 47.8 251 52.0750 78.2 330 34.4 55 9.2 360 59.9 107 11.2 679 70.8 771 80.471 67.6 7 8.0 25 34.7 2 2.8 3 3.4 62 70.5 93 83.8257 93.5 68 24.8 63 39.9 12 7.6 141 51.5 269 97.8 260 94.5227 84.4 66 24.5 58 45.0 0 0.0 49 18.2 105 39.0 124 46.177 78.6 15 15.6 14 19.2 0 0.0 6 6.3 79 81.4 64 66.762 53.4 60 50.8 14 27.5 2 4.1 18 18.2 16 16.2 58 57.4137 51.9 77 29.1 91 48.7 0 0.0 25 9.5 30 11.4 123 46.824 33.3 24 33.3 9 32.1 0 0.0 4 5.6 50 69.4 37 51.4253 67.3 172 45.7 109 56.8 19 9.9 75 19.9 329 87.3 2 0.581 62.3 52 40.0 25 39.7 1 1.6 10 7.8 81 63.3 71 54.680 78.4 32 31.4 29 51.8 4 7.1 11 10.8 80 77.7 92 89.3211 88.3 146 61.1 70 57.9 6 5.0 47 19.7 131 55.3 224 94.9111 82.8 68 50.7 24 38.7 7 11.3 27 20.1 100 74.6 124 93.265 100.0 47 100.0 2 4.3 0 0.0 0 0.0 65 100.0 74 100.041 56.2 18 24.7 13 38.2 0 0.0 17 23.3 61 83.6 63 86.336 55.4 29 44.6 23 52.3 0 0.0 4 6.2 45 69.2 29 45.32 16.7 3 25.0 0 0.0 0 0.0 2 16.7 9 75.0 4 33.3

246 83.4 105 36.1 58 58.6 0 0.0 79 27.0 245 83.9 247 84.635 92.1 17 44.7 19 82.6 3 13.0 6 15.8 37 97.4 30 78.947 77.0 32 51.6 6 35.3 0 0.0 14 22.6 47 75.8 59 95.2145 65.6 48 21.7 42 35.9 0 0.0 42 19.0 60 27.1 158 71.524 36.9 25 38.5 6 19.4 0 0.0 6 9.2 0 0.0 47 72.364 50.0 20 15.6 11 33.3 0 0.0 6 4.7 59 46.1 112 87.5183 74.4 223 91.0 69 44.5 3 1.9 13 5.3 134 54.5 191 78.042 89.4 21 63.6 3 42.9 0 0.0 6 30.0 18 90.0 15 78.998 93.3 12 11.4 34 53.1 3 4.7 18 17.1 78 74.3 101 96.2214 96.8 198 89.6 27 23.5 1 0.9 60 27.3 167 75.6 182 82.4168 96.0 80 45.7 17 50.0 0 0.0 127 72.6 168 96.0 172 98.3307 73.1 139 33.1 105 53.0 0 0.0 27 6.4 124 29.5 385 91.724 70.6 9 28.1 9 64.3 0 0.0 5 16.7 31 88.6 22 66.772 74.2 27 27.8 34 61.8 0 0.0 15 15.5 89 91.8 86 88.7355 81.1 198 51.3 101 55.5 47 31.3 59 16.4 456 92.5 421 90.362 49.6 28 22.4 14 24.1 1 1.6 8 6.5 28 22.6 12 9.698 72.1 27 19.9 22 26.5 4 4.9 27 19.9 90 66.2 99 72.8135 92.5 45 30.8 32 33.7 2 2.1 31 21.4 138 94.5 142 97.990 72.0 25 20.0 40 57.1 0 0.0 5 4.1 104 83.9 110 87.327 87.1 10 32.3 3 25.0 0 0.0 9 29.0 22 73.3 23 76.7

8876 73.2 5119 42.6 2075 35.2 906 15.8 1922 16.4 7618 64.0 8884 74.5

Fibrinoliza (Fibrinolysis)

ACE inhibitori (ACE inhibitors)

Diuretici (Diuretics)

Urgentna PTCA (Emergency PTCA)

Terapija (Therapy)

Tabela 36. (nastavak)Table 36. (continued)

Klopidoglel (Clopidogrel)

Statini (Statins)

Ca antagonisti (Ca antagonists)

Tabela 37. Ishod i dužina bolničkog lečenja kod bolesnika sa akutnim koronarnim sindromom

Table 37. Outcome and hospital lenght of stay in patients with acute coronary syndrome treated


n % n % n %

Subotica (Subotica) 278 88.8 14 4.5 21 6.7Zrenjanin (Zrenjanin) 380 74.5 67 13.1 57 11.2Senta (Senta) 207 90.8 10 4.4 9 3.9Kikinda (Kikinda) 173 80.5 15 7.0 27 12.6Vršac (Vrsac) 77 66.4 26 22.4 10 8.6Pančevo (Pancevo) 341 78.9 25 5.8 42 9.7Sombor (Sombor) 213 73.4 46 15.9 30 10.3Sremska Kamenica (Sremska Kamenica) 1422 88.6 11 0.7 172 10.7Vrbas (Vrbas) 105 55.9 67 35.6 16 8.5Sremska Mitrovica (Sremska Mitrovica) 269 80.8 17 5.1 46 13.8Mladenovac (Mladenovac) 109 79.0 17 12.3 12 8.7Bežanijska kosa (Bezanijska kosa) 49 6.3 683 87.3 43 5.5Zemun (Zemun) 182 98.9 0 0.0 2 1.1Zvezdara (Zvezdara) 107 81.1 7 5.3 18 13.6Dragiša Mišović (Dragisa Misovic) 383 79.3 37 7.7 63 13.0Urgentni centar (Emergency center) 416 43.0 477 49.3 73 7.5Loznica (Loznica) 115 91.3 1 0.8 6 4.8Šabac (Sabac) 229 82.4 12 4.3 34 12.2Valjevo (Valjevo) 290 92.4 15 4.8 9 2.9Smederevo (Smederevo) 142 90.4 7 4.5 8 5.1S. Palanka (S.Palanka) 124 87.9 8 5.7 9 6.4Požarevac (Pozarevac) 221 82.8 7 2.6 39 14.6Petrovac (Petrovac) 64 87.7 3 4.1 6 8.2Kragujevac (Kragujevac) 223 58.8 115 30.3 38 10.0Aranđelovac (Arandjelovac) 98 75.4 18 13.8 12 9.2Ćuprija (Cuprija) 72 69.9 22 21.4 7 6.8Jagodina (Jagodina) 191 79.6 30 12.5 17 7.1Paraćin (Paracin) 106 76.8 13 9.4 13 9.4Bor (Bor) 133 83.1 4 2.5 8 5.0Negotin (Negotin) 86 82.7 12 11.5 6 5.8Kladovo (Kladovo) 58 89.2 1 1.5 5 7.7Majdanpek (Majdanpek) 24 80.0 3 10.0 3 10.0Zaječar (Zajecar) 272 91.6 6 2.0 14 4.7Sokobanja (Sokobanja) 27 71.1 6 15.8 3 7.9Knjaževac (Knjazevac) 57 91.9 2 3.2 3 4.8Užice (Uzice) 192 86.9 16 7.2 11 5.0Priboj (Priboj) 56 86.2 3 4.6 6 9.2Prijepolje (Prijepolje) 114 89.1 6 4.7 8 6.3Čačak (Cacak) 228 76.5 38 12.8 29 9.7Gornji Milanovac (Gornji Milanovac) 82 82.0 14 14.0 4 4.0Kraljevo (Kraljevo) 231 93.9 9 3.7 4 1.6Novi Pazar (Novi Pazar) 203 91.9 4 1.8 14 6.3Vrnjačka Banja (Vrnjacka Banja) 139 79.4 35 20.0 0 0.0Kruševac (Krusevac) 466 93.0 7 1.4 25 5.0Aleksinac (Aleksinac) 4 11.4 0 0.0 0 0.0Niška Banja (Niska Banja) 2 1.2 0 0.0 9 5.6Niš (Nis) 20 3.7 5 0.9 24 4.4Prokuplje (Prokuplje) 0 0.0 0 0.0 1 0.8Pirot (Pirot) 142 91.6 4 2.6 9 5.8Leskovac (Leskovac) 145 95.4 3 2.0 4 2.6Vranje (Vranje) 100 76.9 13 10.0 7 5.4Surdulica (Surdulica) 27 84.4 1 3.1 0 0.0Sve koronarne jedinice (All coronary care units) 9394 70.6 1962 14.7 1036 7.8n – broj (number)– – bez podataka (no data) – aritmetička sredina (mean)med – medijana (mediana)mod – mod (mod)

lečenih u koronarnim jedinicama, Srbija, 2008. godina

in coronary care units, Serbia, 2008

Oporavljen (Recovered)

Prebačen u drugu ustanovu (Transfered to other facility)

Smrtni ishod (Lethal outcome)

Ishod (Outcome)

x

n % n % med mod0 0.0 313 100.0 10.3 10.0 10.06 1.2 510 100.0 8.8 8.0 8.02 0.9 228 100.0 12.6 13.0 14.00 0.0 215 100.0 13.3 14.0 15.03 2.6 116 100.0 9.4 9.5 1.0

24 5.6 432 100.0 10.3 11.0 1.01 0.3 290 100.0 9.6 9.0 9.00 0.0 1605 100.0 9.9 9.0 1.00 0.0 188 100.0 13.1 14.0 1.01 0.3 333 100.0 11.8 12.0 12.00 0.0 138 100.0 10.7 11.0 1.07 0.9 782 100.0 4.3 4.0 3.00 0.0 184 100.0 8.5 8.0 8.00 0.0 132 100.0 11.1 11.0 10.00 0.0 483 100.0 9.7 10.0 1.02 0.2 968 100.0 9.2 9.0 9.04 3.2 126 100.0 14.7 15.0 1.03 1.1 278 100.0 11.4 11.0 12.00 0.0 314 100.0 10.4 10.0 9.00 0.0 157 100.0 11.4 12.0 13.00 0.0 141 100.0 11.3 12.0 14.00 0.0 267 100.0 10.6 11.0 12.00 0.0 73 100.0 14.9 15.0 15.03 0.8 379 100.0 12.3 12.0 10.02 1.5 130 100.0 9.7 10.0 11.02 1.9 103 100.0 12.4 11.0 11.02 0.8 240 100.0 10.6 10.0 10.06 4.3 138 100.0 8.8 9.0 10.0

15 9.4 160 100.0 11.9 13.0 1.00 0.0 104 100.0 10.7 11.0 11.01 1.5 65 100.0 9.0 8.0 7.00 0.0 30 100.0 13.1 13.0 7.05 1.7 297 100.0 8.5 9.0 10.02 5.3 38 100.0 10.9 11.0 1.00 0.0 62 100.0 10.7 10.5 9.02 0.9 221 100.0 10.4 10.0 9.00 0.0 65 100.0 12.7 12.0 11.00 0.0 128 100.0 12.7 11.0 11.03 1.0 298 100.0 10.2 9.0 9.00 0.0 100 100.0 12.3 12.0 13.02 0.8 246 100.0 14.2 15.0 18.00 0.0 221 100.0 10.2 10.0 10.01 0.6 175 100.0 6.7 6.0 7.03 0.6 501 100.0 7.3 7.0 8.0

31 88.6 35 100.0 . . .150 93.2 161 100.0 6.5 3.0 3.0495 91.0 544 100.0 8.6 5.0 3.0126 99.2 127 100.0 . . .

0 0.0 155 100.0 14.8 15.0 15.00 0.0 152 100.0 9.8 9.0 8.0

10 7.7 130 100.0 10.0 11.0 12.04 12.5 32 100.0 15.0 15.0 15.0

918 6.9 13310 100.0 10.0 10.0 10.0



Dužina bolničkog lečenja u danima (Hospital lenght of stay in days)

Neoznačeno (Unmarked)

Ukupno (Total)

Ishod (Outcome)

x

Tabela 38.Letalitet kod bolesnika sa različitim oblicima akutnog koronarnog sindroma

Table 38. Letalithy in patients with different forms of acute coronary syndrome treated


n Lt (%) n Lt (%) n Lt (%)

Subotica (Subotica) 18 11.0 1 2.6 2 16.7Zrenjanin (Zrenjanin) 33 14.5 11 11.1 9 60.0Senta (Senta) 4 5.8 5 10.6 0 0.0Kikinda (Kikinda) 19 19.0 5 8.5 1 25.0Vršac (Vrsac) 9 12.5 1 3.6 0 0.0Pančevo (Pancevo) 31 15.0 9 5.8 1 7.1Sombor (Sombor) 20 18.0 6 6.3 3 37.5Sremska Kamenica (Sremska Kamenica) 98 14.2 52 11.7 5 16.7Vrbas (Vrbas) 12 13.5 2 10.0 1 33.3Sremska Mitrovica (Sremska Mitrovica) 34 16.6 11 9.8 1 14.3Mladenovac (Mladenovac) 10 12.8 2 12.5 0 0.0Bežanijska kosa (Bezanijska kosa) 27 9.2 7 3.9 6 17.1Zemun (Zemun) 0 0.0 2 3.8 0 0.0Zvezdara (Zvezdara) 12 16.2 4 9.8 2 50.0Dragiša Mišović (Dragisa Misovic) 36 17.2 20 14.9 1 12.5Urgentni centar (Emergency center) 59 9.7 10 5.4 3 16.7Loznica (Loznica) 4 4.1 0 0.0 0 0.0Šabac (Sabac) 29 18.0 2 4.9 0 0.0Valjevo (Valjevo) 9 5.2 0 0.0 0 0.0Smederevo (Smederevo) 8 7.2 0 0.0 0 0.0S. Palanka (S.Palanka) 5 6.8 3 8.8 0 0.0Požarevac (Pozarevac) 28 14.8 10 15.2 1 10.0Petrovac (Petrovac) 6 21.4 0 0.0 0 0.0Kragujevac (Kragujevac) 27 14.0 9 7.3 2 25.0Aranđelovac (Arandjelovac) 10 15.9 0 0.0 0 0.0Ćuprija (Cuprija) 7 12.5 0 0.0 0 0.0Jagodina (Jagodina) 7 5.7 8 13.8 1 10.0Paraćin (Paracin) 11 17.2 2 5.4 0 0.0Bor (Bor) 8 14.8 0 0.0 0 0.0Negotin (Negotin) 6 16.7 0 0.0 0 0.0Kladovo (Kladovo) 4 9.1 1 14.3 0 0.0Majdanpek (Majdanpek) 3 25.0 0 0.0 0 0.0Zaječar (Zajecar) 8 8.0 4 5.5 0 0.0Sokobanja (Sokobanja) 2 8.7 0 0.0 0 0.0Knjaževac (Knjazevac) 1 5.9 1 3.7 1 50.0Užice (Uzice) 10 8.5 1 4.3 0 0.0Priboj (Priboj) 5 16.1 1 8.3 0 0.0Prijepolje (Prijepolje) 6 18.2 0 0.0 0 0.0Čačak (Cacak) 24 12.7 5 5.5 0 0.0Gornji Milanovac (Gornji Milanovac) 3 7.1 1 3.8 0 0.0Kraljevo (Kraljevo) 2 1.5 1 3.4 0 0.0Novi Pazar (Novi Pazar) 12 10.4 2 2.7 0 0.0Vrnjačka Banja (Vrnjacka Banja) 0 0.0 0 0.0 0 0.0Kruševac (Krusevac) 18 8.2 3 2.9 0 0.0Aleksinac (Aleksinac) 0 0.0 0 0.0 0 0.0Niška Banja (Niska Banja) 7 11.3 2 8.7 0 0.0Niš (Nis) 13 5.1 11 4.9 0 0.0Prokuplje (Prokuplje) 1 1.6 0 0.0 0 0.0Pirot (Pirot) 6 6.5 1 2.9 1 33.3Leskovac (Leskovac) 3 3.0 1 4.2 0 0.0Vranje (Vranje) 5 6.9 2 8.7 0 0.0Surdulica (Surdulica) 0 0.0 0 0.0 0.0Sve koronarne jedinice (All coronary care units) 720 11.2 219 6.7 41 15.2n – broj (number)– – bez podataka (no data)

Letalitet (Lethality)

in coronary care units, Serbia, 2008

Infarkt sa ST elevacijom (ST elevation infarction)

Infarkt bez ST elevacije ( Non ST elevation infarction)

Infarkt sa blokom leve grane (Infarct with left bundle–branch

block)

lečenih u koronarnim jedinicama, Srbija, 2008. godina

n Lt (%) n Lt (%)0 0.0 21 6.74 2.4 57 11.20 0.0 9 3.92 3.8 27 12.60 0.0 10 8.61 1.8 42 9.71 1.3 30 10.3

17 3.9 172 10.71 1.3 16 8.50 0.0 46 13.80 0.0 12 8.73 1.1 43 5.50 0.0 2 1.10 0.0 18 13.66 4.5 63 13.01 0.6 73 7.52 20.0 6 4.83 4.3 34 12.20 0.0 9 2.90 0.0 8 5.11 2.9 9 6.40 0.0 39 14.60 0.0 6 8.20 0.0 38 10.02 5.7 12 9.20 0.0 7 6.81 2.0 17 7.10 0.0 13 9.40 0.0 8 5.00 0.0 6 5.80 0.0 5 7.70 0.0 3 10.02 1.7 14 4.71 16.7 3 7.90 0.0 3 4.80 0.0 11 5.00 0.0 6 9.22 2.3 8 6.30 0.0 29 9.70 0.0 4 4.01 1.1 4 1.60 0.0 14 6.30 0.0 0 0.04 2.3 25 5.00 0.0 0 0.00 0.0 9 5.60 0.0 24 4.40 0.0 1 0.81 4.0 9 5.80 0.0 4 2.60 0.0 7 5.40 0.0 0 0.0

56 1.7 1036 7.8

Nestabilna angina (Unstable angina)

Ukupno (Total)

Letalitet (Lethality)



IVj Određene karakteristike bolesnika sa akutnim koronarnim sindromom lečenih u koronarnim jedinicama u Srbiji, 2008. godina IVj Certain characteristics of patients with acute coronary syndrome treated in coronary care units, Serbia, 2008

Slika 11. Bolesnici sa akutnim koronarnim sindromom prema polu u koronarnim jedinicama, Srbija, 2008. godina Figure 11. Patients with acute coronary syndrome by sex in coronary care units, Serbia, 2008

63%

37%

muškarci (male) žene (female)

Slika 12. Faktori rizika kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 12. Risk factors in patients with acute coronary syndrome in coronary care units,Serbia, 2008

71,4

65,4

48,9 48,2 46,6

36,7

27,4 26,3

0

10

20

30

40

50

60

70

80

Hip

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nzija

(Hyp

erte

nsio

n)

Goj

azno

st (O

besi

ty)

Puše

nje

(Sm

okin

g)

Nas

leđe

(Her

edity

)

Dis

lipid

emija

(Dys

lipid

emia

)

Fizičk

a ne

aktiv

nost

(Phy

sica

l inac

tivity

)

Stre

s (S

tress

)

Dija

bete

s (D

iabe

tes)

faktori rizika (risk factors)

učešće

(per

cent

age)

(%)

Slika 13. Lična anamneza kodbolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama,Srbija, 2008. godina Figure 13. Personal anamnesis in patients with acute coronary syndrome in coronary care units,Serbia, 2008

38,8

25,8

7,6 7,1 7,14,8

8,36,4 6,0

2,8

0,0

5,0

10,0

15,0

20,0

25,0

30,0

35,0

40,0

45,0

Angi

na (A

ngin

a)

Infa

rkt (

Infa

rct)

PVB

(PVD

)*

PTKA

(PTC

A)**

CVI

(CVI

)***

Bajp

as (B

ypas

s)

HO

BP (C

OPD

)***

*

Bole

sti b

ubre

ga(K

idne

y di

seas

es)

Anem

ija (A

nem

ia)

Bole

sti š

titnj

ače

(Thy

roid

dis

ease

s)

lična anamneza (personal anamnesis)

učešće

(per

cent

age)

(%)

*periferna vaskularna bolest (peripheral vascular disease ) **perkutana transluminalna koronarna angioplastika (percutaneous transluminal coronary angioplasty) ***cerebrovaskularni insult (cerebrovascular insult) ****hronična opstruktivna bolest pluća (chronic obstructive pulmonary disease)

Slika 14. Simptomi pre prijema kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 14. Symptoms before admission in patients with acute coronary syndrome in coronary care units,Serbia, 2008

77% Tipični (Typical)

10% Atipični (Atypical)

1% Bez simptoma (No symptoms)

12% Nepoznato (Uknow n)

Slika 15. Ustanove u kojima je izvršen prvi pregled bolesnika sa akutnim koronarnim sindromom, Srbija, 2008. godina Figure 15. First contact with health service facilities in patients with acute coronary syndrome, Serbia, 2008

46% Hitna pomoć (Emergancy ambulance)

20% Dom zdravlja (Pimary health care

facility)

17% Urgentni prijem (Emergency admission)

8% Nepoznato (Uknow n)

6% Druga ustanova (Another facility) 3% Nekoronarno

odeljenje u bolnici (Noncoronary hospital

department)

16. Dijagnoza akutnog koronarnog sindroma prema promenama u EKG-u kod bolesnika primljenih u koronarne jedinice, Srbija, 2008. godina Figure 16. Diagnosis of acute coronary syndrome according to ECG in patients admitted in coronary care units, Serbia, 2008

2%IBLG (ILBBB)****

24% NSTAIM (NSTEMI)***

25% NAP (UAP)**

49% STAIM (STEMI)*

*Infarkt sa ST elevacijom (ST elevation infarction) **Nestabilna angina (Unstable angina) ***Infarkt bez ST elevacije (Non ST elevation infarction) ****Infarkt sa blokom leve grane (Infarct with left bundle–branch block)

Slika 17. Terapija kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 17. Therapy in patients with acute coronary syndrome in coronary care units, Serbia, 2008

35,2

15,8 16,4

67,9

25,0

94,8

73,1 70,7 73,2

42,6

64,0

74,5

0,0

10,0

20,0

30,0

40,0

50,0

60,0

70,0

80,0

90,0

100,0

ASK

(ASA

)*

Nitr

ati

(Nitr

ogly

cerin

)

Hep

arin

(Hep

arin

)

Nm

hepa

rin(L

MW

hepa

rin)*

*

Beta

blo

kato

ri(B

eta

bloc

kers

)

ACE

inhi

bito

ri(A

CE

inhi

bito

rs)

Diu

retic

i(D

iure

tics)

Fibr

inol

iza

(Fib

rinol

ysis

)

Urg

entn

a PT

CA

(Em

erge

ncy

PTC

A)

Ca

anta

goni

sti

(Ca

anta

goni

sts)

Klop

idog

lel

(Clo

pido

grel

)

Stat

ini (

Stat

ins)

terapija (therapy)

učešće

(per

cent

age)

(%)

*acetilsalicilna kiselina (acetilsalicil acid) **niskomolekularni heparin (low molecular weight)

Slika 18. Ishod kod bolesnika sa akutnim koronarnim sindromom u koronarnim jedinicama, Srbija, 2008. godina Figure 18. Outcome in patients with acute coronary syndrome in coronary care units, Serbia, 2008

7% Neoznačeno (Unmarked)

8% Smrtni ishod (Lethal outcome)

15% Prebačen u drugu ustanovu

(Transfered to the other facility)

70% Oporavljen (Recovered)

Slika 19. Letalitet kod bolesnika sa različitim oblicima akutnok koronarnog sindroma u koronarnim jedinicama, Srbija, 2008. godina Figure 19. Letalithy in patients with different form of acute coronary syndrome in coronary care units, Serbia, 2008

15,2

11,2

7,86,7

1,7

0,0

2,0

4,0

6,0

8,0

10,0

12,0

14,0

16,0

18,0

Infa

rkt s

abl

okom

leve

gran

e (In

farc

tw

ith le

ftbu

ndle

–bra

nch

bloc

k)

Infa

rkt s

a ST

elev

acijo

m (S

Tel

evat

ion

infa

rctio

n)

Akut

niko

rona

rni

sind

rom

(Acu

teco

rona

rysy

ndro

me)

Infa

rkt b

ez S

Tel

evac

ije (

Non

ST e

leva

tion

infa

rctio

n)

Nes

tabi

lna

angi

na(U

nsta

ble

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Oblici akutnog koronarnog sindroma (Forms of acute coronary syndrome)

Leta

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Leth

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V LiteraturaV References

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CIP – Katalogizacija u publikaciji Narodna biblioteka Srbije, Beograd 314:616-1 (497.11)"2006"(083.41) 314 .14:616-1(497.11)"2006"(083.41) INCIDENCIJA i mortalitet od akutnog koronarnog sindroma u Srbiji 2006. / [Uređivački odbor Dragan Miljuš ... [et al.]; prevodilac Vesna Kostić ] = Incidence and Mortality of Acute Coronary Syndrome in Serbia 2006. / editorial board Dragan Miljus… [ et al. ] ; translator Vesna Kostic ] .-Beograd : Institut za javno zdravlje Srbije " Dr Milan Jovanović Batut " = Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", 2008 (Zemun: ALTA NOVA). -73 str.: tabele; 29cm. – (Registar za akutni koronarni sindrom u Srbiji, Izveštaj br.1 = Serbian Acute Coronary Syndrome Registry;report No. 1) Delimično uporedo srp. Tekst i eng. Prevod.- Tiraž 500. Bibliografija: str. 71-73 ISBN 978- 86 -7358 -045-6

1. Yp stv. Nasl. a) Srce – Bolesti – Srbija – 2006 – statistika b) Srce –Bolesti –Mortalitet – Srbija – 2006 – Statistika

COBISS. SR – ID 150722060

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