<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1659-0201</journal-id>
<journal-title><![CDATA[Población y Salud en Mesoamérica]]></journal-title>
<abbrev-journal-title><![CDATA[PSM]]></abbrev-journal-title>
<issn>1659-0201</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Costa Rica. Centro Centroamericano de Población]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1659-02012020000100092</article-id>
<article-id pub-id-type="doi">10.15517/psm.v17i2.39926</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tendencias y características de la Mortalidad por Infarto Agudo al Miocardio en Costa Rica de 1970 al 2014]]></article-title>
<article-title xml:lang="en"><![CDATA[Trends and characteristics of Acute Myocardial Infarction Mortality in Costa Rica from 1970 to 2014]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Evans-Meza]]></surname>
<given-names><![CDATA[Ronald]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla-Carrión]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Fallas]]></surname>
<given-names><![CDATA[José Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Hispanoamericana Escuela de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Hispanoamericana Escuela de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>92</fpage>
<lpage>116</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1659-02012020000100092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1659-02012020000100092&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1659-02012020000100092&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Objetivo: analizar las principales características epidemiológicas de la mortalidad por infarto del miocardio en Costa Rica de 1970 al 2014. Métodos: los datos del número de muertos por IAM para todas las edades y de la población del país se obtuvieron consultando anuarios y bases de datos del Instituto Nacional de Estadística y del Centro de Población de la Universidad de Costa Rica (UCR). Con ellos se obtuvieron las tasas brutas y estandarizadas, ''suavizadas'' por promedios móviles y quinquenales, así como la relación porcentual con la mortalidad general. Posteriormente, se calcularon las tasas estandarizadas de mortalidad por IAM para el grupo de 35 a 74 años, por sexo y provincia. Resultados: la tendencia permite distinguir dos épocas definidas. Una de ascenso que ocurre desde 1970 hasta finales de la década de los años noventa. La otra en los primeros años del siglo XXI con inclinación hacia el descenso. Esto se observa con las tasas de promedios móviles y quinquenales, especialmente en el grupo de 35 a 74 años (hombres, r=0.99, r2=094, betha=-6.67, p=0.00, mujeres r=0.97, r2=0.94, betha= -6.67, p=0.01, ambos sexos r=0.97, r2=0.94, betha=-7.42, p=0.01). Conclusiones: pese a una leve tendencia a la disminución de la mortalidad por IAM en estos últimos quince años, el IAM continuará siendo un grave problema de salud en Costa Rica y para revertir la situación, tendrá el gobierno nacional que continuar esforzándose en disminuir la prevalencia de los principales factores de riesgo de las ECNT y en mejorar la atención del paciente que tiene la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Objective: To analyze the mortality and some aspects of the descriptive epidemiology of acute myocardial infarction in Costa Rica from 1970 to 2014. Methods: The number of deaths due to AMI for all ages and the population of the country were obtained through the consultation of yearbooks and the databases of the National Institute of Statistics and the Population Center of the UCR. With them gross and standardized rates were extracted, "smoothed" by moving and five-year averages as well as the percentage relation with the general mortality. Subsequently, the standardized mortality rates for AMI were obtained for the group of 35 to 74 years, according to sex, provinces and socioeconomic regions. Results: The analysis of the trend allows to distinguish two very well-defined periods. One of ascent that happens from 1970 until the end of the decade of the nineties. The other appears with the first years of the 21st century with a clear tendency towards descent. This is observed in the case of rates with moving and five-year averages and very especially, with the group of 35 to 74 years (men, r = 0.99, r2 = 0.94, betha = -6.67, p = 0.00, women r = 0.97, r2 = 0.94, betha = -6.67, p = 0.01, both sexes r = 0.97, r2 = 0.94, betha = -7.42, p = 0.01). Conclusions: Despite a slight tendency to decrease mortality from AMI in the last fifteen years, AMI will continue to be a serious health problem in Costa Rica and to reverse the situation, the national government will have to continue striving to reduce prevalence. of the main risk factors of NCDs and in improving the care of patients who have the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epidemiología descriptiva]]></kwd>
<kwd lng="es"><![CDATA[enfermedades cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[infarto agudo al miocardio]]></kwd>
<kwd lng="es"><![CDATA[estadísticas cardiovasculares]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica.]]></kwd>
<kwd lng="en"><![CDATA[Descriptive Epidemiology]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular diseases]]></kwd>
<kwd lng="en"><![CDATA[Acute Myocardial Infraction]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular Statistics]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica.]]></kwd>
</kwd-group>
</article-meta>
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