Background. Despite implemented measures and general favourable trend, number of patients with myocardial infarction remains high, younger people are increasingly becoming ill and dying. The study purpose: to estimate age-sex mortality dynamics from acute and recurrent myocardial infarction in adults in Moscow compared to Russia’s average in 2007—2021 to reveal patterns of mortality change within the implementation period of state prevention programs. Material and methods. Standardized adult mortality rates for Moscow and Russia, mean expected age at death within interval 20—85 years and gain in life expectancy when eliminating this cause calculated and analyzed. Results: Moscow morbidity rates for acute and recurrent myocardial infarction are twice lower than Russia’s, there are higher reduction rates for both diseases — by 16% and 58% respectively. During study period, mortality from myocardial infarction in men was by 45% higher than in women. In 2007 Moscow male-female difference estimated 3% and in 15 years it became 32% due to faster female mortality reduction. Whereas Russia’s average age of death from myocardial infarction in 2021 returned to 2010—2011 levels, then in Moscow during 2020—2021 female rates returned to 2008’s and male rates fall out the study period. Conclusions. Since implementation of the first programs on reducing mortality from chronic non-infectious diseases during the 15 years period morbidity and mortality rates from myocardial infarction reduced in Russia and Moscow in all ages. Acute and recurrent myocardial infarction have rejuvenated both in men and women as a negative effect of the pandemic.

mortality, adult population, myocardial infarction.