[en] BACKGROUND: In 1998, a permanent registry of myocardial infarction was developed in the Liege area (Belgium) to provide updated, exhaustive and validated data on the morbidity and mortality from cardiovascular causes, to define the patients' profile, to identify myocardial infarction therapeutic strategies and to complete and make comparisons with data collected in other parts of the country through methodologically identical registers. METHODS: All acute coronary events lethal or non lethal among individuals from both genders aged from 25 to 69 years and living in the area were registered according to the methodology developed for the MONICA project (Multinational Monitoring of Trends and Determinants in Cardiovascular Diseases) of WHO. The three main selected data sources were: death certificates, general practitioners and cardiologists, hospitals. The events were categorised according to symptoms, cardiac enzymes, electrocardiogram, history of chronic ischaemic heart disease and necropsy findings. RESULTS: The coronary-event rates were 283/100,000 in men and 102/100,000 in women. The case fatality rate, 28 days after the onset of the symptoms, was 30.6% for men and 36.2% for women, and 77.5% of deaths occurred in the first 24 hours after the onset of the symptoms. CONCLUSION: The development of a myocardial infarction register at a regional level requires the involvement of all health professionals dealing with that pathology. Such register has valuable public health interests, providing exhaustive and validated data on the pathology and its evolution as well as useful information for improving therapeutic strategies and developing adapted preventive measures.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Paul, I.
Bilge, A.
Bolly, F.
Boland, J.
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Epidémiologie et santé publique
Language :
French
Title :
Etude pilote pour le developpement d'un registre de l'infarctus du myocarde en region liegeoise (Belgique)
Alternative titles :
[en] Pilot Study for the Registration of Acute Myocardial Infarction in the Liege Area (Belgium)
Murray C.J., Lopez A.D. (1997) Mortality cause for eight regions of the world: Global Burden of Disease Study. Lancet 349:1269-1276.
2000 heart and strokestatistical update, Tex.: American Heart Association; 1999.
Statistique de décès en Communauté française , lnsfitut Scientifique de la Santé Publique; 1999, 167-169.
Tavazzi L. (1999) Clinical epidemiology of acute myocardial infarction. Am Heart J 138:48-54.
Heller R.F., Fischer J.D., Deste C.A. (2000) Death and readmission in the year after hospital admission with cardiovascular disease: The Hunter Area Heart and Stroke Register. Med J Aust 172:261-265.
Krumhoz H.M., Chen J., Murillo J.E., Cohen D.J., Radford M.J. (1998) Clinical correlates of in-hospital costs for acute myocardial infarction in patients 65 years of age and older. Am Heart J 135:523-531.
Hlatky M.A., Rogers W.J., Johnstone I. (1997) Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery. N Engl J Med , Bypass Angioplasty Revascularization Investigation (BARI) Investigators; 336:92-99.
Zethraeus N., Molin T., Henriksson P., Jönsson B. (1999) Costs of coronary heart disease and stroke: The case of Sweden. J Intern Med 246:151-159.
Rocha Singh K.J., McShane K.J., Ligon R., Sung C.H. (2000) One-year clinical outcomes and relative costs of primary infarct artery stenting versus angioplasty following systemic thrombolysis for acute myocardial infarction. Catheter Cardiovasc Interv 49:135-141.
Tunstall-Pedoe H. (1988) The World Health Organization MONICA Project (Monitoring Trends and Determinants in Cardiovascular Disease): A major international collaboration. J Clin Epidemiol 41:105-114.
Tunstall-Pedoe H. (1988) Problems with criteria and quality control in the registration of coronary events in the MONICA study. Acta Med Scan 728(SUPPL.):17-25.
Tunstall-Pedoe H. (1994) Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates and case-fatality rates in 38 populations from 21 countries in four continents. Circulation 90:583-612.
Waterhouse J., Muir C.S., Correa P., Powell J. Cancer Incidence in Five Continents , Lyon: IARC; 1976, 456.
Cambou J.-P., Arveiler D., Amouyel P. (1996) La maladie coronaire en France: Données des registres MONICA (1985-1991). Rev Epidemiol Sante Publique 44.
De Henauw S., De Bacquer D., De Smet P., Kornitzer M., De Backer G. (1999) Trends in coronary heart disease in two Belgian areas: Results from the MONICA Ghent-Charleroi Study. J Epidemiol Community Health 53:89-98.
Mahon N.G., McKenna C.J., Codd M.B. (2000) Gender differences in the management and outcome of acute myocardial infarction in unselected patients in the thrombolytic area. Am J Cardiol 85:921-926.
Kulbertus H., Legrand V. (1999) La femme et les maladies cardio-vasculaires, en particulier les coronaropathies. Rev Med Liège 54:244-250.