Paul I, Bilge A, Bolly F, Boland J, Reginster J Y
Service de Santé Publique et d'Epidémiologie, Université de Liège, Sart-Tilman, B23, B-4000 Liège.
Rev Epidemiol Sante Publique. 2001 Oct;49(5):423-9.
In 1998, a permanent registry of myocardial infarction was developed in the Liège 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.
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.
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.
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.
1998年，在列日地区（比利时）建立了心肌梗死永久登记处，以提供关于心血管疾病发病率和死亡率的最新、详尽且经过验证的数据，确定患者特征，确定心肌梗死治疗策略，并通过方法相同的登记处与该国其他地区收集的数据进行补充和比较。
根据世界卫生组织为MONICA项目（心血管疾病趋势和决定因素多国监测）制定的方法，对该地区25至69岁的所有男女急性冠状动脉事件（致命或非致命）进行登记。选定的三个主要数据来源是：死亡证明、全科医生和心脏病专家、医院。这些事件根据症状、心脏酶、心电图、慢性缺血性心脏病史和尸检结果进行分类。
男性冠状动脉事件发生率为283/10万，女性为102/10万。症状出现后28天的病死率，男性为30.6%，女性为36.2%，77.5%的死亡发生在症状出现后的前24小时内。
在区域层面建立心肌梗死登记处需要所有处理该疾病的卫生专业人员参与。这样的登记处具有重要的公共卫生意义，可提供关于该疾病及其演变的详尽且经过验证的数据，以及有助于改进治疗策略和制定适应性预防措施的有用信息。
