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Myocardial infarction community registers: a WHO International Collaborative Study coordinated by the Regional Office for Europe.
In: Holland, W.W., Ipsen, J., and Kostrzewski, J., eds. Measurement of levels of health. Copenhagen, Denmark, World Health Organization, Regional Office for Europe, 1979. (WHO Regional Publications, European Series No. 7) p. 341-352In 1967, it was shown that cardiovascular disease accounted for 39% of all male deaths between the ages of 25 and 64 years old in 29 technologically advanced countries. 75% of these deaths were due to IHD (Ischaemic Heart Disease) with the most frequent clinical syndrome being AMI (acute myocardial infarction). WHO office for central cardiovascular disease is studying the national mortality statistics and hospital mortality data covering a population of 3.5 million aged 20-65. Statistics showed that there was as much as a 3-1/2 hour delay in reaching the hospital, 1/4 of which is attributed to the delay between the time a physician is called and the 1st examination, but the greatest delay was the time lost before a physician is called. 32% of all deaths in 1 year occur within 30 minutes of onset, so approximately 13% are dead before medical assistance arrives. The biggest delay, created by the patient's reluctance to call for medical assistance, cannot be overcome by medical organizational solutions. The WHO/EURO CVD programs are establishing pilot areas for control of CVD, setting up rehabilitation and secondary prevention for AMI patients, and preparing registers of the diseases for further studies.