Hospital record data from four countries consistently demonstrates a high risk of death, recurrent MI, and stroke in the chronic phase following a myocardial infarction.
Chronic post-MI risks warrant sustained clinical vigilance; extends single-country data while leaving optimal long-term interventions open.
The validity of using hospital record data is supported by the consistency of estimates across four countries of a high adjusted risk of death, further MI, and stroke in the chronic phase after MI. The possibility that adjusted risks of mortality and bleeding are higher in the USA warrants further study.
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Rapsomaniki et al. (2016) studied this question.
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