April 5, 2006American Journal of Epidemiology
Trends in the Prevalence, Awareness, Treatment, and Control of Cardiovascular Disease Risk Factors among Noninstitutionalized Patients with a History of Myocardial Infarction and Stroke
Key result
Among US MI and stroke survivors, awareness of high LDL cholesterol increased from 43.3% in 1988-1994 to 60.2% in 1999-2002 (p<0.01), and its pharmacologic treatment increased from 33.1% to 78.4%.
Population
1,516 noninstitutionalized patients with a history of myocardial infarction and stroke from two nationally…
Design
Cross-sectional
Authors
Discussion
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Implication
May inform targeted lipid interventions in survivors; extends NHANES trends but leaves open outcome impact.
Study Design
Type
Cross-Sectional (n=1,516)
Multicenter
Yes
Structured PICO
P
Population
1,516 noninstitutionalized patients with a history of myocardial infarction and stroke from two nationally representative US samples (NHANES III 1988-1994, n=1,004; NHANES 1999-2002, n=512)
O
Outcome
Rates of hypertension, high low density lipoprotein (LDL) cholesterol, and diabetes mellitus awareness, treatment, and control
Main Result
Absolute Event Rate: 60.2% vs 43.3%
p-value: p=<0.01
There were substantial improvements in the awareness, treatment, and control of high LDL cholesterol among US myocardial infarction and stroke survivors between 1988-1994 and 1999-2002.
Cite This Study
Muntner et al. (2006) conducted a cross-sectional in History of myocardial infarction and stroke (n=1,516). 1999-2002 time period (NHANES) vs. 1988-1994 time period (NHANES III) was evaluated on Awareness of high LDL cholesterol (p=<0.01). Among US MI and stroke survivors, awareness of high LDL cholesterol increased from 43.3% in 1988-1994 to 60.2% in 1999-2002 (p<0.01), and its pharmacologic treatment increased from 33.1% to 78.4%.