Key result
Treatment at a specialized Postmyocardial Infarction Clinic significantly reduced non-fatal reinfarctions compared to standard care, though mortality did not differ between the groups.
Why the study?
Does formalized management at a postmyocardial infarction clinic reduce mortality and non-fatal reinfarction in male postinfarction patients?
Cohort (n=181)
No
Does formalized management at a postmyocardial infarction clinic reduce mortality and non-fatal reinfarction in male postinfarction patients?
Formalized management at a postinfarction clinic significantly reduced non-fatal reinfarctions, even without the use of modern pharmacotherapy like lipid-lowering or anticoagulant drugs.
Specialized post-MI clinic care was associated with fewer nonfatal reinfarctions in this cohort; hypothesis-generating and should not yet change practice pending RCTs.
Since Jan. 1, 1968, a Postmyocardial Infarction Clinic has been operating in Göteborg, Sweden. The methods used have been presented previously in this journal. The present study compares 96 male postinfarction cases, 57-67-year-old, treated at the Postmyocardial Infarction Clinic and a random sample of 85 patients not treated at the clinic. The mortality did not differ between the groups but there was a significant difference with regard to non-fatal reinfarction. The reasons for this are only partially explained by better control of accepted cardiovascular risk factors in the group treated at the clinic. Cessation of smoking was vigorously recommended but lipid lowering, antiarrhythmic or anticoagulant drugs were never used in this group. The results indicate that formalized management of homogeneous patient groups may achieve a general reduction of recurrences.
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Vedin et al. (1976) conducted a cohort in Postmyocardial Infarction (n=181). Treatment at the Postmyocardial Infarction Clinic vs. Not treated at the clinic was evaluated on Mortality and non-fatal reinfarction. Treatment at a specialized Postmyocardial Infarction Clinic significantly reduced non-fatal reinfarctions compared to standard care, though mortality did not differ between the groups.
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