What does this research mean for the field?

While cholesterol treatment rates for myocardial infarction survivors improved significantly between 1999 and 2012, blood pressure control and aspirin use remained persistently suboptimal. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

April 22, 2015Journal of the American Heart AssociationOpen Access

Trends in Myocardial Infarction Secondary Prevention: The National Health and Nutrition Examination Surveys (NHANES), 1999–2012

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Why the study?

What are the temporal trends in vascular risk factor treatment and control rates among myocardial infarction survivors in the US from 1999 to 2012?

Structured PICO

What are the temporal trends in vascular risk factor treatment and control rates among myocardial infarction survivors in the US from 1999 to 2012?

Population

1,580 individuals with self-reported history of myocardial infarction from The National Health and Nutrition Examination Surveys (NHANES) 1999 to 2012, mean age 63 to 66 years, 30% to 41% women, 73% to 85% white.

Outcome

Trends in cholesterol, blood pressure, and hemoglobin A1c levels, and risk factor treatment and control rates

While cholesterol treatment has improved among MI survivors, blood pressure control and aspirin use remain suboptimal, representing missed opportunities for secondary prevention.

Discussion

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Implication

Persistent aspirin and BP gaps in MI survivors warrant attention; leaves open targeted secondary prevention research.

Cite This Study

Shah et al. (2015) studied this question.

synapsesocial.com/papers/6a1ea3ddeed4f0c78fa417ef https://doi.org/10.1161/jaha.114.001709

Topics

Hypertension management Statin therapy

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