Key result
First emergency admission for angina was associated with a similarly high 5-year risk of subsequent fatal or non-fatal events compared to acute myocardial infarction (56% vs 54% in men; 49% vs 53% in women).
Cohort (n=133,429)
Yes
Long-term case fatality and subsequent event rates are similarly high in patients presenting with angina compared to survivors of AMI, supporting aggressive secondary prevention for all ACS patients.
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May warrant similar long-term risk vigilance after emergency angina as AMI; extends ACS cohort data but leaves optimal prevention strategies open.
Capewell et al. (2006) conducted a cohort in Suspected acute coronary syndrome (angina or acute myocardial infarction) (n=133,429). First emergency admission for angina vs. First emergency admission for acute myocardial infarction (AMI) was evaluated on Subsequent fatal or non-fatal event at 5 years. First emergency admission for angina was associated with a similarly high 5-year risk of subsequent fatal or non-fatal events compared to acute myocardial infarction (56% vs 54% in men; 49% vs 53% in women).
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