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June 1, 2010Journal of Epidemiology & Community HealthOpen Access

Trends in longer-term survival following an acute myocardial infarction and prescribing of evidenced-based medications in primary care in the UK from 1991: a longitudinal population-based study

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Population

10,352 patients who had a myocardial infarction between 1991 and 2002 and had already survived 3 months…

Design

Cohort

Follow-up

3 years

Authors

SHSarah HardoonUniversity College LahorePWPeter H. WhincupPreventive CardiologyIPIrene PetersenDepartment of Health and Social Care

Discussion

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Implication

Improved post-MI survival over a decade may reflect secondary prevention gains; leaves open causal attribution versus concurrent factors in observational data.

Structured PICO

P
Population
10,352 patients (6,586 men and 3,766 women) who had a myocardial infarction between 1991 and 2002 and had already survived 3 months, from 218 general practices in the UK.
O
Outcome
3-year post-MI case-fatality rate among 3-month survivorshard clinical

Longer-term survival following a myocardial infarction improved significantly in the UK between 1991 and 2002, coinciding with a marked increase in the prescribing of evidence-based secondary prevention medications.

Cite This Study

Hardoon et al. (2010) studied this question.

synapsesocial.com/papers/6a70f153f44fa9f079deb0c7https://doi.org/10.1136/jech.2009.098087
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long term survival after evidence based treatment of acute myocardial infarction and revascularisation: follow-up of population based Perth MONICA cohort, 1984-20052009 · 109 citations
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  3. 3How Much of the Recent Decline in the Incidence of Myocardial Infarction in British Men Can Be Explained by Changes in Cardiovascular Risk Factors?2008 · 163 citations
  4. 4Trends in Acute Coronary Heart Disease Mortality, Morbidity, and Medical Care From 1985 Through 19972001 · 345 citations
  5. 5The effect of correcting for troponins on trends in coronary heart disease events in Finland during 1993-2002: the FINAMI study2006 · 37 citations