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December 1, 2020European Journal of Clinical Investigation

Temporal trends in cardiovascular risk factors’ prevalence in patients with myocardial infarction

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Why the study?

Little was known about changes in the cardiovascular risk factors profile over time in patients presenting with acute myocardial infarction.

Population

57 995 consecutive AMI patients in the Swiss nationwide AMIS Plus registry

Comparison

Changes in age and CVRF profile over time between 1997 and 2018

Design

Nationwide registry-based observational study

Authors

MÇMurat ÇimciIstanbul University-CerrahpaşaFWFabienne WitassekUniversity of ZurichDRDragana RadovanovićInterventional Cardiology

Discussion

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Implication

Highlights increasing AMI risk factor burden, especially smoking in women; leaves open causal mechanisms and intervention effects in observational cohorts.

Structured PICO

P
Population
57,995 consecutive patients presenting with acute myocardial infarction (AMI) enrolled in the Swiss nationwide AMIS Plus registry between 1 January 1997 and 31 December 2018. Mean age at presentation was 71.5 ± 11.3 years for women and 63.9 ± 12.8 years for men.
O
Outcome
Changes in age and cardiovascular risk factor (CVRF) profile over time

Over a two-decade period, the burden of cardiovascular risk factors in patients presenting with AMI has increased, driven notably by a rise in smoking among women that has narrowed the gender gap.

Cite This Study

Çimci et al. (2020) studied this question.

synapsesocial.com/papers/6a87e5bc74703a9a15e96a63https://doi.org/10.1111/eci.13466

Topics

Lipid managementHypertension management
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Also Consider

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  1. 1Twenty-five-year trends in myocardial infarction attack and mortality rates, and case-fatality, in six European populations2015 · 235 citations
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  3. 3Twenty-Year Trends in Outcomes for Older Adults With Acute Myocardial Infarction in the United States2019 · 178 citations
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