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2. Cumulative Adherence to Secondary Prevention Guidelines and Mortality After Acute Myocardial Infarction

Author

Matthew D. Solomon, Thomas K. Leong, Eleanor Levin, Jamal S. Rana, Marc G. Jaffe, Stephen Sidney, Sue Hee Sung, Catherine Lee, Anthony DeMaria, and Alan S. Go

Subjects
guideline adherence, myocardial infarction, mortality, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Background The survival benefit associated with cumulative adherence to multiple clinical and lifestyle‐related guideline recommendations for secondary prevention after acute myocardial infarction (AMI) is not well established. Methods and Results We examined adults with AMI (mean age 68 years; 64% men) surviving at least 30 (N=25 778) or 90 (N=24 200) days after discharge in a large integrated healthcare system in Northern California from 2008 to 2014. The association between all‐cause death and adherence to 6 or 7 secondary prevention guideline recommendations including medical treatment (prescriptions for β‐blockers, renin‐angiotensin‐aldosterone system inhibitors, lipid medications, and antiplatelet medications), risk factor control (blood pressure

Published
2020
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