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

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 <140/90 mm Hg and low-density lipopr

SUBMITTER: Solomon MD 

PROVIDER: S-EPMC7335507 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature