Survival rates at 12 years were higher in patients first hospitalized for acute MI in the early 1990s than in those admitted in the mid-1980s.
We think we are getting better at treating acute MI, and some recent evidence is reinforcing that belief. Making use of the World Health Organization MONICA project (monitoring trends and determinants in cardiovascular disease), investigators in Perth, Australia, reported the long-term survival of 4451 patients, aged 35 through 64, who were hospitalized with definite first acute MI from 1984 to 1993 and survived at least 28 days. To analyze temporal trends, the study cohort was stratified into three subcohorts by date of the index MI: 1984–1987, 1988–1990, and 1991–1993.
The mean age of the entire group was 54, and 18% were women. The use of beta-blockers, ACE inhibitors, antiplatelet agents, lipid-lowering agents, and thrombolytic therapy i…
Reviewing Author
DisclosuresConsultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime
EquityHugo Health; Refactor Health; Element Science
Grant/Research SupportPfizer; Agency for Healthcare Research and Quality; Janssen Research and Development, National Institute of Biomedical Imaging and Engineering; National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; National Cancer Institute; American Heart Association
DisclosuresConsultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime
EquityHugo Health; Refactor Health; Element Science
Grant/Research SupportPfizer; Agency for Healthcare Research and Quality; Janssen Research and Development, National Institute of Biomedical Imaging and Engineering; National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; National Cancer Institute; American Heart Association