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Unsatisfactory risk factor control and high rate of new cardiovascular events in patients with myocardial infarction and prior coronary artery disease

BMC Cardiovascular Disorders Apr 03, 2019

Jortveit J, et al. - Using the Norwegian Myocardial Infarction Register (NORMI), researchers evaluated the extent of risk factor control and long-term prognosis in patients < 80 years with Type 1 myocardial infarction (MI) with and without prior coronary artery disease (CAD). For all MI patients who sought admission to hospitals from 2013 to 2016 in Norway, they analyzed data. Via linkage with the Norwegian Cause of Death Registry, they determined long-term mortality. Overall, the NORMI had 47,204 patients registered from 2013 to 2016. A total of 7219 (25.2%) of the 28,607 patients < 80 years old with Type 1 MIs reported prior CAD. In patients with acute MI, the detection of prior CAD was frequent. In patients with MI and prior CAD, non-optimal attainment of secondary preventive treatment targets and attenuated long-term outcomes in comparison to patients without prior CAD were noted. Findings highlighted a need for increased efforts to improve risk factor control.
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