ArticleBMJ (Clinical research ed.)1991
Use of secondary prophylaxis against myocardial infarction in the north of England.
Article in BMJ (Clinical research ed.), 1991. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- beta Blockade after myocardial infarction: systematic review and meta regression analysis.BMJ (Clinical research ed.) · 1999Pooled it
- Prevalence of potentially inappropriate long term prescribing in general practice in the United Kingdom, 1980-95: systematic literature review.BMJ (Clinical research ed.) · 1996Pooled it
- Cardiac rehabilitation in the United Kingdom: guidelines and audit standards. National Institute for Nursing, the British Cardiac Society and the Royal College of Physicians of London.Heart (British Cardiac Society) · 1996Guideline
- Audit of secondary prophylaxis after myocardial infarction.BMJ (Clinical research ed.) · 1994Trial
- The role of cardiac rehabilitation following acute coronary syndromes.Current cardiology reports · 2014Review
- Developing the content of two behavioural interventions: using theory-based interventions to promote GP management of upper respiratory tract infection without prescribing antibiotics #1.BMC health services research · 2008Article
- Translating clinicians' beliefs into implementation interventions (TRACII): a protocol for an intervention modeling experiment to change clinicians' intentions to implement evidence-based practice.Implementation science : IS · 2007Article
- PRIME--PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice.BMC health services research · 2003Article
- Factors affecting over-the-counter use of aspirin in the secondary prophylaxis of cardiovascular disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Is aspirin underused in myocardial infarction?PharmacoEconomics · 1997Review
- Aspirin use in middle-aged men with cardiovascular disease: are opportunities being missed?The British journal of general practice : the journal of the Royal College of General Practitioners · 1997Article
- Increasing prescription of drugs for secondary prevention after myocardial infarction.BMJ (Clinical research ed.) · 1995Article
- Health promotion priorities for general practice: constructing and using "indicative prevalences".BMJ (Clinical research ed.) · 1994Article
- Clinical trials versus clinical practice in the secondary prevention of myocardial infarction.European journal of clinical pharmacology · 1994Article
- [Drug treatment of patients with heart infarcts before and after the acute stage: results of the Heart Infarct Registry Augsburg].Sozial- und Praventivmedizin · 1994Article
- Audit: the third clinical science?Quality in health care : QHC · 1992Article
- The economics of prescribing.Journal of the Royal College of Physicians of London · 1992Article
- Secondary prophylaxis against myocardial infarction.BMJ (Clinical research ed.) · 1991Article
- Secondary prophylaxis against myocardial infarction.BMJ (Clinical research ed.) · 1991Article
- Unsatisfactory management of patients with myocardial infarction admitted to general medical wards.Journal of the Royal College of Physicians of LondonArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo record the use of secondary prophylactic drugs in patients discharged from hospital having had a myocardial infarction.
designProspective postal questionnaire survey of a random one in two sample of general practitioners in the region.
settingThe nine family practitioner committee areas within the Northern Regional Health Authority. PATIENTS: Patients who had had a myocardial infarction and were discharged to their general practitioner.
main outcome measureWhether beta blockers or aspirin, or both, were given on discharge.
resultsOf 267 patients, 158 (59%) were treated suboptimally in that they did not receive a secondary prophylactic drug to which they had no contraindication. For most patients this entailed underuse of one drug, but 17 (6%) of patients received no treatment. beta Blockers were 2.5 times less likely to be used than aspirin. Treatment was not associated with the age or sex of the patient, risk of further infarction, or hospital of discharge.
conclusionsSecondary prophylaxis after myocardial infarction is practised haphazardly. It should be offered to all patients who can tolerate it, after a trial period to assess any side effects of the drugs if necessary.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.