ArticleHeart (British Cardiac Society)2006
Short-term and long-term outcomes in 133,429 emergency patients admitted with angina or myocardial infarction in Scotland, 1990-2000: population-based cohort study.
Article in Heart (British Cardiac Society), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Repeated heart rate variability monitoring after myocardial infraction - Cohort profile of the MI-ECG study.International journal of cardiology. Heart & vasculature · 2025Article
- Contributions of event rates, pre-hospital deaths, and deaths following hospitalisation to variations in myocardial infarction mortality in 326 districts in England: a spatial analysis of linked hospitalisation and mortality data.The Lancet. Public health · 2022Article
- Poor long-term outcome in acute coronary syndrome in a real-life setting: Ten-year outcome of the TACOS study.Cardiology journal · 2021Article
- NCD Countdown 2030: pathways to achieving Sustainable Development Goal target 3.4.Lancet (London, England) · 2020Review
- Integrated screening and treatment services for HIV, hypertension and diabetes in Kenya: assessing the epidemiological impact and cost-effectiveness from a national and regional perspective.Journal of the International AIDS Society · 2020Article
- Cost-effectiveness of risk stratified medication management for reducing premature cardiovascular mortality in Kenya.PloS one · 2019Article
- Risk Stratification of Sudden Cardiac Death After Acute Myocardial Infarction.The Journal of innovations in cardiac rhythm management · 2018Review
- Validation of a Cardiovascular Disease Policy Microsimulation Model Using Both Survival and Receiver Operating Characteristic Curves.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Article
- Acute myocardial infarction hospital admissions and deaths in England: a national follow-back and follow-forward record-linkage study.The Lancet. Public health · 2017Article
- Contributions of risk factors and medical care to cardiovascular mortality trends.Nature reviews. Cardiology · 2015Review
- Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers.BMC public health · 2014Article
- Presentation, management, and outcomes of ischaemic heart disease in women.Nature reviews. Cardiology · 2013Review
- Article
- Five-year prognosis in an incident cohort of people presenting with acute myocardial infarction.PloS one · 2011Article
- Clinical utility of fixed-combination telmisartan-amlodipine in the treatment of hypertension.Integrated blood pressure control · 2011Article
- Trends and inequalities in short-term acute myocardial infarction case fatality in Scotland, 1988-2004.Population health metrics · 2010Article
- Aspirin use is associated with an improved long-term survival in an unselected population presenting with unstable angina.Clinical cardiology · 2010Article
- Article
- Initiation and persistence with clopidogrel treatment after acute myocardial infarction: a nationwide study.British journal of clinical pharmacology · 2008Article
- Risk assessment after acute coronary syndrome.BMJ (Clinical research ed.) · 2006Article
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10 authors.
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Abstract
objectiveTo analyse short- and long-term outcomes and prognostic factors in a large population-based cohort of unselected patients with a first emergency admission for suspected acute coronary syndrome between 1990 and 2000 in Scotland.
methodsAll first emergency admissions for acute myocardial infarction (AMI) and all first emergency admissions for angina (the proxy for unstable angina) between 1990 and 2000 in Scotland (population 5.1 million) were identified. Survival to five years was examined by Cox multivariate modelling to examine the independent prognostic effects of diagnosis, age, sex, year of admission, socioeconomic deprivation and co-morbidity.
resultsIn Scotland between 1990 and 2000, 133,429 individual patients had a first emergency admission for suspected acute coronary syndrome: 96 026 with AMI and 37,403 with angina. After exclusion of deaths within 30 days, crude five-year case fatality was similarly poor for patients with angina and those with AMI (23.9% v 21.6% in men and 23.5% v 26.0% in women). The longer-term risk of a subsequent fatal or non-fatal event in the five years after first hospital admission was high: 54% in men after AMI (53% in women) and 56% after angina (49% in women). Event rates increased threefold with increasing age and 20-60% with different co-morbidities, but were 11-34% lower in women.
conclusionsLonger-term case fatality was similarly high in patients with angina and in survivors of AMI, about 5% a year. Furthermore, half the patients experienced a fatal or non-fatal event within five years. These data may strengthen the case for aggressive secondary prevention in all patients presenting with acute coronary syndrome.
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