ArticleHeart (British Cardiac Society)2019
Education level and outcomes after acute myocardial infarction in China.
Article in Heart (British Cardiac Society), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01624909 (The China PEACE), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Prospective Study of Acute Myocardial Infarction
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors associated with return to work after acute myocardial infarction: A systematic review and meta-analysis.Work (Reading, Mass.) · 2024Pooled it
- The efficacy and safety of sacubitril/valsartan compared with ACEI/ARB in the treatment of heart failure following acute myocardial infarction: a systematic review and meta-analysis of randomized controlled trials.Frontiers in pharmacology · 2023Pooled it
- Impact of educational attainment on preventive efforts after myocardial infarction: results of the IPP and NET-IPP trials.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Trial
- Educational Disparities in the Impact of Suicidal Ideation on Long-Term Cardio-Cerebrovascular Outcomes: A Prospective Cohort Study.Psychiatry investigation · 2026Article
- Impact of Smoking Status on Major Adverse Cardiovascular Events in STEMI Patients: A Retrospective Cohort Study in Western Iran.ARYA atherosclerosis · 2026Article
- Education Level and Cardioprotective Dietary Patterns in Polish Post-MI Patients: A Cross-Sectional Study Using the KomPAN Tool.Nutrients · 2025Article
- Adverse socioeconomic factors are associated with a widening gap in one-year health-related quality of life after acute myocardial infarction.Scientific reports · 2025Article
- Socioeconomic Disparities and In-Hospital Outcomes in Acute Myocardial Infarction: A Case-Control Study.Cureus · 2025Article
- Patterns among factors associated with myocardial infarction: chi-squared automatic interaction detection tree and binary logit model.BMC public health · 2025Article
- The associations between modifiable risk factors and constipation: a comprehensive mendelian randomization study.BMC gastroenterology · 2024Article
- Mediation Effect of Obesity on the Association of Socioeconomic Status with Blood Pressure in the Elderly Hypertensive Population.Nutrients · 2024Article
- Association of Residential Greenness Exposure with Depression Incidence in Adults 50 Years of Age and Older: Findings from the Cohort Study on Global AGEing and Adult Health (SAGE) in China.Environmental health perspectives · 2024Article
- Time-Dependent Risk for Recurrence in Survivors of Major Adverse Cardiovascular Events.Cureus · 2024Article
- The effects of socioeconomic status on major adverse cardiovascular events: a nationwide population-based cohort study.Kidney research and clinical practice · 2023Article
- Observational
- Predictors of 1-Year Major Cardiovascular Events after ST-Elevation Myocardial Infarction in a Specialized Cardiovascular Center in Western Iran.The journal of Tehran Heart Center · 2022Article
- How to promote the hierarchical diagnosis and treatment system: A tripartite evolutionary game theory perspective.Frontiers in psychology · 2022Article
- Clinical Characteristics, Prognosis, and Gender Disparities in Young Patients With Acute Myocardial Infarction.Frontiers in cardiovascular medicine · 2021Article
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
objectiveTo assess the association between educational attainment and acute myocardial infarction (AMI) outcomes in China to inform future healthcare interventions.
methodsWe used data from the China Patient-centred Evaluative Assessment of Cardiac Events-Prospective AMI study of 3369 consecutive patients hospitalised with AMI from 53 hospitals. Educational attainment was categorised as: high (senior high school, college or postgraduate degree), intermediate (junior high school) or low (primary school or illiterate). We used survival models to assess the relationship between education and 1-year major adverse cardiovascular events (MACE), all-cause mortality, both unadjusted and after adjustment for demographic characteristics and cardiovascular risk factors.
resultsThe median participant age was 61 (52, 69) years, 23.2% were women, and 33.3% had high, 32.4% intermediate and 34.3% low educational attainment. In unadjusted analysis, compared with high educational attainment, low educational attainment was associated with a higher 1-year risk of MACE (HR 2.41, 95% CI 1.72 to 3.37) and death (HR for low vs high education 3.09, 95% CI 1.69 to 5.65). In risk-adjusted analyses, the association between education and death was attenuated and no longer statistically significant (adjusted HR 1.41, 95% CI 0.74 to 2.69, p=0.30). However, the risk of 1-year MACE (adjusted HR 1.68, 95% CI 1.18 to 2.41, p=0.004) remained significantly greaterin low educational attainment group.
conclusionsIn a national Chinese cohort of patients hospitalised with AMI, low educational attainment was associated with a higher risk of adverse events in the year following discharge. This association highlights the need to consider interventions to improve AMI outcomes in adults with low levels of education. CLINICAL
trial registrationNCT01624909; Results.
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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.