Evidence map›Paper›PMID 30697776›Full record

Observational studyClinical cardiology2019

Cardiovascular events and death after myocardial infarction or ischemic stroke in an older Medicare population.

Suying Li, Yi Peng, Xinyue Wang, Yi Qian, Pin Xiang, Sally W Wade, Haifeng Guo, J Antonio G Lopez, Charles A Herzog, Yehuda Handelsman

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  11. The Holy Grail of cardiology?Experimental physiology · 2025
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  14. Cardioprotective Effects of Adiponectin-Stimulated Autophagy.Journal of lipid and atherosclerosis · 2025
    Review
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  19. The relative impact of components of high residual risk on the long-term prognosis after AMI.International journal of cardiology. Cardiovascular risk and prevention · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Suying LiHennepin Healthcare Research Institute, Chronic Disease Research Group, Minneapolis, Minnesota.ORCID https://orcid.org/0000-0002-0072-4530
Yi PengHennepin Healthcare Research Institute, Chronic Disease Research Group, Minneapolis, Minnesota.
Xinyue WangHennepin Healthcare Research Institute, Chronic Disease Research Group, Minneapolis, Minnesota.
Yi QianAmgen Inc., Thousand Oaks, California.
Pin XiangAmgen Inc., Thousand Oaks, California.
Sally W WadeWade Outcomes Research and Consulting, Salt Lake City, Utah.
Haifeng GuoHennepin Healthcare Research Institute, Chronic Disease Research Group, Minneapolis, Minnesota.
J Antonio G LopezAmgen Inc., Thousand Oaks, California.
Charles A HerzogHennepin Healthcare Research Institute, Chronic Disease Research Group, Minneapolis, Minnesota.
Yehuda HandelsmanMetabolic Institute of America, Endocrinology, Tarzana, California.
Hennepin Healthcare Research Institute · USAmgen (United States) · USOutcomes Research Consortium · USTarzana Treatment Centers · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvivors of myocardial infarction (MI) or ischemic stroke (IS) are at high risk for subsequent cardiovascular events. HYPOTHESIS: Older patients with prior MI or IS are at risk for recurrent cardiovascular events, and comorbidities such as diabetes may increase this risk.

methodsTwo cohorts were studied in a retrospective Medicare 20% random sample-a 2008 cohort with up to 6 years of follow-up (MI, N = 26 460; IS, N = 17 566) and a 2012 cohort with 1 year of follow-up (MI, N = 26 548; IS, N = 17 728).

resultsIn older patients who survived an event of MI or IS (2012 cohort), 7.2% had a recurrent MI and 6.7% had a recurrent IS in the first year; 32% died. Accounting for multiple recurrent events (2012 cohort), the event rates per 100 patient-years were 11.6 and 10.2 for the MI and IS cohorts, respectively. Cumulative incidence of recurrence (2008 cohort) increased from 7.7% at 1 year to 14.3% at 6 years for recurrent MI and from 6.7% at 1 year to 13.4% at 6 years for recurrent IS. Comorbid diabetes (2012 cohort) was significantly associated (adjusted risk ratio) with MI recurrence (1.44) and risk of coronary revascularization (1.23) in the MI cohort and with IS recurrence (1.26) in the IS cohort.

conclusionIn this older population with prior MI or IS, high rates of recurrent cardiovascular events and multiple recurrent events were observed. These findings highlight the need for aggressive intervention for secondary prevention and management of comorbidities in high-risk patients, particularly those with diabetes.

Indexed as

Risk AssessmentAgedAged, 80 and overBrain IschemiaCardiovascular DiseasesCause of DeathFemaleFollow-Up StudiesHumansIncidenceMaleMedicareMiddle AgedMyocardial InfarctionRecurrenceRetrospective Studiesaging and the cardiovascular systematherosclerotic cardiovascular diseasediabetesMedicarerecurrent event

Identifiers

PMID30697776
PMCPMC6712383
OpenAlexW2913925753

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.