Evidence map›Paper›PMID 30922234›Full record

Observational studyBMC cardiovascular disorders2019

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

Jarle Jortveit, Sigrun Halvorsen, Anete Kaldal, Are Hugo Pripp, Ragna Elise S Govatsmark, Jørund Langørgen

Abstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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  7. Biomarker patterns in patients with cardiogenic shock versus septic shock.International journal of cardiology. Heart & vasculature · 2024
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  8. La Tunisie medicale · 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

6 authors.

Jarle JortveitDepartment of Cardiology, Sørlandet Hospital, Box 783, Stoa, 4809, Arendal, Norway. jarle.jortveit@sshf.no.ORCID 0000-0003-0524-9852
Sigrun HalvorsenDepartment of Cardiology, Oslo University Hospital and University of Oslo, Oslo, Norway.
Anete KaldalDepartment of Cardiology, Sørlandet Hospital, Box 783, Stoa, 4809, Arendal, Norway.
Are Hugo PrippOslo Centre of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.
Ragna Elise S GovatsmarkDepartment of Medical Quality Registers, St. Olav's Hospital, Trondheim, Norway.
Jørund LangørgenDepartment of Heart Diseases, Haukeland University Hospital, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with established coronary artery disease (CAD) have an increased risk of new cardiovascular events. An underuse of secondary preventive drugs has been observed, and many patients may not attain the treatment goals for secondary prevention. The aims of the present nationwide register-based cohort study were to assess the degree of risk factor control and long-term outcomes in patients < 80 years with Type 1 myocardial infarction (MI) with and without prior CAD.

methodsData concerning all patients with MI admitted to hospitals in Norway from 2013 to 2016 were retrieved from the Norwegian Myocardial Infarction Register (NORMI). Long-term mortality was obtained through linkage with the Norwegian Cause of Death Registry.

resultsIn total, 47,204 patients were registered in the NORMI from 2013 to 2016. Prior CAD was recorded in 7219 (25.2%) of the 28,607 patients < 80 years old with Type 1 MIs. On average, 3 of the 6 defined treatment targets for secondary preventive therapy were attained, and only 1% of the patients achieved all targets. Patients with MI and prior CAD had increased risk of death or new MI compared to patients without prior CAD during long-term follow-up (adjusted HR 1.6, 95% CI 1.5-1.7).

conclusionsPrior CAD was frequent in patients with acute MI. The attainment of secondary preventive treatment targets in patients with MI and prior CAD was not optimal, and the long-term outcomes were reduced compared to patients without prior CAD. Increased efforts to improve risk factor control are needed.

Indexed as

Risk Reduction BehaviorAgedCardiovascular AgentsCoronary Artery DiseaseFemaleGuideline AdherenceHealth StatusHumansMaleMiddle AgedMyocardial InfarctionNorwayPractice Guidelines as TopicPractice Patterns, Physicians'RecurrenceRegistriesCardiovascular AgentsMyocardial infarctionRisk factorsSecondary prevention

Identifiers

PMID30922234
PMCPMC6437860

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Registered trials

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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.