Secondary Prevention Treatments and Activities Post Myocardial Infarction Underlying the Risk of Recurrent Hard Cardiovascular Outcomes Associated With Socioeconomic Status
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30,191
- 主要终点
- first recurrent atherosclerotic cardiovascular disease event (rASCVD)
研究概览
简要总结
This is a nationwide cohort study on real-world patients (n≈30,000) surviving a first myocardial infarction (MI) 2006-2013 and alive to attend a routine 1-year follow-up. Associations between Socioeconomic Status (SES) and secondary preventive actions (SPAs) throughout the first year is studied and assessed as possible mechanisms underlying the increased risk of a first recurrent hard cardiocvascular (CV) outcome, recurrent atherosclerotic cardiovascular disease (rASCVD), in patients with low Socioeconomic Status during long-term follow-up (2006-2018).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 76 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Swedish resident
- •Alive and registered in The Swedish Websystem for Enhancement and Development of Evidence based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART)'s secondary prevention subregistry between 1 January 2006 and 31 December 2013 at the 1-year-revisit
排除标准
- •Age >76 years at baseline
- •Missing data for disposable household income
- •History of MI, stroke, coronary artery bypass graft (CABG), or percutaneous coronary intervention (PCI) prior to the index MI
- •Not present in initial care registry (RiksHIA)
- •Date of index MI before 2004 or missing
- •revisit outside 13±2 month window post-MI
结局指标
主要结局
first recurrent atherosclerotic cardiovascular disease event (rASCVD)
时间窗: from date of 1-year visit post-MI (baseline) until date of outcome, censoring or study end (2018)
composite outcome including non-fatal MI (I210-I214, I219, I220, I221, I228 or I229) or coronary heart disease death (CHD) (I210-I214, I219, I220, I221, I228, I229, I461 or I469) or fatal or non-fatal ischemic stroke (I630-I635, I638 or I639) according to the International Classification of Diseases 10th edition (ICD-10)
次要结局
未报告次要终点
研究者
Per Svensson
Associate professor
Karolinska Institutet