Factors associated with time to initiation of a PCSK9 inhibitor after hospital discharge for acute myocardial infarction

2021 ◽  
Author(s):  
EC McKinley ◽  
VA Bittner ◽  
TM Brown ◽  
L Chen ◽  
LD Colantonio ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Discharge ◽  
Factors Associated ◽  
Pcsk9 Inhibitor ◽  
Time To Initiation

scholarly journals Guideline adherence among prehospital emergency nurses when caring for patients with chest pain: a prospective cohort study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Kristoffer Wibring ◽  
Markus Lingman ◽  
Johan Herlitz ◽  
Lina Blom ◽  
Otto Serholt Gripestam ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Chest Pain ◽  
Acetylsalicylic Acid ◽  
Hospital Discharge ◽  
Guideline Adherence ◽  
Vital Signs ◽  
Pharmaceutical Treatment ◽  
Emergency Nurses ◽  
Prehospital Emergency

Abstract Background The emergency medical services (EMS) use guidelines to describe optimal patient care for a wide range of clinical conditions and symptoms. The intent is to guide personnel to provide patient care in line with best practice. The aim of this study is to describe adherence to such guidelines among prehospital emergency nurses (PENs) when caring for patients with chest pain. Objective To describe guideline adherence among PENs when caring for patients with chest pain. To investigate whether guideline adherence is associated with patient age, sex or final diagnosis of acute myocardial infarction on hospital discharge. Methods Guideline adherence in terms of patient examination and pharmaceutical treatment was analysed in a cohort of 2092 EMS missions carried out in 2018 in Region Halland, Sweden. Multivariate regression was used to describe how guideline adherence is associated with patient age, sex and diagnosis on hospital discharge. Results Guideline adherence was high regarding examination of vital signs (93%) and electrocardiogram (ECG) registration (96%) but lower in terms of pharmaceutical treatment (ranging from 28 to 90%). Adherence was increased in cases in which the patient ended up with acute myocardial infarction (AMI) as diagnosis on discharge. Patients with AMI were given acetylsalicylic acid by PENs in 50% of cases. Women were less likely than men to receive treatment with acetylsalicylic acid and oxycodone. Conclusions Guideline adherence among PENs when caring for patients with chest pain is satisfactory in terms vital signs and ECG registration. Regarding pharmaceutical treatment guideline adherence is defective. Improved adherence is mainly associated with male sex in patients and a diagnosis of AMI on hospital discharge. Defective adherence excludes measures known to improve patients’ prognoses such as treatment with acetylsalicylic acid.

Factors associated with change in walking ability in very elderly patients hospitalized for acute myocardial infarction

2007 ◽  
Vol 7 (1) ◽  
pp. 21-25
Author(s):  
Yoshihisa Hirakawa ◽  
Yuichiro Masuda ◽  
Masafumi Kuzuya ◽  
Akihisa Iguchi ◽  
Takaya Kimata ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Walking Ability ◽  
Very Elderly ◽  
Factors Associated

Abstract P274: Physical Activity Patterns and Determinants Following Acute Myocardial Infarction: Insights From the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young Acute Myocardial Infarction Patients)

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Karl E Minges ◽  
Kelly M Strait ◽  
Sarah Camhi ◽  
Judith H Lichtman ◽  
Rachel P Dreyer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Activity Patterns ◽  
Estimating Equation ◽  
Vigorous Activity ◽  
Targeted Interventions ◽  
Factors Associated ◽  
Wide Range ◽  
Over Time

Introduction: Despite the benefits of participation in regular physical activity (PA) following acute myocardial infarction (AMI), little is known about the habitual patterns of PA for young AMI patients, especially expanding beyond findings for those engaged in cardiac rehabilitation. We assessed patterns and determinants in levels of PA over a period of 12-months following AMI. Methods: A 2:1 (women:men) observational study design enrolled 3,572 AMI patients (2,397 women, 67.1%) aged 18-55 years from 103 US, 24 Spanish, and 3 Australian hospitals (2008-2012). Data were obtained by medical record abstraction and patient interviews at baseline (pre-AMI), 1- and 12-months post-AMI. Patients were assigned to AHA defined levels of PA based on self-reported frequency, duration, and intensity, as follows: Active (≥ 150 min/wk moderate or ≥ 75 min/wk vigorous activity), Insufficient (10-149 min/wk moderate or 10-74 min/wk vigorous activity), or Inactive (< 10 min/wk moderate or vigorous activity). We used a generalized estimating equation model to examine the factors associated with insufficient/inactive PA levels over time. Results: At baseline, 1- and 12-months post-AMI, 36.7%, 37.6%, and 40.0% of patients were considered active. There were 27 PA patterns observed from baseline to 12-months (Table). The most frequent were those with no change in PA over time (14% staying active, 7% insufficient, and 13% inactive). Additionally, 25% of patients had an increase (at least a one category change) in PA, while 19% had a decrease between baseline and 12-months post-AMI. Female sex, non-white race, non-active workplaces, smoking, diabetes, hypertension, and obesity were independently associated with being insufficient/inactive over time (all p<.05). Conclusions: Despite clinical recommendations, young adults recovering from AMI experience a wide range of PA patterns. By identifying factors associated with insufficient/inactive PA during recovery, targeted interventions can be introduced prior to hospital discharge.

Is stress at hospital discharge after acute myocardial infarction greater in women than in men?

1993 ◽  
Vol 2 (1) ◽  
pp. 35-40 ◽  
Author(s):  
JC Toth
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hospital Discharge ◽  
Community Hospital ◽  
Severity Of Illness ◽  
Severe Illness ◽  
Discharge Data ◽  
Cardiac Symptoms ◽  
Teaching Community ◽  
Sample Data

BACKGROUND: Stress surrounding hospital discharge after acute myocardial infarction increases the likelihood that the condition will recur. Although increased age, a more severe illness and a higher incidence of persistent cardiac symptoms suggest that women would experience more stress at discharge, data comparing stress experienced by women and men have not been reported. PURPOSE: To compare the level of stress experienced by women and men at hospital discharge after acute myocardial infarction. SAMPLE: Data from 54 women and 182 men from a government hospital, two private community hospitals and a teaching/community hospital. RESULTS: Stress scores of women were not found to be different from those of men, nor were five of the six most stressful concerns identified in the study. No difference was found in severity of illness or age. CONCLUSIONS: Women and men experience similar levels of stress at hospital discharge after acute myocardial infarction. Furthermore, both genders can benefit equally from interventions designed to reduce stress.

PO138 Factors Associated With Heart Rate at Discharge Following Acute Myocardial Infarction: Data From Yoga-Care Trial

Global Heart ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. 412-413
Author(s):  
A. Chandrasekaran ◽  
D. Soni ◽  
K. Singh ◽  
K.S. Sadananda ◽  
P. MR ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Rate ◽  
Factors Associated
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