Health status outcomes after acute myocardial infarction in patients without standard modifiable risk factors
Authors' conclusion
Among AMI patients, those without modifiable risk factors had similar health status at 12-months as compared with those having modifiable cardiovascular risk factors
Study context
- Population
- Patients with a first acute MI and no prior coronary disease, hospitalized at 31 US hospitals, 2003–2008
- Participants
- 4,076 patients
- Exposure
- No SMuRFs vs SMuRFs
- Without SMuRFsn = 569
- Outcome
- Change in Seattle Angina Questionnaire (SAQ) Summary Score
- Follow-up
- 12 months
Methodological details2 prospective registries (PREMIER and TRIUMPH), 31 US hospitals
- 2 prospective registries (PREMIER and TRIUMPH)
- 31 US hospitals
Main finding
As reported in the abstract
SAQ Summary Score improvement
Without SMuRFs vs With SMuRFsAdjusted difference, points (95% CI)
Adjusted for baseline SAQ
2.61(1.29–3.93)
Further adjusted for clinical and socioeconomic characteristics
1.69(0.40–1.97)
Observational data: associations, not effects.
Further findings
| Outcome | Without SMuRFs | With SMuRFs |
|---|---|---|
| Baseline SAQ Summary Score | 83.5 ± 13.2 | 79.6 ± 16.5 |
Original publication
Health status outcomes after acute myocardial infarction in patients without standard modifiable risk factors. Am Heart J. Published 3 December 2024. doi:10. 1016/ j. ahj. 2024. 11. 018
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