Comparison of secondary prevention care after myocardial infarction and stroke

Cerebrovasc Dis. 2006;21(4):235-41. doi: 10.1159/000091220. Epub 2006 Jan 27.

Abstract

Background: Whether secondary prevention of atherosclerosis is performed as frequently after cerebrovascular events (stroke or transient ischemic attack) as after cardiac events (myocardial infarction or angina) is unknown.

Methods: We compared the receipt of six secondary preventive care processes among 943 persons with a prior cardiac event to that among 523 persons with a prior cerebrovascular event using a representative sample of the US population.

Results: The cardiac event group had higher rates for three care processes: antithrombotic medication use in the past year (83-77%, p = 0.01), ever advised to exercise more (66-52%, p < 0.001), and ever advised to eat fewer high-fat or high-cholesterol foods (70-54%, p < 0.001).

Conclusions: Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Diet
  • Exercise
  • Female
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / prevention & control*
  • Preventive Health Services*
  • Quality Assurance, Health Care*
  • Secondary Prevention
  • Stroke / prevention & control*
  • United States

Substances

  • Fibrinolytic Agents