Declining risk of heart failure hospitalization following first acute myocardial infarction in Scotland between 1991–2016 Article Swipe
Kieran F. Docherty
,
Alice M. Jackson
,
Mark Macartney
,
Ross T. Campbell
,
Mark C. Petrie
,
Marc A. Pfeffer
,
John J.V. McMurray
,
Pardeep S. Jhund
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/ejhf.2965
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/ejhf.2965
Aim Mortality from acute myocardial infarction (AMI) has declined, increasing the pool of survivors at risk of later development of heart failure (HF). However, coronary reperfusion limits infarct size and secondary prevention therapies have improved. In light of these competing influences, we examined long‐term trends in the risk of HF hospitalization (HFH) following a first AMI occurring in Scotland over 25 years. Methods and results All patients in Scotland discharged alive after a first AMI between 1991 and 2015 were followed until a first HFH or death until the end of 2016 (minimum follow‐up 1 year, maximum 26 years). A total of 175 672 people with no prior history of HF were discharged alive after a first AMI during the period of study. A total of 21 445 (12.2%) patients had a first HFH during a median follow‐up of 6.7 years. Incidence of HFH (per 1000 person‐years) at 1 year following discharge from a first AMI decreased from 59.3 (95% confidence interval [CI] 54.2–64.7) in 1991 to 31.3 (95% CI 27.3–35.8) in 2015, with consistent trends seen for HF occurring within 5 and 10 years. Accounting for the competing risk of death, the adjusted risk of HFH at 1 year after discharge decreased by 53% (95% CI 45–60%), with similar decreases at 5 and 10 years. Conclusion The incidence of HFH following AMI in Scotland has decreased since 1991. These trends suggest that better treatment of AMI and secondary prevention are having an impact on the risk of HF at a population level.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ejhf.2965
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4383058539Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ejhf.2965Digital Object Identifier
- Title
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Declining risk of heart failure hospitalization following first acute myocardial infarction in Scotland between 1991–2016Work title
- Type
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articleOpenAlex work type
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enPrimary language
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2023Year of publication
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2023-07-04Full publication date if available
- Authors
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Kieran F. Docherty, Alice M. Jackson, Mark Macartney, Ross T. Campbell, Mark C. Petrie, Marc A. Pfeffer, John J.V. McMurray, Pardeep S. JhundList of authors in order
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https://doi.org/10.1002/ejhf.2965Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1002/ejhf.2965Direct OA link when available
- Concepts
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Medicine, Myocardial infarction, Heart failure, Confidence interval, Incidence (geometry), Internal medicine, Cardiology, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
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20Total citation count in OpenAlex
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2025: 6, 2024: 11, 2023: 3Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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