National Use and Effectiveness of β-Blockers for the Treatment of Elderly Patients After Acute Myocardial Infarction
Authors:
- Harlan M. KrumholzHKHarlan M. Krumholz
- Martha J. RadfordMRMartha J. Radford
- Yun WangYWYun Wang
- Jersey ChenJCJersey Chen
- Asefeh HeiatAHAsefeh Heiat
- Thomas A. MarciniakTMThomas A. Marciniak
Open Access
- 19 August 1998
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 280 (7) , 623-629
Abstract
DESPITE THE IMPORTANCE of β-blockers for secondary prevention after acute myocardial infarction (AMI),1,2 several studies have suggested that they are substantially underutilized,3-10 particularly in older patients. Although these studies agree that increasing the appropriate use of β-blockers is an important opportunity to improve secondary prevention after an AMI, they differ in study design and approach, yielding very different estimates of the use of β-blockers. None provide a national perspective on the prescribed use of β-blockers after an AMI in the treatment of elderly patients. The studies that have linked patterns of use of β-blockers with outcomes have been restricted to very selected samples7 or have been dependent on claims databases for clinical information9 but generally have found that β-blockers are associated with increased survival.Keywords
This publication has 9 references indexed in Scilit:
- Improving the Quality of Care for Medicare Patients with Acute Myocardial Infarction: Results from the Cooperative Cardiovascular ProjectSurvey of Anesthesiology, 1999
- Comprehensive Reliability Assessment and Comparison of Quality Indicators and Their ComponentsJournal of Clinical Epidemiology, 1997
- Cardiologists' practices compared with practice guidelines: Use of beta-blockade after acute myocardial infarctionJACC, 1995
- Process and Outcome of Care for Acute Myocardial Infarction among Medicare Beneficiaries in Connecticut: A Quality Improvement Demonstration ProjectAnnals of Internal Medicine, 1995
- Quality of care for Medicare patients with acute myocardial infarction. A four-state pilot study from the Cooperative Cardiovascular Project1995
- Audit of secondary prophylaxis after myocardial infarctionBMJ, 1994
- Beta blocker use in the treatment of community hospital patients discharged after myocardial infarctionJournal of General Internal Medicine, 1994
- Impact of clinical trials on the use of beta blockers after acute myocardial infarction and its relation to other risk indicators for death and 1‐year mortality rateClinical Cardiology, 1994
- Studying Outcomes and Hospital Utilization in the ElderlyMedical Care, 1992