Comparison of secondary prevention care after myocardial infarction and stroke.

Authors :: Cheng E
Chen A
Vassar S
Lee M
Cohen SN
Vickrey B
Source :: Cerebrovascular diseases (Basel, Switzerland) [Cerebrovasc Dis] 2006; Vol. 21 (4), pp. 235-41. Date of Electronic Publication: 2006 Jan 27.
Publication Year :: 2006
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.<br />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.<br />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).<br />Conclusions: Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.