{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T03:28:06Z","timestamp":1789788486589,"version":"4.0.1"},"reference-count":32,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,5,1]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Registries have been highlighted as means to improve quality of care. Here, we describe temporal trends in risk factors, lifestyle and preventive medication for patients after myocardial infarction (MI) registered in the quality registry Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies (SWEDEHEART).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A registry-based cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All coronary care units and cardiac rehabilitation (CR) centres in Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Patients attending a CR visit at 1-year post-MI 2006\u20132019 were included (n=81\u2009363, 18\u201374 years, 74.7% men).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Outcome measures at 1-year follow-up included blood pressure (BP) &lt;140\/90\u2009mm Hg, low-density lipoprotein-cholesterol (LDL-C)&lt;1.8\u2009mmol\/L, persistent smoking, overweight\/obesity, central obesity, diabetes prevalence, inadequate physical activity, and prescription of secondary preventive medication. Descriptive statistics and testing for trends were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The proportion of patients attaining the targets for BP&lt;140\/90\u2009mmHg increased from 65.2% (2006) to 86.0% (2019), and LDL-C&lt;1.8\u2009mmol\/L from 29.8% (2006) to 66.9% (2019, p&lt;0.0001\u2009both). While smoking at the time of MI decreased (32.0% to 26.5%, p&lt;0.0001), persistent smoking at 1\u2009year was unchanged (42.8% to 43.2%, p=0.672) as was the prevalence of overweight\/obesity (71.9% to 72.9%, p=0.559). Central obesity (50.5% to 57.0%), diabetes (18.2% to 27.2%) and patients reporting inadequate levels of physical activity (57.0% to 61.5%) increased (p&lt;0.0001 for all). From 2007, &gt;90.0% of patients were prescribed statins and approximately 98% antiplatelet and\/or anticoagulant therapy. Angiotensin-converting enzyme inhibitor\/angiotensin receptor blocker prescription increased from 68.7% (2006) to 80.2% (2019, p&lt;0.0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While little change was observed for persistent smoking and overweight\/obesity, large improvements were observed for LDL-C and BP target achievements and prescription of preventive medication for Swedish patients after MI 2006\u20132019. Compared with published results from patients with coronary artery disease in Europe during the same period, these improvements were considerably larger. Continuous auditing and open comparisons of CR outcomes might possibly explain some of the observed improvements and differences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-069770","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T10:01:59Z","timestamp":1683885719000},"page":"e069770","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":26,"title":["Temporal trends in cardiovascular risk factors, lifestyle and secondary preventive medication for patients with myocardial infarction attending cardiac rehabilitation in Sweden 2006\u20132019: a registry-based cohort study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1677-1566","authenticated-orcid":false,"given":"Margret","family":"Leosdottir","sequence":"first","affiliation":[{"name":"Department of Cardiology, Skane University Hospital, Malmo, Sweden"},{"name":"Department of Clinical Sciences Malmo, Lund University, Malmo, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emil","family":"Hagstrom","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden"},{"name":"Uppsala Clinical Research Center, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nermin","family":"Hadziosmanovic","sequence":"additional","affiliation":[{"name":"Uppsala Clinical Research Center, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Norhammar","sequence":"additional","affiliation":[{"name":"Department of Medicine Solna, Cardiology Unit, Karolinska Institutet, Stockholm, Sweden"},{"name":"Capio Sankt Gorans Sjukhus, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5795-0061","authenticated-orcid":false,"given":"Bertil","family":"Lindahl","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, Cardiology, Uppsala University, Uppsala, Sweden"},{"name":"Uppsala Clinical Research Center, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Hambraeus","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Falun Hospital, Falun, Dalarna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Jernberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"B\u00e4ck","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences, Division of Physiotherapy, Linkoping University, Linkoping, Sweden"},{"name":"Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,5,12]]},"reference":[{"key":"2025121408533702000_13.5.e069770.1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehn554"},{"key":"2025121408533702000_13.5.e069770.2","doi-asserted-by":"crossref","first-page":"1756","DOI":"10.1177\/2047487320905719","article-title":"Effectiveness of comprehensive cardiac rehabilitation in coronary artery disease patients treated according to contemporary evidence based medicine: update of the cardiac rehabilitation outcome study (CROS-II)","volume":"27","author":"Salzwedel","year":"2020","journal-title":"Eur J Prev Cardiolog"},{"key":"2025121408533702000_13.5.e069770.3","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab484"},{"key":"2025121408533702000_13.5.e069770.4","unstructured":"Ambrosetti M , Abreu A , Corra U , et al . n.d. 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