{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:19:45Z","timestamp":1760296785617,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Heart"],"published-print":{"date-parts":[[2002,7]]},"abstract":"<jats:p>\n                  <jats:bold>Background:<\/jats:bold> It has been suggested that patients undergoing acute intervention for coronary syndromes may not receive adequate secondary prevention.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Objective:<\/jats:bold> To analyse the impact of availability and use of coronary interventions on the prescription of secondary prevention after acute coronary syndromes.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Design:<\/jats:bold> Analysis of a prospective multicentre register of patients admitted to hospital for acute coronary syndromes.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Setting:<\/jats:bold> A 1999 pan-European survey in 390 hospitals.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Patients:<\/jats:bold> 3092 patients admitted to hospital with acute coronary syndromes (including 777 for ST elevation myocardial infarction within 12 hours of onset).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Main outcome measures:<\/jats:bold> Rates of prescription of aspirin and lipid lowering agents.<\/jats:p>\n               <jats:p>\n                  <jats:bold>Results:<\/jats:bold> Performance of coronary angiography and percutaneous coronary interventions (PCI) during the hospital stay were independent predictors of prescription of aspirin at discharge (odds ratio (OR) 1.29 and 1.89, p = 0.053 and p &lt; 0.0001, respectively). Lipid lowering agents were prescribed more often on discharge in patients admitted to hospitals with catheterisation laboratories than without (for infarction with ST elevation, 45% <jats:italic>v<\/jats:italic> 40% (NS); for other acute coronary syndromes, 46% <jats:italic>v<\/jats:italic> 36%; p &lt; 0.05). Prescription rates were higher among patients undergoing coronary angiography or PCI than in those treated conservatively (for infarction with ST elevation, 49%, 53%, and 39%, p &lt; 0.05; for other acute coronary syndromes, 50%, 54%, and 34%, p &lt; 0.05). Logistic regression analysis showed that PCI was an independent predictor of prescription of lipid lowering agents at discharge (OR 1.48, p &lt; 0.0002).<\/jats:p>\n               <jats:p>\n                  <jats:bold>Conclusions:<\/jats:bold> Contrary to expectations, invasive procedures for acute coronary syndromes are associated with higher rates of prescription of pharmacological secondary prevention.<\/jats:p>","DOI":"10.1136\/heart.88.1.20","type":"journal-article","created":{"date-parts":[[2002,7,28]],"date-time":"2002-07-28T19:09:06Z","timestamp":1027883346000},"page":"20-24","source":"Crossref","is-referenced-by-count":20,"title":["Impact of availability and use of coronary interventions on the prescription of aspirin and lipid lowering treatment after acute coronary syndromes"],"prefix":"10.1136","volume":"88","author":[{"given":"P G","family":"Steg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Iung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L J","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Cokkinos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Deckers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K A A","family":"Fox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U","family":"Keil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A P","family":"Maggioni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2002,7,1]]},"reference":[{"key":"2025091922072034000_88.1.20.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6921.81"},{"key":"2025091922072034000_88.1.20.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198308183090703"},{"key":"2025091922072034000_88.1.20.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198511283132201"},{"key":"2025091922072034000_88.1.20.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)92521-6"},{"key":"2025091922072034000_88.1.20.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199610033351401"},{"key":"2025091922072034000_88.1.20.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04257-4"},{"key":"2025091922072034000_88.1.20.7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.4.430"},{"key":"2025091922072034000_88.1.20.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)03257-8"},{"key":"2025091922072034000_88.1.20.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.13.1711"},{"key":"2025091922072034000_88.1.20.10","unstructured":"Julian D. An integrated approach to the management of patients after the acute phase of myocardial infarction. In: Yusuf S, et al, eds. Evidence-based cardiology. London: BMJ Publishing Group, 1998:512\u201324."},{"key":"2025091922072034000_88.1.20.11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200001203420301"},{"key":"2025091922072034000_88.1.20.12","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.1.38"},{"key":"2025091922072034000_88.1.20.13","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a015136"},{"key":"2025091922072034000_88.1.20.14","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2001.2610"},{"key":"2025091922072034000_88.1.20.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04235-5"},{"key":"2025091922072034000_88.1.20.16","first-page":"867","volume":"356","year":"2001","journal-title":"Lancet"},{"key":"2025091922072034000_88.1.20.17","unstructured":"Fox KAA, on behalf of the Scientific Committee and Investigators. Current management of acute coronary syndromes in Europe: the design and preliminary results of the ENACT study. Eur Heart J 2000(suppl C):C2\u20139."},{"key":"2025091922072034000_88.1.20.18","doi-asserted-by":"publisher","DOI":"10.1053\/euhj.2000.2185"},{"key":"2025091922072034000_88.1.20.19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03550180050036"},{"key":"2025091922072034000_88.1.20.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.311.7008.793"},{"key":"2025091922072034000_88.1.20.21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901283400407"},{"key":"2025091922072034000_88.1.20.22","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.4.459"}],"container-title":["Heart"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/heart.88.1.20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T05:07:29Z","timestamp":1758344849000},"score":1,"resource":{"primary":{"URL":"https:\/\/heart.bmj.com\/lookup\/doi\/10.1136\/heart.88.1.20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,7]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2002,7,1]]},"published-print":{"date-parts":[[2002,7]]}},"alternative-id":["10.1136\/heart.88.1.20"],"URL":"https:\/\/doi.org\/10.1136\/heart.88.1.20","relation":{},"ISSN":["1355-6037","1468-201X"],"issn-type":[{"type":"print","value":"1355-6037"},{"type":"electronic","value":"1468-201X"}],"subject":[],"published":{"date-parts":[[2002,7]]}}}