Secondary prevention of myocardial infarction: A survey in primary care

Alessandro Filippi, Diego Vanuzzo, Angelo A. Bignamini, Gianpiero Mazzaglia, Ovidio Brignoli, Andrea Sabatini, Claudio Cricelli, Alberico L. Catapano

Research output: Contribution to journalArticlepeer-review


OBJECTIVE: To collect information on the major risk factors and secondary prevention among patients with myocardial infarction in Italy. METHODS: Data were obtained from the database of the Italian College of General Practitioners; 3588 patients (mean age 68.7 ± 11.3 years; 2698 men, 888 women; two unrecorded gender), with an average time from event of 6 ± 5.7 years, were identified. RESULTS: Among the major risk factors, data entry ranged from 50.3% for physical activity to 74.9% for blood pressure. Inadequate blood pressure control was present in 49.2% and elevated plasma cholesterol levels (> 5.2 mmol/l) in 57.3%; among the latter group, 65% were on lipid-lowering therapy. Only 47.2% of the treated patients achieved a total cholesterol level of <5.2 mmol/l. Antiplatelet or anticoagulant drugs, β-blockers, and angiotensin-converting enzyme inhibitors were prescribed to 43%, 10.3%, and 57.9% of patients, respectively. CONCLUSIONS: The preventive attitude of Italian general practitioners is similar to that reported in other European countries with two noticeable exceptions: under-prescription of β-blockers and of antiplatelet drugs. Clearly, secondary prevention requires major improvement.

Original languageEnglish
Pages (from-to)422-426
Number of pages5
JournalJournal of Cardiovascular Medicine
Issue number6
Publication statusPublished - Jun 2006


  • Cholesterol
  • Myocardial infarction
  • Risk factors

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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