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Primary care management following an acute myocardial infarction

David Warriner and Mohanned Al-Matok explain how to treat a patient who has returned from acute care

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In the UK cardiovascular disease (CVD) is the second most common reason for admission to hospital, 8.4% of total admissions, specifically with 188,000 people being admitted with acute myocardial infarction (AMI) per year.1 Of those who attend with an ST elevation myocardial infarction (STEMI) 90% are treated with primary percutaneous coronary intervention (PPCI) within 90 minutes of arrival at hospital, typically the regional heart attack centre.2

It is estimated that nearly 1.5 million people in the UK have survived an AMI and there is an increased risk of death from cardiovascular causes at 5% per year.3,4 Effective secondary prevention measures, to reduce the on-going impact of the AMI, can significantly reduce this risk. So up to date knowledge of the on-going management of such patients once discharged, is a key area of competence for primary care nurses.5

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