Background Current performance measures for AMI are designed to improve quality by quantifying the use of evidence-based treatments. However, these measures only assess medication prescription. Whether patients receive optimal dosing of secondary prevention medications at the time of and following discharge after AMI is unknown.
Methods We assessed treatment doses of beta-blockers, statins, and ACE/ARBs at discharge and 12 months after AMI among 6748 patients from 31 hospitals enrolled in 2 US registries (2003-08)...
Results Most eligible patients (greater than 87%) were prescribed some dose of each medication at discharge, although only 1 in 3 patients were prescribed these medications at goal doses. Of patients not discharged on goal doses, up-titration during follow-up occurred infrequently (∼25% of patients for each medication). At 12 months, goal doses of beta-blockers, statins, and ACE/ARBs were achieved in only 12%, 26%, and 32% of eligible patients, respectively.
So among patients who passed the core measures with flying colors few were actually treated according to guidelines.
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