If you are experiencing problems downloading PDF or HTML fulltext, our helpdesk recommend clearing your browser cache and trying again. If you need help in clearing your cache, please click here . Still need help? Email help@ingentaconnect.com

An audit of secondary prevention of coronary heart disease in post acute myocardial infarction patients in primary care

$20.00 plus tax (Refund Policy)

Buy Article:


Introduction The National Service Framework for Coronary Heart Disease (CHD) defines national standards for delivering care after acute myocardial infarction (AMI).

Objectives To improve appropriate use of secondary prevention measures and investigations after an AMI at the interface of primary and secondary care.

Method Criteria for this audit were selected from those devised by the National Institute for Clinical Excellence: Audit of the Management of Post-MI Patients in Primary Care. A retrospective review was conducted of general practitioner (GP) records, for patients who were identified as being treated in hospital for AMI. Baseline audit data were collected in 2003 for patients treated for an AMI in 2001. Following a multifaceted intervention a re-audit was conducted in 2004 of patients treated for an AMI in 2002.

Results Data were collected for 340 patients from 78 practices for the baseline audit, and for 203 patients from 51 practices for the re-audit. Comparison of primary care trusts (PCTs) showed a variation in meeting the audit criteria at baseline and re-audit, but overall 9 out of 10 audit criteria were better achieved in the re-audit than at baseline.

Conclusion Baseline audit suggested standards of secondary prevention of CHD in post-MI patients were good overall, but there were variations in care between PCTs. Re-audit results suggest standards of care have improved overall after a multifaceted intervention.


Document Type: Regular Paper

Publication date: February 1, 2006

More about this publication?
Related content



Share Content

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more