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Myocardial Infarction

Nathaniel M Hawkins, Shaun Scholes, Madhavi Bajekal, Hande Love, Martin O'Flaherty, Rosalind Raine, Simon Capewell

Type
Disease or Syndrome
ID
PH481
Version ID
962
Data Sources
Valid event data range
2003 and 2007
Sex
Female, Male
Agreement Date
2013-03-01
Coding system
Read codes v2 OXMIS codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

This was a cross-sectional observational analysis of nationally representative primary and secondary care data from the United Kingdom. Data on treatments for all myocardial infarction patients in 2003 and 2007 were derived from the Myocardial Ischemia National Audit Project (n=51 755). Data on treatments for patients with chronic angina (n=33 211) or requiring secondary prevention (n=32 976) in 1999 and 2007 were extracted from the General Practice Research Database. Socioeconomic circumstances were defined using a weighted composite of 7 area-level deprivation domains. Treatment estimates were age-standardized. Use of all therapies increased in all patient groups, both men and women. Improvements were most marked in primary care, where use of β-blockers, statins, and angiotensinconverting enzyme inhibitors or angiotensin receptor blockers for secondary prevention and treatment of angina doubled, from ≈30% to >60%. Small age gradients persisted for some therapies. No consistent socioeconomic gradients or sex differences were observed for myocardial infarction and postrevascularization (hard diagnoses). However, some sex inequality was apparent in the treatment of younger women with angina.

Publications

  • Nathaniel M Hawkins, Shaun Scholes, Madhavi Bajekal, Hande Love, Martin O'Flaherty, Rosalind Raine, Simon Capewell, The UK National Health Service Delivering Equitable Treatment Across the Spectrum of Coronary Disease. Circulation Cardiovascular Quality and Outcomes, 6:2, 2013.

Clinical Code List

Rows: 65
Code Description Entity type Coding System (OXMIS Read) Category
14A3.00 H/O: myocardial infarct <60 res15: Myocardial Infarction Read diagnostic
14A4.00 H/O: myocardial infarct >60 res15: Myocardial Infarction Read diagnostic
14AH.00 H/O: MI in last year res15: Myocardial Infarction Read diagnostic
G30..00 Acute MI res15: Myocardial Infarction Read diagnostic
G30..11 Attack - heart res15: Myocardial Infarction Read diagnostic
G30..12 Coronary thrombosis res15: Myocardial Infarction Read diagnostic
G30..13 Cardiac rupture following MI res15: Myocardial Infarction Read diagnostic
G30..14 Heart attack res15: Myocardial Infarction Read diagnostic
G30..15 MI - acute MI res15: Myocardial Infarction Read diagnostic
G30..16 Thrombosis - coronary res15: Myocardial Infarction Read diagnostic
G30..17 Silent MI res15: Myocardial Infarction Read diagnostic
G300.00 Acute anterolateral infarction res15: Myocardial Infarction Read diagnostic
G301.00 Other specified anterior MI res15: Myocardial Infarction Read diagnostic
G301000 Acute anteroapical infarction res15: Myocardial Infarction Read diagnostic
G301100 Acute anteroseptal infarction res15: Myocardial Infarction Read diagnostic
G301z00 Anterior MI NOS res15: Myocardial Infarction Read diagnostic
G302.00 Acute inferolateral infarction res15: Myocardial Infarction Read diagnostic
G303.00 Acute inferoposterior infarction res15: Myocardial Infarction Read diagnostic
G304.00 Posterior MI NOS res15: Myocardial Infarction Read diagnostic
G305.00 Lateral MI NOS res15: Myocardial Infarction Read diagnostic
G306.00 True posterior MI res15: Myocardial Infarction Read diagnostic
G307.00 Acute subendocardial infarction res15: Myocardial Infarction Read diagnostic
G307000 Acute non-Q wave infarction res15: Myocardial Infarction Read diagnostic
G307100 Acute non-ST segment elevation MI res15: Myocardial Infarction Read diagnostic
G308.00 Inferior MI NOS res15: Myocardial Infarction Read diagnostic
G309.00 Acute Q-wave infarct res15: Myocardial Infarction Read diagnostic
G30B.00 Acute posterolateral MI res15: Myocardial Infarction Read diagnostic
G30X.00 Acute transmural MI of unspecif site res15: Myocardial Infarction Read diagnostic
G30X000 Acute ST segment elevation MI res15: Myocardial Infarction Read diagnostic
G30y.00 Other acute MI res15: Myocardial Infarction Read diagnostic
G30y000 Acute atrial infarction res15: Myocardial Infarction Read diagnostic
G30y100 Acute papillary muscle infarction res15: Myocardial Infarction Read diagnostic
G30y200 Acute septal infarction res15: Myocardial Infarction Read diagnostic
G30yz00 Other acute MI NOS res15: Myocardial Infarction Read diagnostic
G30z.00 Acute MI NOS res15: Myocardial Infarction Read diagnostic
G310.00 PostMI syndrome res15: Myocardial Infarction Read diagnostic
G32..00 Old MI res15: Myocardial Infarction Read diagnostic
G32..11 Healed MI res15: Myocardial Infarction Read diagnostic
G33z500 Post infarct angina res15: Myocardial Infarction Read diagnostic
G35..00 Subsequent MI res15: Myocardial Infarction Read diagnostic
G350.00 Subsequent MI of anterior wall res15: Myocardial Infarction Read diagnostic
G351.00 Subsequent MI of inferior wall res15: Myocardial Infarction Read diagnostic
G353.00 Subsequent MI of other sites res15: Myocardial Infarction Read diagnostic
G35X.00 Subsequent MI of unspecified site res15: Myocardial Infarction Read diagnostic
G36..00 Certain current complication follow acute myocardial infarct res15: Myocardial Infarction Read diagnostic
G360.00 Haemopericardium/current comp folow acut myocard infarct res15: Myocardial Infarction Read diagnostic
G361.00 Atrial septal defect/curr comp folow acut myocardal infarct res15: Myocardial Infarction Read diagnostic
G362.00 Ventric septal defect/curr comp fol acut myocardal infarctn res15: Myocardial Infarction Read diagnostic
G363.00 Ruptur cardiac wall w'out haemopericard/cur comp fol ac MI res15: Myocardial Infarction Read diagnostic
G364.00 Ruptur chordae tendinae/curr comp fol acute myocard infarct res15: Myocardial Infarction Read diagnostic
G365.00 Rupture papillary muscle/curr comp fol acute myocard infarct res15: Myocardial Infarction Read diagnostic
G366.00 Thrombosis atrium,auric append&vent/curr comp foll acute MI res15: Myocardial Infarction Read diagnostic
G37..00 Cardiac syndrome X res15: Myocardial Infarction Read diagnostic
G38..00 Postoperative MI res15: Myocardial Infarction Read diagnostic
G380.00 Postoperative transmural MI anterior wall res15: Myocardial Infarction Read diagnostic
G381.00 Postoperative transmural MI inferior wall res15: Myocardial Infarction Read diagnostic
G382.00 Postoperative transmural MI other sites res15: Myocardial Infarction Read diagnostic
G383.00 Postoperative transmural MI unspec site res15: Myocardial Infarction Read diagnostic
G384.00 Postoperative subendocardial MI res15: Myocardial Infarction Read diagnostic
G38z.00 Postoperative MI, unspecified res15: Myocardial Infarction Read diagnostic
G501.00 Post infarction pericarditis res15: Myocardial Infarction Read diagnostic
Gyu3100 [X]Other current complications following acute myocard infarct res15: Myocardial Infarction Read diagnostic
Gyu3400 [X]Acute transmural MI of unspecif site res15: Myocardial Infarction Read diagnostic
Gyu3500 [X]Subsequent MI of other sites res15: Myocardial Infarction Read diagnostic
Gyu3600 [X]Subsequent MI of unspecified site res15: Myocardial Infarction Read diagnostic
Rows: 21
Code Description Entity type Coding System (OXMIS Read) Category
4100N MI with hypertension res15: Myocardial Infarction OXMIS diagnostic
4100NA MI acute with hypertension res15: Myocardial Infarction OXMIS diagnostic
4100T Thrombosis coronary with hypertension res15: Myocardial Infarction OXMIS diagnostic
4109CA Attack coronary res15: Myocardial Infarction OXMIS diagnostic
4109CL Occlusion coronary res15: Myocardial Infarction OXMIS diagnostic
4109CR Accident coronary res15: Myocardial Infarction OXMIS diagnostic
4109H Myocardial infarct old res15: Myocardial Infarction OXMIS diagnostic
4109HE Myocardial infarct healed res15: Myocardial Infarction OXMIS diagnostic
4109N Myocardial infarct res15: Myocardial Infarction OXMIS diagnostic
4109NA Myocardial infarct acute res15: Myocardial Infarction OXMIS diagnostic
4109NC Coronary infarction res15: Myocardial Infarction OXMIS diagnostic
4109NH Infarct heart res15: Myocardial Infarction OXMIS diagnostic
4109TC Thrombosis coronary res15: Myocardial Infarction OXMIS diagnostic
4109TE Thrombosis endocardial res15: Myocardial Infarction OXMIS diagnostic
4109TL Thrombosis mural res15: Myocardial Infarction OXMIS diagnostic
4109TM Myocardial thrombosis res15: Myocardial Infarction OXMIS diagnostic
4119N Subendocardial infarction res15: Myocardial Infarction OXMIS diagnostic
4129B Syndrome post MI res15: Myocardial Infarction OXMIS diagnostic
4129T Status post MI res15: Myocardial Infarction OXMIS diagnostic
4129TH Coronary infarction healed res15: Myocardial Infarction OXMIS diagnostic
429 AH Heart attack res15: Myocardial Infarction OXMIS diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH481/version/962/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH481/version/962/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH481', '962', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH481/version/962/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH481/version/962/export/codes/?format=json
CSV site_root/phenotypes/PH481/version/962/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH481', '962', api_client=client)

Version History

Version
ID
Name Owner Publish date
962 Myocardial Infarction ieuan.scanlon 2021-10-06 currently shown

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