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Persistence of Beta-Blocker Treatment After a Heart Attack

This HEDIS Measure

Assesses adults 18 years of age and older during the measurement year who were hospitalized and discharged alive with a diagnosis of acute myocardial infarction and who received persistent beta-blocker treatment for six months after discharge.

So What?

Every 34 seconds, someone in the United States has a heart attack.1 A heart attack, or myocardial infarction, occurs when blood flow to the heart is greatly reduced or stops completely.2 Clinical guidelines recommend taking a beta-blocker after a heart attack to prevent another heart attack from occurring.3 Beta-blockers work by lowering the heart rate, which reduces the amount of force on the heart and blood vessels.4 Persistent use of a beta-blocker after a heart attack can improve survival and heart disease outcomes.

References

1.      Go, A.S., D. Mozaffarian, V. L. Roger, E. J. Benjamin, J. D. Berry, et al. 2014. “Heart disease and stroke statistics—2014 update: a report from the American Heart Association.” Circulation 129:e28-e292. doi: 10.1161/01.cir.0000441139.02102.80

2.      American Heart Association (AHA). 2012. “About Heart Attacks.” http://www.heart.org/HEARTORG/Conditions/HeartAttack/AboutHeartAttacks/About-Heart-Attacks_UCM_002038_Article.jsp

3.      Yancey, C. W., M. Jessup, B. Bozkurt, J. Butler, D. E. Casey, M. H. Drazner, G. C. Fonarow, et al. 2013. “ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.” Circulation 128:e240–e327.

4.      AHA. 2013. “How do beta blocker drugs affect exercise?” http://www.heart.org/HEARTORG/Conditions/More/MyHeartandStrokeNews/How-do-beta-blocker-drugs-affect-exercise_UCM_450771_Article.jsp

tables
Persistence of Beta-Blocker Treatment Rate
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 84.4 83.8 79.9 90.1 89.9
2015 84.8 82.0 80.5 90.9 90.8
2014 84.4 81.8 83.3 90.5 89.2
2013 83.9 81.4 84.2 90.0 89.4
2012 83.9 79.5 82.0 88.9 88.5
2011 81.3 77.0 80.5 87.3 86.2
2010 75.5 71.3 76.3 83.1 82.5
2009 74.4 69.6 76.6 82.6 78.9
2008 75.0 68.8 73.6 79.7 76.7
2007 71.9 62.9 62.0 75.5 70.4
2006 72.5 65.5 68.1 69.6 70.9
2005 70.2 64.3 69.8 65.4 58.5