Background Secondary precautionary drug therapy subsequent severe myocardial infarction (AMI) is preferred to reduce the chance of fresh cardiovascular events. % on ACEI/ARB. Few medication and dose modifications were produced during follow-up. Summary Zarnestra Guideline-recommended supplementary preventive drugs had been recommended to most individuals discharged from medical center after AMI, however the percentage getting such therapy was considerably reduced non-PCI individuals. The long-time adherence was high, but few medication adjustments had been performed during follow-up. Even more attention is required to supplementary preventive medication therapy in AMI individuals not going through PCI. Electronic supplementary materials The online edition of this content (doi:10.1186/s12872-016-0283-6) contains supplementary Zarnestra MGC33310 materials, which is open to authorized users. = 30 843= 11 864= 42 707= 19 835= 11 008= 4918= 6946denotes regular derivation, dual antiplatelet therapy, Acute myocardial infaction, Acetylsalicylic acidity, Dental anticoagulants, Angiotensin-converting enzyme, Angiotensin II receptor blocker Initiation of supplementary preventive medicines The prescription of supplementary preventive medicines at discharge is usually shown in Furniture?1 and ?and2.2. Nearly all individuals had been discharged on solitary or dual antiplatelet therapy (DAPT) (19 % and 72 %, respectively), statins (90 %), beta-blockers (82 %), and ACEI/ARB (60 percent60 %). The percentage getting these drugs had been slightly reduced individuals 75C84 years in comparison to individuals 75 years, aside from ACEI/ARB that was recommended slightly more regularly in older people (Desk?1). Desk 2 Secondary precautionary drugs at release from medical center for index AMI and 12?1 . 5 years later; sufferers 85 years = 42 707)= 28 767)(%)(%)(%) turned to another medication within same medication course in post-AMI period(%) transformed dose of real medication in post-AMI periodAngiotensin-converting enzyme inhibitor, Aciute myocardial infraction, Angiotensin II receptor blocker asome sufferers were recommended both ACEI and ARB Sufferers undergoing PCI had been recommended supplementary preventive medication therapy more regularly than sufferers not going through PCI (Desk?1). This is the situation both for sufferers 75 years and sufferers 75C84 years. The difference in prescriptions was largest regarding DAPT, that was approved in 92 % from the PCI sufferers vs. 45 % of sufferers not Zarnestra going through PCI (Desk?1, Figs.?2 and ?and3).3). On the other hand, non-PCI sufferers were recommended other types of antithrombotic therapy more regularly Zarnestra than PCI sufferers: Aspirin monotherapy in 28 % vs. 2 %, dental anticoagulant (OAC) monotherapy in 4 % vs. 0 %, or OAC in conjunction with one antiplatelet therapy in 6 % vs. 1 %, respectively. Nevertheless, 14 % from the non-PCI sufferers had been discharged with neither antiplatelet medications nor OAC, in comparison to 2 % from the PCI Zarnestra sufferers. Surprisingly, the distinctions in prescription design between PCI and non-PCI sufferers were discovered also regarding other styles of supplementary preventive medications (Desk?1). Open up in another home window Fig. 2 Adherence to supplementary preventive drugs as time passes in AMI sufferers 75 years with or without PCI. Norway 2009C2013. ASA, acetylsalicylic acidity; ACEI, angiotensin-converting enzyme inhibitor; AMI, severe myocardial infarction; ARB, angiotensin II receptor blocker; PCI, percutaneous coronary involvement Open in another home window Fig. 3 Adherence to supplementary preventive drugs as time passes in AMI sufferers 76C84 years with and without PCI. Norway 2009C2013. The interpretation and confirming of the data may be the exclusive responsibility from the authors, no endorsement by is supposed, nor it ought to be inferred. Additional document Additional document 1: Desk S1.(23K, docx)Percentage of AMI sufferers undergoing PCI between 2009 and November 2013. Desk S2. Adherence to P2Y12 inhibitors after index AMI. (DOCX 23 kb).