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About the Authors:
Marlous Hall
Roles Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Software, Writing - original draft
* E-mail: [email protected]
Affiliation: Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom
ORCID http://orcid.org/0000-0003-1246-2627
Tatendashe B. Dondo
Roles Methodology, Writing - original draft, Writing - review & editing
Affiliation: Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom
Andrew T. Yan
Roles Conceptualization, Writing - review & editing
Affiliation: Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Mamas A. Mamas
Roles Methodology, Visualization, Writing - review & editing
Affiliation: Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, United Kingdom
Adam D. Timmis
Roles Resources, Validation, Writing - review & editing
Affiliation: NIHR Cardiovascular Biomedical Research Unit, Barts Heart Centre, London, United Kingdom
John E. Deanfield
Roles Data curation, Resources, Writing - review & editing
Affiliation: National Institute for Cardiovascular Outcomes Research, University College London, London, United Kingdom
Tomas Jernberg
Roles Investigation, Writing - review & editing
Affiliation: Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
Harry Hemingway
Roles Conceptualization, Supervision, Writing - review & editing
Affiliations Farr Institute of Health Informatics Research, University College London, London, United Kingdom, NIHR Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, University College London, London, United Kingdom
Keith A. A. Fox
Roles Conceptualization, Supervision, Writing - review & editing
Affiliation: Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom
Chris P. Gale
Roles Conceptualization, Funding acquisition, Supervision, Writing - review & editing
Affiliations Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom, York Teaching Hospital NHS Foundation Trust, York, United KingdomAbstract
Background
There is limited knowledge of the scale and impact of multimorbidity for patients who have had an acute myocardial infarction (AMI). Therefore, this study aimed to determine the extent to which multimorbidity is associated with long-term survival following AMI.
Methods and findings
This national observational study included 693,388 patients (median age 70.7 years, 452,896 [65.5%] male) from the Myocardial Ischaemia National Audit Project (England and Wales) who were admitted with AMI between 1 January 2003 and 30 June 2013. There were 412,809 (59.5%) patients with multimorbidity at the time of admission with AMI, i.e., having at least 1 of the...