Follow up for mortalityWe followed all patients with a record

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pandora necklaces In MINAP, ST elevation and non ST elevation myocardial infarction were identified using hospital discharge diagnosis, markers of myocardial necrosis, and coded electrocardiographic findings, in accordance with the internationally agreed definition of myocardial infarction.31 For MINAP and Hospital Episode Statistics, we took the hospital admission date to represent the date of acute myocardial infarction.The study period was 1 January 2003 to 31 March 2009 (when all record sources were concurrent) and confined to patients who had been registered with their general practice for at least a year and the practice had been submitting data for at least one year that met Clinical Practice Research Datalink data quality standards for continuity and plausibility of data recording. In the main analysis we included only patients with at least one record of admission to hospital in Hospital Episode Statistics at any time (for any cause) as these patients were shown to be linkable, but we conducted a sensitivity analysis including all patients. We used mean measures of systolic blood pressure and total cholesterol and high density lipoprotein cholesterol levels before myocardial infarction along with age, sex, and smoking status (where these variables were present) to estimate the 10 year Framingham risk for acute myocardial infarction or coronary death.34 We used these measures to compare the cohorts of myocardial infarction identified in each data source.Follow up for mortalityWe followed all patients with a record of myocardial infarction in any source for one year for death as recorded in the Office for National Statistics death registry. pandora necklaces

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