Cardiovascular Health Metrics in Patients Hospitalized with an Acute Coronary Syndrome

UMMS Affiliation

Department of Population and Quantitative Health Sciences; Division of Cardiovascular Medicine, Department of Medicine; Graduate School of Biomedical Sciences

Publication Date


Document Type



Cardiology | Cardiovascular Diseases | Epidemiology | Preventive Medicine


BACKGROUND: The Life's Simple 7 (LS7) is a guiding metric for primordial/primary prevention of cardiovascular disease. However, little is known about the prevalence and distribution of LS7 metrics in patients with an acute coronary syndrome at the time of hospitalization.

METHODS: Data were obtained from patients hospitalized for an acute coronary syndrome at 6 hospitals in Central Massachusetts and Georgia (2011-2013). The LS7 assessed patient's smoking, diet, and physical activity based on self-reported measures, and patients' body mass index, blood pressure, and serum cholesterol and glucose levels were abstracted from medical records. All items were operationalized into 3 categories: poor (0), intermediate (1), or ideal (2). A total summary cardiovascular health score (0-14) was obtained and categorized into tertiles (0-5, 6-7, and 8-14).

RESULTS: The average age of study participants (n=1110) was 59.6 years and 35% were women. Cardiovascular health scores ranged from 0-12 (mean=6.2). Patients with higher scores were older, white, had lower burden of comorbidities, had fewer symptoms of anxiety, depression, and stress, better quality of life, more social support, and greater healthcare activation. One-third of patients had only 1 ideal cardiovascular health measure, less than 1% had 5, and no participant had more than 5 ideal factors.

CONCLUSIONS: Our results indicate that patients with acute coronary syndrome have poor cardiovascular health. Sociodemographic, clinical, and psychosocial characteristics differed across cardiovascular health groups. These findings highlight potential areas for educational and therapeutic interventions to reduce the risk of cardiovascular disease and promote cardiovascular health in adult men and women.


Acute coronary syndrome, Cardiovascular health, Simple 7

DOI of Published Version



Ding EY, Mehawej J, Abu H, Lessard D, Saczynski JS, McManus DD, Kiefe CI, Goldberg RJ. Cardiovascular Health Metrics in Patients Hospitalized with an Acute Coronary Syndrome. Am J Med. 2021 Jul 14:S0002-9343(21)00420-4. doi: 10.1016/j.amjmed.2021.06.016. Epub ahead of print. PMID: 34273284. Link to article on publisher's site

Journal/Book/Conference Title

The American journal of medicine

PubMed ID


Related Resources

Link to Article in PubMed