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Diabetes, hypertens...
Diabetes, hypertension, overweight and hyperlipidemia and 7-day case-fatality in first myocardial infarction
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- Quintana, H. K. (författare)
- Karolinska Inst, Inst Environm Med, Cardiovasc Epidemiol Unit, Stockholm, Sweden.
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- Janszky, I. (författare)
- Norwegian Univ Sci & Technol, Dept Publ Hlth & Gen Practice, Trondheim, Norway.
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- Gigante, B. (författare)
- Karolinska Inst, Inst Environm Med, Cardiovasc Epidemiol Unit, Stockholm, Sweden.;Danderyd Hosp, Div Cardiovasc Med, Dept Clin Sci, Danderyd, Sweden.
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- Druid, H. (författare)
- Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden.
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- Ahlbom, A. (författare)
- Karolinska Inst, Inst Environm Med, Epidemiol Unit, Stockholm, Sweden.
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- Hallqvist, Johan (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- de Faire, U. (författare)
- Karolinska Inst, Inst Environm Med, Cardiovasc Epidemiol Unit, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden.
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- Leander, K. (författare)
- Karolinska Inst, Inst Environm Med, Cardiovasc Epidemiol Unit, Stockholm, Sweden.
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Karolinska Inst, Inst Environm Med, Cardiovasc Epidemiol Unit, Stockholm, Sweden Norwegian Univ Sci & Technol, Dept Publ Hlth & Gen Practice, Trondheim, Norway. (creator_code:org_t)
- ELSEVIER SCI LTD, 2016
- 2016
- Engelska.
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Ingår i: International Journal of Cardiology Metabolic & Endocrine. - : ELSEVIER SCI LTD. - 2214-7624. ; 12, s. 30-35
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Out-of-hospital deaths due to a first myocardial infarction (MI) are frequent and a big challenge for prevention. Increased knowledge about factors influencing MI fatality is needed. Metabolic risk factors have been studied in relation to MI fatality in-hospital but studies considering also out-of-hospital deaths are few. Aim: To assess howdiabetes and other metabolic risk factors associate with death within 7 days after first time MI among subjects aged between 45 and 70 identified in Stockholm County 1992-1994. Methods: Data were collected using questionnaires (close relatives of fatal cases were asked to fill the questionnaire), physical examinations, national registers and autopsy reports. Risk ratios (RR) of 7-day MI fatality with 95% confidence intervals (CI) associated with the risk factors under study were calculated using binomial regression with log link. Results: Out of 1905 first time MI cases included, 524 died within 7 days. After adjustments for age, sex, current smoking, education and general comorbidity, diabetes, but not hypertension and hyperlipidemia, was associated with MI fatality (RR 1.68, 95% CI 1.20-2.28). Overweight, as compared to normal BMI, was inversely associated with MI fatality (multiple adjusted RR 0.68, 95% CI 0.49-0.94); obesity results pointed in the samedirection (multiple adjusted RR 0.79, 0.52-1.16). Conclusions: In this population-based inception cohort study, diabetes but not hypertension and hyperlipidemia were associated with MI fatality. This further emphasizes the importance of diabetes as a cardiovascular risk factor and the need for close surveillance of diabetic patients. Overweight was however associated with decreased MI fatality.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Fatality
- Diabetes
- Hyperlipidemia
- Hypertension
- Myocardial infarction
- Obesity
- Overweight
- 7-day fatality
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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