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  • Ohm, JoelKarolinska Institutet (författare)

Socioeconomic status predicts second cardiovascular event in 29,226 survivors of a first myocardial infarction

  • Artikel/kapitelEngelska2018

Förlag, utgivningsår, omfång ...

  • 2018-04-17
  • SAGE PUBLICATIONS LTD,2018
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-358072
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-358072URI
  • https://doi.org/10.1177/2047487318766646DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:138441862URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background Risk assessment post-myocardial infarction needs improvement, and risk factors derived from general populations apply differently in secondary prevention. The prediction of subsequent cardiovascular events post-myocardial infarction by socioeconomic status has previously been poorly studied. Design Swedish nationwide cohort study. Methods A total of 29,226 men and women (27%), 40-76 years of age, registered at the standardised one year revisit after a first myocardial infarction in the secondary prevention quality registry of SWEDEHEART 2006-2014. Personal-level data on socioeconomic status measured by disposable income and educational level, marital status, and the primary endpoint, first recurrent event of atherosclerotic cardiovascular disease, defined as non-fatal myocardial infarction or coronary heart disease death or fatal or non-fatal stroke were obtained from linked national registries. Results During the mean 4.1-year follow-up, 2284 (7.8%) first recurrent manifestations of atherosclerotic cardiovascular disease occurred. Both socioeconomic status indicators and marital status were associated with the primary endpoint in multivariable Cox regression models. In a comprehensively adjusted model, including secondary preventive treatment, the hazard ratio for the highest versus lowest quintile of disposable income was 0.73 (95% confidence interval 0.62-0.83). The association between disposable income and first recurrent manifestation of atherosclerotic cardiovascular disease was stronger in men as was the risk associated with being unmarried (tests for interaction P<0.05). Conclusions Among one year survivors of a first myocardial infarction, first recurrent manifestation of atherosclerotic cardiovascular disease was predicted by disposable income, level of education and marital status. The association between disposable income and first recurrent manifestation of atherosclerotic cardiovascular disease was independent of secondary preventive treatment but further study on causal pathways is needed.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Skoglund, Per H.Karolinska Institutet (författare)
  • Discacciati, AndreaKarolinska Institutet (författare)
  • Sundström, JohanUppsala universitet,Kardiovaskulär epidemiologi(Swepub:uu)johasund (författare)
  • Hambraeus, KristinaFalun Cent Hosp, Dept Cardiol, Falun, Sweden (författare)
  • Jernberg, TomasKarolinska Institutet (författare)
  • Svensson, PerKarolinska Institutet (författare)
  • Karolinska InstitutetKardiovaskulär epidemiologi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Journal of Preventive Cardiology: SAGE PUBLICATIONS LTD25:9, s. 985-9932047-48732047-4881

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