ArticleBMC public health2014
Marital status shows a strong protective effect on long-term mortality among first acute myocardial infarction-survivors with diagnosed hyperlipidemia--findings from the MONICA/KORA myocardial infarction registry.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 36 citations in OpenAlex.
- Cardiovascular mortality risk among small bowel adenocarcinoma patients: a population-based study.BMC public health · 2025Article
- Association of marital/partner status with hospital readmission among young adults with acute myocardial infarction.PloS one · 2024Article
- Marital status impact on the outcomes of patients admitted for acute decompensation of heart failure: A retrospective, single-center, analysis.Clinical cardiology · 2023Article
- Long-term Survival Rate Following Myocardial Infarction and the Effect of Discharge Medications on the Survival Rate.Journal of research in health sciences · 2022Article
- Mortality in patients with myocardial infarction and potential risk factors: A five-year data analysis.ARYA atherosclerosis · 2022Article
- Article
- Effects of divorce and widowhood on subsequent health behaviours and outcomes in a sample of middle-aged and older Australian adults.Scientific reports · 2021Article
- Effects of sociodemographic and socioeconomic factors on stroke development in Lebanese patients with atrial fibrillation: a cross-sectional study.F1000Research · 2021Article
- Joint effect of race/ethnicity or location of residence and sex on low density lipoprotein-cholesterol among veterans with type 2 diabetes: a 10-year retrospective cohort study.BMC cardiovascular disorders · 2020Article
- Social Determinants of Myocardial Infarction Risk and Survival: A Systematic Review.European journal of cardiovascular research · 2020Article
- Learning the value of Africa's collectivism for an individualistic Europe.Internal and emergency medicine · 2019Article
- Impact of Marital Status on the Outcome of Acute Coronary Syndrome: Results From the Acute Coronary Syndrome Israeli Survey.Journal of the American Heart Association · 2019Article
- Domain Management Approach to Heart Failure in the Geriatric Patient: Present and Future.Journal of the American College of Cardiology · 2018Review
- Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT).Clinical cardiology · 2018Observational
- Patient and Spousal Health and Outcomes in Heart Failure.Circulation. Heart failure · 2017Article
- Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease.Journal of women's health (2002) · 2017Article
- Physical activity to overcome the adversity of widowhood: Benefits beyond physical health.Medicine · 2016Article
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Authors and funding
9 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundReduction of long term mortality by marital status is well established in general populations. However, effects have been shown to change over time and differ considerably by cause of death. This study examined the effects of marital status on long term mortality after the first acute myocardial infarction.
methodsData were retrieved from the population-based MONICA (Monitoring trends and determinants on cardiovascular diseases)/KORA (Cooperative Health Research in the Region of Augsburg)-myocardial infarction registry which assesses cases from the city of Augsburg and 2 adjacent districts located in southern Bavaria, Germany. A total of 3,766 men and women aged 28 to 74 years who were alive 28 days after their first myocardial infarction were included. Hazard ratios (HR) for the effects of marital status on mortality after one to 10 years of follow-up are presented.
resultsThe study population included 2,854 (75.8%) married individuals. During a median follow-up of 5.3 years, with an inter-quartile range of 3.3 to 7.6 years, 533 (14.15%) deaths occurred. Among married and unmarried individuals 388 (13.6%) and 145 (15.9%) deaths occurred, respectively. Overall marital status showed an insignificant protective HR of 0.76 (95% confidence interval (CI) 0.47-1.22). Stratified analyses revealed strong protective effects only among men and women younger than 60 who were diagnosed with hyperlipidemia. HRs ranged from 0.27 (95% CI 0.13-0.59) for a two-year survival to 0.43 (95% CI 0.27-0.68) for a 10-year survival. Substitution of marital status with co-habitation status confirmed the strata-specific effect [HR: 0.52 (95% CI 0.31-0.86)].
conclusionsMarital status has a strong protective effect among first myocardial infarction survivors with diagnosed hyperlipidemia, which diminishes with increasing age. Treatments, recommended lifestyle changes or other attributes specific to hyperlipidema may be underlying factors, mediated by the social support of spouses. Underlying causes should be examined in further studies.
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