Evidence map›Paper›PMID 27979045›Full record

Observational studyAmerican heart journal2017

Sex differences in lipid profiles and treatment utilization among young adults with acute myocardial infarction: Results from the VIRGO study.

Yuan Lu, Shengfan Zhou, Rachel P Dreyer, Michael Caulfield, Erica S Spatz, Mary Geda, Nancy P Lorenze, Peter Herbert, Gail D'Onofrio, Elizabeth A Jackson and 4 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in American heart journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Revisiting sex as a biological variable in hypertension research.The Journal of clinical investigation · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Article
  15. Article
  16. Article
  17. Acute myocardial infarction in young women: current perspectives.International journal of women's health · 2018
    Review
  18. Article
  19. Young Women With Acute Myocardial Infarction: Current Perspectives.Circulation. Cardiovascular quality and outcomes · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Yuan LuCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT; Section of Cardiovascular Medicine and the Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Shengfan ZhouCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT.
Rachel P DreyerCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT; Section of Cardiovascular Medicine and the Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Michael CaulfieldQuest Diagnostics Nichols Institute, San Juan Capistrano, CA.
Erica S SpatzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT; Section of Cardiovascular Medicine and the Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Mary GedaSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Nancy P LorenzeSection of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Peter HerbertYale-New Haven Hospital, New Haven, CT.
Gail D'OnofrioDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT.
Elizabeth A JacksonDepartment of Internal Medicine, University of Michigan Health Systems, Ann Arbor, MI.
Judith H LichtmanDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
Héctor BuenoCentro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain; Instituto de investigación i+12 and Cardiology Department, Hospital Universitario 12 de Octubre, Madrid, Spain; Universidad Complutense de Madrid, Madrid, Spain.
John A SpertusUniversity of Missouri-Kansas City and Saint Luke's Mid America Heart Institute, Kansas City, MO.
Harlan M KrumholzCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT; Section of Cardiovascular Medicine and the Robert Wood Johnson Foundation Clinical Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; Department of Health Policy and Management, Yale School of Public Health, New Haven, CT. Electronic address: harlan.krumholz@yale.edu.
Yale New Haven Hospital · USYale University · USQuest Diagnostics (United States) · USSaint Luke's Hospital · USUniversidad Complutense de Madrid · ESUniversity of Michigan · US

Funding

Young Women With Acute Myocardial InfarctionR01HL081153 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2007 to 2012
$10.6M
Yale-CORE Career Development Program in Patient-Centered Outcomes ResearchK12HS023000 · AHRQ · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2014 to 2018
$3.4M
AHRQ HHS K12 HS023000NHLBI NIH HHS R01 HL081153
6 · The paper itself

Abstract

backgroundYoung women with acute myocardial infarction (AMI) have higher mortality risk than similarly aged men. An adverse lipid profile is an important risk factor for cardiovascular outcomes after AMI, but little is known about whether young women with AMI have a higher-risk lipid pattern than men. We characterized sex differences in lipid profiles and treatment utilization among young adults with AMI.

methodsA total of 2,219 adults with AMI (1,494 women) aged 18-55 years were enrolled from 103 hospitals in the United States (2008-2012). Serum lipids and lipoprotein subclasses were measured 1 month after discharge.

resultsMore than 90% of adults were discharged on a statin, but less than half received a high-intensity dose and 12% stopped taking treatments by 1 month. For both men and women, the median of low-density lipoprotein (LDL) cholesterol was reduced to <100 mg/dL 1 month after discharge for AMI, but high-density lipoprotein (HDL) cholesterol remained <40 mg/dL. Multivariate regression analyses showed that young women had favorable lipoprotein profiles compared with men: women had higher HDL cholesterol and HDL large particle, but lower total cholesterol-to-HDL cholesterol ratio and LDL small particle.

conclusionsYoung women with AMI had slightly favorable lipid and lipoprotein profiles compared with men, suggesting that difference in lipid and lipoprotein may not be a major contributor to sex differences in outcomes after AMI. In both men and women, statin remained inadequately used, and low HDL cholesterol level was a major lipid abnormality.

Indexed as

AdolescentAdultAnticholesteremic AgentsCholesterol, HDLCholesterol, LDLFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLinear ModelsLipidsMaleMiddle AgedMyocardial InfarctionSex FactorsYoung AdultAnticholesteremic AgentsCholesterol, HDLCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsLipids

Identifiers

PMID27979045
PMCPMC5459396
OpenAlexW2529855577

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.