ArticleMaturitas2018
Women's Health in the Lund Area (WHILA) study. Health problems and acute myocardial infarction in women - A 17-year follow-up study.
Article in Maturitas, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms.Preventive medicine reports · 2024Article
- HEAD-MIP-(HEAlth Dialogues for patients with Mental Illness in Primary care)-a feasibility study.Pilot and feasibility studies · 2023Article
- Sex Disparity in Characteristics, Management, and In-Hospital Outcomes of Patients with ST-Segment Elevated Myocardial Infarction: Insights from Henan STEMI Registry.Cardiology research and practice · 2022Article
- Coronary heart disease in mothers and fathers of adult children with alcohol use disorders.Addiction (Abingdon, England) · 2021Article
- Elucidating causal effects of type 2 diabetes on ischemic heart disease from observational data on middle-aged Swedish women: a triangular analytical approach.Scientific reports · 2021Article
- Total cholesterol/HDL-C ratio versus non-HDL-C as predictors for ischemic heart disease: a 17-year follow-up study of women in southern Sweden.BMC cardiovascular disorders · 2021Article
- The ratio of total cholesterol to high density lipoprotein cholesterol and myocardial infarction in Women's health in the Lund area (WHILA): a 17-year follow-up cohort study.BMC cardiovascular disorders · 2019Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe literature has highlighted the importance of identifying symptoms predictive of acute myocardial infarction (AMI) in women, in addition to traditional cardiovascular risk factors. The objective was to study subjective health problems, in relation to later AMI, in a large sample of women, adjusted for age, educational status, smoking, waist/hip ratio, blood pressure, total cholesterol/HDL ratio, diabetes and neighbourhood socioeconomic status. STUDY
designFrom December 1995 to February 2000 a cohort of 6711 women aged 50-59 years in southern Sweden underwent a physical examination and answered a questionnaire that had 18 items on health problems such as stress symptoms, tiredness and pain.
main outcome measuresIncidence of AMI during a mean follow-up of 17 years, drawn from national registers.
resultsThe number of health problems showed a J-shaped relationship with AMI, with the lowest hazard ratio (HR) in women with a median of 4 health problems. The HR for AMI in women with 0 health problems was 1.58 (95% CI: 0.95-2.63) and in those with 13 problems HR 1.65 (95% CI 1.16-2.36), after adjusting for potential confounding factors.
conclusionsThe presence of several health problems, including pain and stress symptoms, is associated with an increased risk of later AMI in middle-aged women. Awareness among clinicians of predictive risk factors for AMI is important for the early identification of individuals at higher risk.
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