Evidence map›Paper›PMID 42893045›Full record

ArticleAmerican journal of preventive cardiology2027

Association of reproductive factors with acute myocardial infarction in young women: A VIRGO and NHANES case-control study.

Weilai Dong, Huanhuan Yang, Mitsuaki Sawano, Shu-Xia Li, Xiao Xu, Karthik Murugiah, Harlan M Krumholz, Yuan Lu

Abstract read
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Article in American journal of preventive cardiology, 2027. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Weilai DongSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Huanhuan YangSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Mitsuaki SawanoSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Shu-Xia LiSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Xiao XuDepartment of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Karthik MurugiahSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Harlan M KrumholzSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Yuan LuSection of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

Funding

Young Women With Acute Myocardial InfarctionR01HL081153 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2007 to 2012
$10.6M
Extreme Heat and Acute Myocardial Infarction: Effect Modifications by Sex, Medical History, and Air PollutionR01HL169171 · NHLBI · YALE UNIVERSITY · PI Kai Chen · 2023 to 2026
$2.9M
NHLBI NIH HHS R01 HL081153NHLBI NIH HHS R01 HL169171
6 · The paper itself

Abstract

Objective: Young women with acute myocardial infarction (AMI) often present with distinct risk profiles compared with older women and men, but the role of reproductive factors remains poorly understood. This study examines associations of reproductive factors with AMI in young women. Methods: We conducted a case-control study of 1561 women aged 18-55 years with AMI from VIRGO and age-matched controls from NHANES. A wide range of reproductive factors were evaluated. Conditional logistic regression estimated odds ratios for AMI, sequentially adjusted for race/ethnicity, socioeconomic variables, and traditional risk factors. Stratified analyses were performed by menopausal status. Results: Early menarche (<11 years; OR 2.07, 95% CI 1.56-2.73), menopause (OR 1.82, 95% CI 1.50-2.22), gestational diabetes (OR 1.65, 95% CI 1.23-2.19), birth control pills use for 1-5 years (OR 1.67, 95% CI 1.36-2.05), and ever use of female hormones (OR 1.99, 95% CI 1.62-2.46) were associated with higher odds of AMI, while first live birth at ≥30 years (OR 0.50, 95% CI 0.36-0.69), breastfeeding ≥1 month (OR 0.46, 95% CI 0.38-0.56), and current contraceptive use (OR 0.49, 95% CI 0.32-0.76) were associated with lower odds. After adjustment for traditional risk factors, birth control pills use for 1-5 years (OR 1.71, 95% CI 1.25-2.34) and female hormone use (OR 1.75, 95% CI 1.28-2.38) remained significantly associated. Associations varied by menopausal status. Conclusion: Reproductive factors are associated with early-onset AMI in young women. Recognition of reproductive history may inform prevention strategies in young women.

Indexed as

Acute myocardial infarctionReproductive factorsYoung women

Identifiers

PMID42893045
PMCPMC13676127

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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.