PMID: 9645827Jun 30, 1998Paper

Preinfarction blood pressure and smoking are determinants for a fatal outcome of myocardial infarction: a prospective analysis from the Finnmark Study

Archives of Internal Medicine
I Njølstad, E Arnesen

Abstract

Serum cholesterol levels, blood pressure, and smoking are the classic coronary risk factors, but what determines whether a myocardial infarction will be fatal or not? To investigate cardiovascular risk factors that may influence survival in subjects with coronary heart disease (myocardial infarction and sudden death). All inhabitants aged 35 to 52 years in Finnmark County, Norway, were invited to a cardiovascular survey in 1974-1975 and/or 1977-1978. Attendance rate was 90.5%. A total of 6995 men and 6320 women were followed up for 14 years with regard to incident myocardial infarction and sudden death. Predictors for 28-day case fatality rate after first myocardial infarction were analyzed. During 186 643 person-years, 635 events among men and 125 events among women were registered. The case fatality rate was 31.6% in men and 28.0% in women (P =.50). Among men (women) with baseline systolic blood pressure lower than 140 mm Hg, the 28-day case fatality rate was 24.5% (22.6%), among those with systolic blood pressure of 140 through 159 mm Hg, the case fatality rate was 35.6% (28.2%), and among those with systolic blood pressure of 160 mm Hg or higher, the case fatality rate was 48.2% (41.7%). Of the 760 subjects with myocardial ...Continue Reading

Citations

Aug 16, 2003·Progress in Cardiovascular Diseases·David M Burns
Mar 30, 2002·Journal of the American College of Cardiology·A Mark RichardsJohn Turner
Aug 19, 2005·Journal of Human Hypertension·J KoerselmanUNKNOWN SMART Study Group
Aug 15, 2000·Journal of Epidemiology and Community Health·R M SelmerD S Thelle
Sep 27, 2005·Tobacco Control·K Bjartveit, A Tverdal
Sep 6, 2005·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Minoru YoshiyamaJunichi Yoshikawa
Feb 10, 2012·Journal of Cardiovascular Medicine·Roberto PedrinelliUNKNOWN Gruppo di Studio Ipertensione e Cuore, Societa’ Italiana di Cardiologia
Jun 15, 2005·Psychosomatic Medicine·Kenneth E FreedlandJudith A Skala
Jan 18, 2006·The American Journal of Geriatric Cardiology·Michael W Rich
Aug 25, 2009·Scandinavian Journal of Public Health·Kristna RajaleidIlona Koupil
Nov 26, 2011·Arteriosclerosis, Thrombosis, and Vascular Biology·Samuel Adamsson ErydGunnar Engström
Mar 14, 2002·International Journal of Impotence Research·M BurchardtR Shabsigh
Nov 15, 2006·Scandinavian Journal of Clinical and Laboratory Investigation·T SkjelbakkenM-L Løchen

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