Be careful out there.
http://dgnews.docguide.com/young-women-who-survive-cardiovascular-event-have-long-term-risks?
Young women who survive a myocardial infarction (MI) or a stroke still
face long-term risks of death and illness, according to a study
published online by JAMA Internal Medicine.
While death rates from the acute phase of cardiovascular events have
decreased, the disease burden remains high in the increasing number of
survivors, which is especially important for those affected at a young
age. However, little information is available about the long-term
outcomes of young patients, especially women, who survive cardiovascular
events.
For the current study, Frits R. Rosendaal, MD, Leiden University
Medical Center, Leiden, the Netherlands, and colleagues determined
long-term mortality and morbidity in young women who survived a MI or an
ischaemic stroke and compared them with a control group.
The study included 226 women who had a MI (mean age, 42 years), 160
women who had an ischaemic stroke (mean age, 40 years), and 782 women
(mean age, 48 years) in the comparison group with no history of arterial
thrombosis. The women were followed-up for a median of nearly 19 years.
Death rates were 3.7 times higher in women who had a MI (8.8 per
1,000 person-years) and 1.8 times higher in women who had an ischaemic
stroke (4.4 per 1,000 person-years) compared with the control group (2.4
per 1,000 person-years). This elevated mortality lasted over time and
was mainly supported by a high rate of deaths from acute vascular
events.
When both fatal and nonfatal cardiovascular events were counted, the
incidence rate was highest in women who had an ischaemic stroke (14.1
per 1,000 person-years) compared with the control group. The rate was
12.1 per 1,000 person-years in women who had a MI.
In women who had a MI, the risk of cardiac events was 10.1 per 1,000
person-years and the risk of cerebral events was 1.9 per 1,000
person-years. In women who had an ischaemic stroke, the risk of cerebral
events was 11.1 per 1,000 person-years and the risk of cardiac events
was 2.7 per 1,000 person-years.
The authors acknowledge a reduced generalisability of their results
because procedures and risk factors change over time, which is a problem
of all long-term follow-up studies.
“Our findings provide direct insight into the consequences of
cardiovascular diseases in young women, which persist for decades after
the initial event, stressing the importance of life-long prevention
strategies,” the authors concluded.
SOURCE: JAMA Internal Medicine
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