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63 Increased risk of acute st-segment myocardial?infarction in female smokers – a?contemporary demographic study

Title: 63 Increased risk of acute st-segment myocardial?infarction in female smokers – a?contemporary demographic study
Authors: Palmer, James; Lloyd, Amelia; Steele, Lloyd; Fotheringham, James; Teare, Dawn; Iqbal, Javaid; Grech, Ever
Source: Heart ; volume 103, issue Suppl 5, page A48.1-A48 ; ISSN 1355-6037 1468-201X
Publisher Information: BMJ
Publication Year: 2017
Description: Background Studies have shown that smoking increases the risk of acute ST-segment elevation myocardial infarction (STEMI). However, the impact of gender on this risk is unknown. Methods This retrospective ecological cohort study examined all patients presenting with acute STEMI undergoing primary percutaneous coronary intervention at the South Yorkshire Cardiothoracic Centre (UK) between 2009–14. Index cases were compared to population data from the UK Office for National Statistics for smoking status, gender and age. Incidence rates of STEMI for current and non-smokers were calculated by gender and their associated 95% confidence intervals (CI) determined from the Poisson distribution. Age-standardised incidence rate ratios (IRR) comparing STEMI rates between smokers and non-smokers were calculated between genders in three age groups (18–49, 50–64,>65). Results There were 2,996 STEMI patients. 27.1% were female, who were significantly older than male patients (mean age: 66.3 vs 60.9, p=0.03). Risk factor prevalence was similar between genders, although hypertension was more common in females (44.9% vs 36.7%, p
Document Type: article in journal/newspaper
Language: English
DOI: 10.1136/heartjnl-2017-311726.62
Availability: https://doi.org/10.1136/heartjnl-2017-311726.62; https://syndication.highwire.org/content/doi/10.1136/heartjnl-2017-311726.62
Accession Number: edsbas.8732ACC2
Database: BASE