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Alipour P, Azizi Z, Raparelli V, Norris C, Kautzky-Willer A, Kublickiene K, Herrero MT, El Emam K, Vollenweider P, Preisig M, Clair C, Pilote L. ROLE OF SEX AND GENDER IN DEVELOPMENT OF METABOLIC SYNDROME: A PROSPECTIVE COHORT STUDY. Can J Cardiol 2022. [DOI: 10.1016/j.cjca.2022.08.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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2
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Hasan S, Pilote L, Friedrich M, White J, Pajevic M, Poole J, Anderson T. THE NON-INVASIVE ASSESSMENT OF PERIPHERAL MICROVASCULAR AND ENDOTHELIAL FUNCTION IN WOMEN WITH NON-OBSTRUCTIVE CORONARY ARTERY DISEASE. Can J Cardiol 2022. [DOI: 10.1016/j.cjca.2022.08.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Raparelli V, Nocella C, Proietti M, Romiti GF, Corica B, Bartimoccia S, Stefanini L, Lenzi A, Viceconte N, Tanzilli G, Cammisotto V, Pilote L, Cangemi R, Basili S, Carnevale R. Testosterone-to-estradiol ratio and platelet thromboxane release in ischemic heart disease: the EVA project. J Endocrinol Invest 2022; 45:1367-1377. [PMID: 35262860 PMCID: PMC9184432 DOI: 10.1007/s40618-022-01771-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 02/16/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Data on the interplay between sexual hormones balance, platelet function and clinical outcomes of adults with ischemic heart disease (IHD) are still lacking. OBJECTIVE To assess the association between the Testosterone (T)-to-Estradiol (E2) Ratio (T/E2) and platelet activation biomarkers in IHD and its predictive value on adverse outcomes. METHODS The EVA study is a prospective observational study of consecutive hospitalized adults with IHD undergoing coronary angiography and/or percutaneous coronary interventions. Serum T/E2 ratios E2, levels of thromboxane B2 (TxB2) and nitrates (NO), were measured at admission and major adverse events, including all-cause mortality, were collected during a long-term follow-up. RESULTS Among 509 adults with IHD (mean age 67 ± 11 years, 30% females), males were older with a more adverse cluster of cardiovascular risk factors than females. Acute coronary syndrome and non-obstructive coronary artery disease were more prevalent in females versus males. The lower sex-specific T/E2 ratios identified adults with the highest level of serum TxB2 and the lowest NO levels. During a median follow-up of 23.7 months, the lower sex-specific T/E2 was associated with higher all-cause mortality (HR 3.49; 95% CI 1.24-9.80; p = 0.018). In in vitro, platelets incubated with T/E2 ratios comparable to those measured in vivo in the lowest quartile showed increased platelet activation as indicated by higher levels of aggregation and TxB2 production. CONCLUSION Among adults with IHD, higher T/E2 ratio was associated with a lower long-term risk of fatal events. The effect of sex hormones on the platelet thromboxane release may partially explain such finding.
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Affiliation(s)
- V Raparelli
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
- Department of Translational Medicine, University of Ferrara, via Luigi Borsari, 46, 44121, Ferrara, Italy.
- University Center for Studies on Gender Medicine, University of Ferrara, Ferrara, Italy.
| | - C Nocella
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
| | - M Proietti
- Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy
- Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK
| | - G F Romiti
- Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
| | - B Corica
- Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
| | - S Bartimoccia
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy
| | - L Stefanini
- Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
| | - A Lenzi
- Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy
| | - N Viceconte
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
| | - G Tanzilli
- Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy
| | - V Cammisotto
- Department of General Surgery and Surgical Speciality Paride Stefanini, Sapienza University of Rome, Rome, Italy
| | - L Pilote
- Centre for Outcomes Research and Evaluation, McGill University Health Centre Research Institute, Montreal, QC, Canada
| | - R Cangemi
- Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
| | - S Basili
- Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy
| | - R Carnevale
- Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, Italy
- Mediterranea Cardiocentro-Napoli, Naples, Italy
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Azizi Z, Gisinger T, Alipour P, Harreiter J, Raparelli V, Kublickiene K, Trinidad Herrero M, Norris C, El Emam K, Pilote L, Kautzky-Willer A. ROLE OF SEX AND GENDER IN ACCESS TO CARE AND CARDIOVASCULAR COMPLICATIONS OF INDIVIDUALS WITH DIABETES MELLITUS. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Raparelli V, Norris C, Herrero M, Johnson E, Kautzky-Willer A, Kublickiene K, Pilote L. The GOING-FWD (Gender Outcomes INternational Group: to Further Well-being Development) project. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2020.02.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Tucci C, Tosti G, Basili S, Herrero Ezquerro M, Johnson E, Kautzky-Willer A, Norris C, Pilote L, Kublickiene K, Raparelli V. Gender-related factors and cost-sensitive outcomes in adults with chronic kidney disease: a systematic review. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2020.02.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Raparelli V, Pilote L, Behlouli H, Dziura J, Bueno H, D'Onofrio G, Krumholz H, Dreyer R. The impact of sex, gender and healthcare system on quality of care among young adults with acute myocardial infarction. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The quality of care among young adults with acute myocardial infarction (AMI) may be related to biological sex, psycho-socio-cultural (gender) determinants or healthcare system-level factors.
Purpose
To examine whether sex, gender, and the type of healthcare system influence the quality of AMI care among young adults.
Methods
A total of 4,564 AMI young adults (<55 years) (59% women, 47 years, 66% US) were analyzed from the VIRGO and GENESIS-PRAXY studies consisting of single-payer (Canada, Spain) versus multipayer (US) systems. For each patient treated in each system we calculated a quality of care score (QCS) for pre-AMI (1-year pre admission), in-hospital, and post-AMI (1-year post discharge) phases of care (number of quality indicators received divided by the total number [range=0–100%], with higher scores indicating better quality). Ordinal logistic or linear regression models, and 2-way interactions between sex, gender and healthcare system were tested.
Results
Women in the multipayer system had the highest risk factor burden. Across the phases of care for AMI, 20% of quality indicators were missed in both sexes. High stress, earner status, and social support were associated with a higher QCS in the pre-AMI phase, whereas only employment and earner status were associated with QCS in all other phases. In the pre-AMI phase, women had higher QCS than men, mainly in the single-payer system (adjusted-OR=1.85, 95% CI 1.46,2.35 vs. 1.07, 95% CI 0.84,1.36, P-interaction= 0.002). Regardless of sex, only employment status had a greater effect in the multipayer system (adjusted-OR=0.59, 95% CI 0.44,0.78 vs 1.13, 95% CI 0.89,1.44, P-interaction <0.001). In the in-hospital phase, women had a lower QCS than men, especially in the multipayer system (adjusted-mean-difference: −2.48, 95% CI-3.87, −1.08). Employment was associated with a higher QCS (2.0, 95% CI 0.9–3.17, P-interaction >0.05). Finally, in the post-AMI phase, men and women had a lower QCS, predominantly in the multipayer system. However, primary earners had higher QCS regardless of system.
Conclusion
Sex, gender, and healthcare system affected the quality of care after AMI. Women had a poorer in-hospital than men and both women and men had suboptimal post-discharge care. Being unemployed lowered the quality of care, more so in the multipayer system.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): Canadian Institutes of Health and Research (CIHR)
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Affiliation(s)
- V Raparelli
- Sapienza University of Rome, Department of Experimental Medicine, Rome, Italy
| | - L Pilote
- McGill University Health Centre, Montreal, Canada
| | - H Behlouli
- McGill University Health Centre, Montreal, Canada
| | - J Dziura
- Yale University, New Haven, United States of America
| | - H Bueno
- University Hospital 12 de Octubre, Madrid, Spain
| | - G D'Onofrio
- Yale University, New Haven, United States of America
| | - H.M Krumholz
- Yale University, New Haven, United States of America
| | - R.P Dreyer
- Yale University, New Haven, United States of America
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Azizi Z, Bender U, Tadiri C, Norris C, Raparelli V, El Emam K, Pilote L. SEX AND GENDER FACTORS AND THE CARDIOVASCULAR HEALTH OF CANADIANS. Can J Cardiol 2020. [DOI: 10.1016/j.cjca.2020.07.058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Samuel M, Abrahamowicz M, Joza J, Essebag V, Pilote L. P1024Catheter ablation is associated with reduced all-cause mortality in a real-world cohort of patients with atrial fibrillation and heart failure. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Atrial fibrillation (AF) and heart failure (HF) are common co-existing conditions. Randomized trial data suggests a reduction in all-cause mortality with catheter ablation (CA) in selected patients, however, whether these results are replicable in a real-world population and persist in the long-term remains to be shown.
Purpose
To evaluate the long-term effectiveness of CA in AF-HF patients in reducing the incidence of: a) all-cause mortality b) HF hospitalizations, and c) major morbidities (stroke/transient ischemic attack (TIA) and major bleeding).
Methods
A population-based administrative cohort was created of AF-HF patients with government prescription coverage in Quebec, Canada (1999–2015). Patients who underwent CA (cases) were matched 1:2 to controls using risk-set sampling. Cases were matched on time in the cohort and frequency of hospitalizations. Measured time-invariant confounders were controlled for using inverse probability of treatment weighting (IPTW) and included age, sex, clinical characteristics, presence of cardiac implantable electronic devices, and medication use. Multivariable Cox models adjusted the association of CA with the outcomes for the time varying confounders of the presence of an implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT), anticoagulation use (warfarin or direct oral anticoagulation), and any antiarrhythmic (AAD) use during follow-up. For non-fatal outcomes, the competing risk of death was accounted for using the Lunn-McNeil approach.
Results
Of the 87,676 AF-HF patients, 298 underwent CA and were matched to 591 controls. After IPTW, the distribution of covariates was balanced between cases and controls [age 65.6±11.0 vs 61.6±11.6; women 24% vs 20%; CHA2DS2-Vasc score 3.2±2.3 vs 2.9±2.1; CA vs non-CA, respectively; standardized mean differences <0.1 for all]. Over a median follow-up of 3.3 (IQR 1.1–6.4) years, 19 (7.3%) of CA patients died compared to 144 (24.6%) non-CA patients. After weighting and adjustment, CA was associated with a statistically significant reduction in the incidence of all-cause mortality [adjusted HR 0.5 (95% CI 0.3–0.9)]. In addition, there was no statistically significant difference in the incidence of HF hospitalizations over the follow-up [CA: 22.5% vs non-CA: 27.1%; adjusted HR 0.9 (95% CI 0.6–1.2)]. The incidences of stroke/TIA (1.7% vs 6.8%) and major bleeding (1.7% vs 4.9%) for CA vs non-CA were not statistically different.
Conclusion
In a matched population-based AF-HF cohort, CA was associated with a reduced risk of all-cause mortality compared to patients who did not undergo CA. Although no difference in the risk of HF hospitalizations, stroke/TIA, and major bleeding was detected between CA and non-CA patients, larger studies are warranted.
Acknowledgement/Funding
Canadian Institute of Health Research; Fonds de recherché du Quebec-Santé, Clinical Research Scholar Award (V. Essebag) and Doctoral Award (M. Samuel)
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Affiliation(s)
- M Samuel
- McGill University Health Centre, Clinical Epidemiology, Montreal, Canada
| | - M Abrahamowicz
- McGill University Health Centre, Clinical Epidemiology, Montreal, Canada
| | - J Joza
- McGill University Health Centre, Cardiology, Montreal, Canada
| | - V Essebag
- McGill University Health Centre, Cardiology, Montreal, Canada
| | - L Pilote
- McGill University Health Centre, Clinical Epidemiology, Montreal, Canada
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Samuel M, Abrahamowicz M, Joza J, Essebag V, Pilote L. CATHETER ABLATION IS ASSOCIATED WITH REDUCED ALL-CAUSE MORTALITY IN A REAL-WORLD COHORT OF PATIENTS WITH ATRIAL FIBRILLATION AND HEART FAILURE. Can J Cardiol 2019. [DOI: 10.1016/j.cjca.2019.07.413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Lavoie-Gagnon H, Lacroix F, Poulin E, Martin A, Archambault L, Vigneault E, Foster W, Pilote L. The Advantages of Trus-Based HDR Prostate Treatment When Compared to CT Planning. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Foster W, Froment M, Lavallee M, Vigneault E, Aubin S, Carignan D, Pilote L. IMAGE-Guided Brachytherapy for Primary Vaginal Cancers. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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13
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Crook J, Hilts M, Batchelar D, Milette M, Korzeniowski M, Pilote L, Pignol J. Permanent Breast Seed Implant for Partial-Breast Radiotherapy Following Partial Mastectomy for Favorable Breast Cancer: Results for 67 patients. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Hillier E, El Harram M, Hawkins S, Friedrich MG, Pilote L. 51Regional heterogeneity in the oxygenation reserve of women with syndrome-x. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez112.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- E Hillier
- McGill University Health Centre, Montreal, Canada
| | | | - S Hawkins
- McGill University Health Centre, Montreal, Canada
| | | | - L Pilote
- McGill University Health Centre, Montreal, Canada
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Lavoiegagnon H, Poulin E, Martin A, Pilote L, Vigneault E, Foster W, Archambault L, Lacroix F. OC-0400 Are prostate contours affected by the RO's clinical experience in prostate HDR brachytherapy? Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30820-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Elharram M, Moura C, Abrahamowicz M, Bernatsky S, Behlouli H, Raparelli V, Pilote L. NOVEL GLUCOSE LOWERING AGENTS ARE ASSOCIATED WITH A LOWER RISK OF CARDIOVASCULAR AND ADVERSE EVENTS IN TYPE 2 DIABETES: A POPULATION BASED ANALYSIS. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.07.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Raparelli V, Kaur A, Elharram M, Behlouli H, Pilote L. Gender-Related Determinants of Smoking Behavior After Premature Acute Coronary Syndrome. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.01.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Dayan N, Elharram M, Kaur A, Pilote L. Longer-Term Objective Cognitive Performance in Women with Versus Without a History of Preeclampsia: Results from the Longitudinal CARDIA Cohort. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.01.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Elharram M, Dayan N, Kaur A, Landry T, Pilote L. Hypertensive Disorders of Pregnancy and Long-term Cognitive Impairment: Systematic Review and Meta-analysis. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.01.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Peters TM, Pelletier R, Behlouli H, Rossi AM, Pilote L. Excess psychosocial burden in women with diabetes and premature acute coronary syndrome. Diabet Med 2017; 34:1568-1574. [PMID: 28799212 DOI: 10.1111/dme.13452] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/08/2017] [Indexed: 11/28/2022]
Abstract
AIM Diabetes is a stronger risk factor for acute coronary syndrome for women than men. We investigate whether behavioural and psychosocial factors contribute to the disparity in acute coronary syndrome risk and outcomes among women with diabetes relative to women without diabetes and men. METHODS Among 939 participants in the GENESIS-PRAXY cohort study of premature acute coronary syndrome (age ≤ 55 years), we compared the prevalence of traditional and non-traditional factors by sex and Type 2 diabetes status. In a case-only analysis, we used generalized logit models to investigate the influence of traditional and non-traditional factors on the interaction of sex and diabetes. RESULTS In 287 women (14.3% with diabetes) and 652 men (10.4% with diabetes), women and men with diabetes showed a heavier burden of traditional cardiac risk factors compared with individuals without diabetes. Women with diabetes were more likely to be the primary earner and have more anxiety relative to women without diabetes, and reported worse perceived health compared with women without diabetes and men with diabetes. The interaction term for sex and diabetes (odds ratio (OR) 1.40, 95% confidence intervals (95% CI) 0.83-2.36) was diminished after additional adjustment for non-traditional factors (OR 1.12, 95% CI 0.54-2.32), but not traditional factors alone (OR 1.41, 95% CI 0.84-2.36). CONCLUSIONS We observed trends toward a more adverse psychosocial profile among women with diabetes and incident acute coronary syndrome compared with women without diabetes and men with diabetes, which may explain the increased risk of acute coronary syndrome in women with diabetes and may also contribute to worse outcomes.
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Affiliation(s)
- T M Peters
- Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada
| | - R Pelletier
- Divisions of Clinical Epidemiology and General Internal Medicine, The Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
| | - H Behlouli
- Divisions of Clinical Epidemiology and General Internal Medicine, The Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
| | - A M Rossi
- Divisions of Clinical Epidemiology and General Internal Medicine, The Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
| | - L Pilote
- Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada
- Divisions of Clinical Epidemiology and General Internal Medicine, The Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada
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Pilote L, Crook J, Gastanega M, Ots A, Rose J, Jaswal J, Tetreault-Laflamme A, Batchelar D, Schmid M, Araujo C, Milette M, Korzeniowski M, Bachand F. US-Planned HDR Prostate Brachytherapy Boost: Acute and Late Toxicity. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Grand'Maison S, Pilote L, Dayan N. IMPACT OF PREGNANCY COMPLICATIONS ON PRESENTATION, SEVERITY, AND OUTCOMES IN ACUTE CORONARY SYNDROME. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Dayan N, Schlosser K, Stewart D, Okano M, Grand'Maison S, Pilote L. DECREASED CIRCULATING LEVELS OF THE LIPID-REGULATING MIR-122 ARE ASSOCIATED WITH PRIOR PREECLAMPSIA IN WOMEN WITH PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Rossi A, Grand'Maison S, Daskalopoulou S, Coutinho T, Khan N, Pilote L. BLOOD PRESSURE AND VASCULAR HEALTH AROUND MENOPAUSE (BRAVE) STUDY: PILOT RESULTS. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Sabri N, Houle J, Cheema A, Daskalopoulou S, Eisenberg M, Pilote L. THE ROLE OF THROMBOTIC FACTORS IN PATIENTS WITH PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Peters T, Pelletier R, Behlouli H, Pilote L. EXPLORING THE DIABETIC DIVIDE: EXCESS BURDEN OF NON-TRADITIONAL CARDIOVASCULAR RISK FACTORS AMONG DIABETIC WOMEN WITH PREMATURE ACUTE CORONARY SYNDROME, THE GENESIS-PRAXY COHORT. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Grand’Maison S, Pilote L, Landry T, Okano M, Dayan N. Endothelial Dysfunction After Hypertensive Disorders of Pregnancy: A Systematic Review and Meta-Analysis. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Grand’Maison S, Pilote L, Dayan N. Impact of Gestational Complications on Severity and Outcomes Following Acute Coronary Syndrome. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Shimony A, Pilote L, Al Lawati H, Bagai A, Behlouli H, Eisenberg M, So D, Karp I, Cheema A. Spontaneous Coronary Artery Dissection in Young Women Presenting with Acute Coronary Syndrome. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Norris C, Johnson N, Hardwicke-Brown E, McEwan M, Pelletier R, Pilote L. Sex Differences in Health Status May be Better Explained by Gender Related Characteristics, than Biological Sex Characteristics. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Dayan N, Schlosser K, Stewart D, Okano M, Grand’Maison S, Pilote L. Circulating Angiogenic Factors at the Time of Acute Coronary Syndrome in Women With Prior Preeclampsia. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.02.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Pilote L. DETERMINANTS OF SMOKING CESSATION IN YOUNG WOMEN AND MEN AFTER ACUTE CORONARY SYNDROME. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Choi J, Winters N, Pelletier R, Eisenberg M, Bacon S, Cox J, Daskalopoulou S, Lavoie K, Karp I, Shimony A, So D, Thanassoulis G, Pilote L. SEX DIFFERENCES IN CLINICAL OUTCOMES AFTER PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Geagea A, Pilote L, Dufresne L, Engert J, Thanassoulis G. LIPOPROTEIN(A) AND RECURRENT CARDIOVASCULAR EVENTS. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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35
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Afshar M, Pilote L, Dufresne L, Engert J, Thanassoulis G. LIPOPROTEIN(A) INTERACTIONS WITH LOW-DENSITY LIPOPROTEIN CHOLESTEROL AND OTHER CARDIOVASCULAR RISK FACTORS: A CASE-ONLY STUDY OF PREMATURE ACS. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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Leung Yinko SSL, Thanassoulis G, Stark KD, Avgil Tsadok M, Engert JC, Pilote L. Omega-3 fatty acids and the genetic risk of early onset acute coronary syndrome. Nutr Metab Cardiovasc Dis 2014; 24:1234-1239. [PMID: 24998078 DOI: 10.1016/j.numecd.2014.06.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2014] [Revised: 05/30/2014] [Accepted: 06/03/2014] [Indexed: 10/25/2022]
Abstract
BACKGROUND AND AIMS Recent gene-environment interaction studies suggest that diet may influence an individual's genetic predisposition to cardiovascular risk. We evaluated whether omega-3 fatty acid intake may influence the risk for acute coronary syndrome (ACS) conferred by genetic polymorphisms among patients with early onset ACS. METHODS AND RESULTS Our population consisted of 705 patients of white European descent enrolled in GENESIS-PRAXY, a multicenter cohort study of patients aged 18-55 years and hospitalized with ACS. We used a case-only design to investigate interactions between the omega-3 index (a validated biomarker of omega-3 fatty acid intake) and 30 single nucleotide polymorphisms (SNPs) robustly associated with ACS. We used logistic regression to assess the interaction between each SNP and the omega-3 index. Interaction was also assessed between the omega-3 index and a genetic risk score generated from the 30 SNPs. All models were adjusted for age and sex. An interaction for increased ACS risk was found between carriers of the chromosome 9p21 variant rs4977574 and low omega-3 index (OR 1.57, 95% CI 1.07-2.32, p = 0.02), but this was not significant after correction for multiple testing. Similar results were obtained in the adjusted model (OR 1.55, 95% CI 1.05-2.29, p = 0.03). We did not observe any interaction between the genetic risk score or any of the other SNPs and the omega-3 index. CONCLUSION Our results suggest that omega-3 fatty acid intake may modify the genetic risk conferred by chromosome 9p21 variation in the development of early onset ACS and requires independent replication.
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Affiliation(s)
- S S L Leung Yinko
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada; Division of Clinical Epidemiology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
| | - G Thanassoulis
- Division of Clinical Epidemiology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada; Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - K D Stark
- Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada
| | - M Avgil Tsadok
- Division of Clinical Epidemiology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada
| | - J C Engert
- Department of Medicine, McGill University, Montreal, Quebec, Canada; Department of Human Genetics, McGill University, Montreal, Quebec, Canada
| | - L Pilote
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada; Division of Clinical Epidemiology, Research Institute of McGill University Health Centre, Montreal, Quebec, Canada; Division of General Internal Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
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Austin A, Pelletier R, Rabi D, Behlouli H, Pilote L, Investigators GP. FACTORS ASSOCIATED WITH STUDY COMPLETION IN PATIENTS WITH PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Pelletier R, Humphries K, Khan N, Eisenberg M, Cox J, Norris C, Pilote L. GENDER, SEX, AND OUTCOMES IN PATIENTS WITH PREMATURE ACUTE CORONARY SYNDROME. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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39
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Desplantie O, Ramanathan K, Khan N, Daskalopoulou S, Pilote L. CAN APOLIPOPROTEIN B LEVELS PREDICT CARDIOVASCULAR RISK POST ACUTE CORONARY SYNDROME? Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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40
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McGillion M, Pilote L, Jolicoeur E, Arthur H, O'Keefe-McCarthy S, Dallessio K, Oliver S, Kinch R, Parker J, Carroll S, Nattel S. INTERIM PERFORMANCE METRICS OF AN INNOVATIVE, WEB-BASED CANADIAN JOURNAL OF CARDIOLOGY KNOWLEDGE DISSEMINATION PLATFORM. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Hindieh W, Pilote L, Cheema A, Labos C, Dufresne L, Engert J, Thanassoulis G. ASSOCIATION BETWEEN FAMILY HISTORY AND SEVERITY OF CORONARY ARTERY DISEASE IN PATIENTS WITH PREMATURE ACUTE CORONARY SYNDROMES. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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42
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Yinko SSL, Pelletier R, Behlouli H, Lavoie K, Bacon S, Daskalopoulou S, Thanassoulis G, Karp I, Eisenberg M, Pilote L, Investigators GP. BARRIERS TO IMPROVEMENTS IN FRUIT AND VEGETABLE INTAKE AFTER PREMATURE ACUTE CORONARY SYNDROME: WHAT IS THE ROLE OF DIETARY COUNSELLING AND PATIENT CHARACTERISTICS? Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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43
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Labos C, Wang R, Pilote L, Bogaty P, Brophy J, Engert J, Thanassoulis G. UTILITY OF A LDL CHOLESTEROL GENETIC RISK SCORE TO PREDICT RECURRENT CARDIOVASCULAR EVENTS AFTER ACUTE CORONARY SYNDROME. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Pilote L, Brouillard E, Côté L, Chipenda-Dansokho S, Légaré F, Pluye P, Giguère A, Witteman H. Is Radiation Oncology Living up to the Standards of Informed and Shared Decision Making? Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Leung Yinko S, Pelletier R, Norris C, Karp I, Bacon S, Behlouli H, Pilote L. Health-Related Quality of Life in Patients With Premature Acute Coronary Syndrome: Does Biological Sex Really Matter? Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Shimony A, Grandi S, Pilote L, Joseph L, O'Loughlin J, Paradis G, Rinfret S, Sarrafzadegan N, Adamjee N, Yadav R, Gamra H, Eisenberg M. Utilization of Evidence-Based Therapy for Acute Coronary Syndrome in High Income and Middle/Low Income Countries. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Zhang D, Eisenberg M, Grandi S, Joseph L, Pilote L, Filion K. Bupropion, Smoking Cessation, and Health-Related Quality of Life Following an Acute Myocardial Infarction. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Khan N, Avgil M, Norris C, Pelletier R, Bacon S, Thanassoulis G, Daskalopoulou S, Behlouli H, Karp I, Pilote L. Sex Differences in Prodromal Symptoms and Health Seeking Behaviors for Acute Coronary Syndrome. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Grandi S, Filion K, Joseph L, O'Loughlin J, Pilote L, Eisenberg M. Baseline Predictors of Relapse to Smoking at 12 Months in Patients Post-Myocardial Infarction. Can J Cardiol 2013. [DOI: 10.1016/j.cjca.2013.07.422] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Meijer A, Conradi HJ, Bos EH, Anselmino M, Carney RM, Denollet J, Doyle F, Freedland KE, Grace SL, Hosseini SH, Lane DA, Pilote L, Parakh K, Rafanelli C, Sato H, Steeds RP, Welin C, de Jonge P. Adjusted prognostic association of depression following myocardial infarction with mortality and cardiovascular events: individual patient data meta-analysis. Br J Psychiatry 2013; 203:90-102. [PMID: 23908341 DOI: 10.1192/bjp.bp.112.111195] [Citation(s) in RCA: 135] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND The association between depression after myocardial infarction and increased risk of mortality and cardiac morbidity may be due to cardiac disease severity. AIMS To combine original data from studies on the association between post-infarction depression and prognosis into one database, and to investigate to what extent such depression predicts prognosis independently of disease severity. METHOD An individual patient data meta-analysis of studies was conducted using multilevel, multivariable Cox regression analyses. RESULTS Sixteen studies participated, creating a database of 10 175 post-infarction cases. Hazard ratios for post-infarction depression were 1.32 (95% CI 1.26-1.38, P<0.001) for all-cause mortality and 1.19 (95% CI 1.14-1.24, P<0.001) for cardiovascular events. Hazard ratios adjusted for disease severity were attenuated by 28% and 25% respectively. CONCLUSIONS The association between depression following myocardial infarction and prognosis is attenuated after adjustment for cardiac disease severity. Still, depression remains independently associated with prognosis, with a 22% increased risk of all-cause mortality and a 13% increased risk of cardiovascular events per standard deviation in depression z-score.
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Affiliation(s)
- A Meijer
- Interdisciplinary Centre for Psychiatric Epidemiology, University Medical Centre Groningen, Groningen, The Netherlands
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