Abstract
Data available in the United Kingdom through the Medical Research Council's General Practice Research Framework were recorded in a study of 603 women aged 45-69 with confirmed diagnoses of stroke or myocardial infarction, each matched by age with two controls. Current cigarette smoking and a family history of myocardial infarction were both strongly associated with the risk of stroke and myocardial infarction, with relative risks of 2.47 (95% confidence interval 1.89 to 3.23) and 1.93 (95% confidence interval 1.52 to 2.44) respectively. The relative risks associated with past smoking decreased according to the length of time since stopping smoking. A family history of stroke was not significantly related to the risk of stroke or myocardial infarction. Single women had a lower risk of stroke and myocardial infarction than married women (relative risk 0.49), but parity, past use of oral contraceptives, and menopausal state were not significantly related to the risk of stroke and myocardial infarction in this study. Other characteristics that were identified as risk factors either for subsequent stroke or for myocardial infarction included not only hypertension, diabetes, and past histories of stroke and myocardial infarction, but also past histories of gynaecological cancer and of venous thrombosis. The association with venous thrombosis may indicate the importance of the haemostatic system in a common pathogenesis of venous thrombosis and myocardial infarction.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Boyer C., Wolf M., Rothschild C., Migaud M., Amiral J., Mannucci P. M., Meyer D., Larrieu M. J. An enzyme immunoassay (ELISA) for the quantitation of human factor VII. Thromb Haemost. 1986 Dec 15;56(3):250–255. [PubMed] [Google Scholar]
- Colditz G. A., Stampfer M. J., Willett W. C., Rosner B., Speizer F. E., Hennekens C. H. A prospective study of parental history of myocardial infarction and coronary heart disease in women. Am J Epidemiol. 1986 Jan;123(1):48–58. doi: 10.1093/oxfordjournals.aje.a114223. [DOI] [PubMed] [Google Scholar]
- Colditz G. A., Willett W. C., Stampfer M. J., Rosner B., Speizer F. E., Hennekens C. H. Menopause and the risk of coronary heart disease in women. N Engl J Med. 1987 Apr 30;316(18):1105–1110. doi: 10.1056/NEJM198704303161801. [DOI] [PubMed] [Google Scholar]
- Cook D. G., Shaper A. G., Pocock S. J., Kussick S. J. Giving up smoking and the risk of heart attacks. A report from The British Regional Heart Study. Lancet. 1986 Dec 13;2(8520):1376–1380. doi: 10.1016/s0140-6736(86)92017-9. [DOI] [PubMed] [Google Scholar]
- Doll R., Gray R., Hafner B., Peto R. Mortality in relation to smoking: 22 years' observations on female British doctors. Br Med J. 1980 Apr 5;280(6219):967–971. doi: 10.1136/bmj.280.6219.967. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ducimetiere P., Richard J. L., Pequignot G., Warnet J. M. Varicose veins: a risk factor for atherosclerotic disease in middle-aged men? Int J Epidemiol. 1981 Dec;10(4):329–335. doi: 10.1093/ije/10.4.329. [DOI] [PubMed] [Google Scholar]
- Gordon T., Kannel W. B., Hjortland M. C., McNamara P. M. Menopause and coronary heart disease. The Framingham Study. Ann Intern Med. 1978 Aug;89(2):157–161. doi: 10.7326/0003-4819-89-2-157. [DOI] [PubMed] [Google Scholar]
- Haynes S. G., Feinleib M. Women, work and coronary heart disease: prospective findings from the Framingham heart study. Am J Public Health. 1980 Feb;70(2):133–141. doi: 10.2105/ajph.70.2.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Khaw K. T., Barrett-Connor E. Family history of stroke as an independent predictor of ischemic heart disease in men and stroke in women. Am J Epidemiol. 1986 Jan;123(1):59–66. doi: 10.1093/oxfordjournals.aje.a114224. [DOI] [PubMed] [Google Scholar]
- Meade T. W., Mellows S., Brozovic M., Miller G. J., Chakrabarti R. R., North W. R., Haines A. P., Stirling Y., Imeson J. D., Thompson S. G. Haemostatic function and ischaemic heart disease: principal results of the Northwick Park Heart Study. Lancet. 1986 Sep 6;2(8506):533–537. doi: 10.1016/s0140-6736(86)90111-x. [DOI] [PubMed] [Google Scholar]
- Phillips A. N., Shaper A. G., Pocock S. J., Walker M. Parental death from heart disease and the risk of heart attack. Eur Heart J. 1988 Mar;9(3):243–251. doi: 10.1093/oxfordjournals.eurheartj.a062492. [DOI] [PubMed] [Google Scholar]
- Rocha E., Alfaro M. J., Páramo J. A., Cañadell J. M. Preoperative identification of patients at high risk of deep venous thrombosis despite prophylaxis in total hip replacement. Thromb Haemost. 1988 Feb 25;59(1):93–95. [PubMed] [Google Scholar]
- Rosenberg L., Shapiro S., Kaufman D. W., Slone D., Miettinen O. S., Stolley P. D. Cigarette smoking in relation to the risk of myocardial infarction in young women. Modifying influence of age and predisposing factors. Int J Epidemiol. 1980 Mar;9(1):57–63. doi: 10.1093/ije/9.1.57. [DOI] [PubMed] [Google Scholar]
- Shaper A. G., Pocock S. J., Phillips A. N., Walker M. Identifying men at high risk of heart attacks: strategy for use in general practice. Br Med J (Clin Res Ed) 1986 Aug 23;293(6545):474–479. doi: 10.1136/bmj.293.6545.474. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Slone D., Shapiro S., Kaufman D. W., Rosenberg L., Miettinen O. S., Stolley P. D. Risk of myocardial infarction in relation to current and discontinued use of oral contraceptives. N Engl J Med. 1981 Aug 20;305(8):420–424. doi: 10.1056/NEJM198108203050802. [DOI] [PubMed] [Google Scholar]
- Stadel B. V. Oral contraceptives and cardiovascular disease (first of two parts). N Engl J Med. 1981 Sep 10;305(11):612–618. doi: 10.1056/NEJM198109103051104. [DOI] [PubMed] [Google Scholar]
- WINKELSTEIN W., Jr, STENCHEVER M. A., LILIENFELD A. M. Occurrence of pregnancy, abortion, and artificial menopause among women with coronary artery disease: a preliminary study. J Chronic Dis. 1958 Apr;7(4):273–286. doi: 10.1016/0021-9681(58)90085-7. [DOI] [PubMed] [Google Scholar]