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British Journal of Preventive & Social Medicine logoLink to British Journal of Preventive & Social Medicine
. 1976 Jun;30(2):94–100. doi: 10.1136/jech.30.2.94

Risk factors for myocardial infarction in young women.

J I Mann, R Doll, M Thorogood, M P Vessey, W E Waters
PMCID: PMC478946  PMID: 953382

Abstract

Seventy-seven women discharged from hospital with a diagnosis of myocardial infarction and 207 control patients were investigated. All were under 45 years of age at the time of admission. Heavy cigarette smoking, reported treatment for pre-eclamptic toxaemia, and type II hyperlipoproteinaemia were found to be independent risk factors for myocardial infarction. Reported treatment for hypertension and diabetes are probably also independently associated with subsequent development of the condition, but the associations between myocardial infarction and reported treatment for obesity and psychiatric illness appear to be secondary. Previous publications have suggested that use of oral contraceptives is an independent risk factor. Examination of the effect of several factors combined, suggests that they act synergistically, the presence of three or more factors increasing the risk 128-fold.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beaumont J. L., Carlson L. A., Cooper G. R., Fejfar Z., Fredrickson D. S., Strasser T. Classification of hyperlipidaemias and hyperlipoproteinaemias. Bull World Health Organ. 1970;43(6):891–915. [PMC free article] [PubMed] [Google Scholar]
  2. Chesley L. C., Annitto J. E., Cosgrove R. A. Long-term follow-up study of eclamptic women. Fifth periodic report. Am J Obstet Gynecol. 1968 Aug 1;101(7):886–898. doi: 10.1016/0002-9378(68)90270-6. [DOI] [PubMed] [Google Scholar]
  3. Coull D. C., Crooks J., Dingwall-Fordyce I., Scott A. M., Wier R. D. Amitriptyline and cardiac disease. Risk of sudden death identified by monitoring system. Lancet. 1970 Sep 19;2(7673):590–591. doi: 10.1016/s0140-6736(70)90169-8. [DOI] [PubMed] [Google Scholar]
  4. Garcia M. J., McNamara P. M., Gordon T., Kannel W. B. Morbidity and mortality in diabetics in the Framingham population. Sixteen year follow-up study. Diabetes. 1974 Feb;23(2):105–111. doi: 10.2337/diab.23.2.105. [DOI] [PubMed] [Google Scholar]
  5. Jenkins C. D., Rosenman R. H., Zyzanski S. J. Prediction of clinical coronary heart disease by a test for the coronary-prone behavior pattern. N Engl J Med. 1974 Jun 6;290(23):1271–1275. doi: 10.1056/NEJM197406062902301. [DOI] [PubMed] [Google Scholar]
  6. Keys A., Aravanis C., Blackburn H., Van Buchem F. S., Buzina R., Djordjevic B. S., Fidanza F., Karvonen M. J., Menotti A., Puddu V. Coronary heart disease: overweight and obesity as risk factors. Ann Intern Med. 1972 Jul;77(1):15–27. doi: 10.7326/0003-4819-77-1-15. [DOI] [PubMed] [Google Scholar]
  7. Mann J. I., Inman W. H. Oral contraceptives and death from myocardial infarction. Br Med J. 1975 May 3;2(5965):245–248. doi: 10.1136/bmj.2.5965.245. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Mann J. I., Thorogood M. Serum lipids in young female survivors of myocardial infarction. Br Heart J. 1975 Aug;37(8):790–794. doi: 10.1136/hrt.37.8.790. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Mann J. I., Thorogood M., Waters W. E., Powell C. Oral contraceptives and myocardial infarction in young women: a further report. Br Med J. 1975 Sep 13;3(5984):631–632. doi: 10.1136/bmj.3.5984.631. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mann J. I., Vessey M. P., Thorogood M., Doll S. R. Myocardial infarction in young women with special reference to oral contraceptive practice. Br Med J. 1975 May 3;2(5965):241–245. doi: 10.1136/bmj.2.5965.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Miettinen O. S. Estimation of relative risk from individually matched series. Biometrics. 1970 Mar;26(1):75–86. [PubMed] [Google Scholar]
  12. Oliver M. F. Ischaemic heart disease in young women. Br Med J. 1974 Nov 2;4(5939):253–259. doi: 10.1136/bmj.4.5939.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Truswell A. S., Mann J. I. Epidemiology of serum lipids in Southern Africa. Atherosclerosis. 1972 Jul-Aug;16(1):15–29. doi: 10.1016/0021-9150(72)90004-4. [DOI] [PubMed] [Google Scholar]

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