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. Author manuscript; available in PMC: 2017 May 31.
Published in final edited form as: Circulation. 2016 May 16;133(22):2141–2148. doi: 10.1161/CIRCULATIONAHA.115.021177

Table 4.

Risk of All-cause Mortality Associated with Different Patterns of Myocardial Infarction.

Events/1000 person years Model 1*
HR (95% CI)
Model 2
HR (95% CI)
Interaction P-value††
All participants N/A
 No MI (n=8,795) 8.4 1 (ref.) 1 (ref.)
 Silent MI (n=317) 15.9 1.63 (1.33–1.99) 1.34 (1.09–1.65)
 Clinical MI (n=386) 18.7 1.85 (1.56–2.20) 1.55 (1.30–1.85)

Men 0.051
 No MI (n=3,641) 11.0 1 (ref.) 1 (ref.)
 Silent MI (n=178) 17.3 1.43 (1.11–1.85) 1.23 (0.94–1.60)
 Clinical MI (n=279) 18.7 1.65 (1.34–2.02) 1.45 (1.18–1.78)
Women
 No MI (n=5,154) 6.6 1 (ref.) 1 (ref.)
 Silent MI (n=139) 14.0 2.05 (1.49–2.81) 1.58 (1.13–2.20)
 Clinical MI (n=107) 18.9 2.59 (1.89–3.56) 1.83 (1.32–2.54)

White 0.178
 No MI (n=6,993) 8.0 1 (ref.) 1 (ref.)
 Silent MI (n=243) 14.6 1.50 (1.18–1.90) 1.31 (1.03–1.67)
 Clinical MI (n=332) 18.1 1.80 (1.49–2.17) 1.48 (1.22–1.79)
Black
 No MI (n=1,802) 9.8 1 (ref.) 1 (Ref.)
 Silent MI (n=74) 20.1 2.03 (1.40–2.96) 1.45 (0.96–2.21)
 Clinical MI (n=54) 23.0 2.14 (1.41–3.26) 1.97 (1.27–3.05)

HR=hazard ratio; CI=confidence interval; MI= myocardial infarction

*

Model 1 adjusted for age, sex, and race.

Model 2 adjusted for variables in model 1 plus study field center, body mass index, education, smoking status, systolic blood pressure, blood pressure lowering medications, diabetes mellitus, ratio of total cholesterol/high density lipoprotein, use of cholesterol lowering medications, use of aspirin, family history of coronary heart disease and serum creatinine (all at baseline).

††

Interactions tested in Model 2.