JAMA – Nonobstructive Coronary Artery Disease and Risk of Myocardial Infarction

JAMA Network | JAMA | Nonobstructive Coronary Artery Disease and Risk of Myocardial Infarction.

Conclusions and Relevance  In this cohort of patients undergoing elective coronary angiography, nonobstructive CAD, compared with no apparent CAD, was associated with a significantly greater 1-year risk of MI and all-cause mortality. These findings suggest clinical importance of nonobstructive CAD and warrant further investigation of interventions to improve outcomes among these patients.

 

Diabetes and the Heart: Risk Greater in Women

Diabetes and the Heart: Risk Greater in Women.

Data from 64 studies with both male and female participants yielded a 44% greater multiple-adjusted relative risk ratio (RRR) for incident coronary heart disease (CHD) in women compared with men (RRR 1.44, 95% CI 1.27-1.63), Rachel Huxley, DPhil, of the University of Queensland in Sydney, Australia, and colleagues found.

Pooled data from 52 studies indicated that women also had a 44% greater chance than men of dying from fatal CHD associated with diabetes, Huxley and colleagues reported online in the journal Diabetologia.

MI Admissions on Upswing in Younger Women

Bucking the trend in other groups, younger women in that province experienced an increase in the hospitalization rate of 1.7% per year from 2000 through 2009 (P=0.04), according to Karin Humphries, MBA, DSc, of the University of British Columbia in Vancouver, and colleagues.

In addition, in that younger group, women had a greater risk of dying within 30 days of hospital discharge compared with men, a difference that persisted through the end of the study period (OR 1.61, 95% CI 1.25-2.08), the researchers reported online in the Journal of Women\’s Health.

via MI Admissions on Upswing in Younger Women.