Cardiovascular risks before myocardial infarction differences between men and women
Abstract Background Prodromal cardiac symptoms are warning signals preceding cardiac disease. Previous studies have shown some gender differences in prodromal symptoms as well as established risk factors for MI. This study aims to map possible gender differences in social factors and established ris...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-022-02555-3 |
| _version_ | 1818282142693588992 |
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| author | Alice Nyström Susanne Strömberg Karin Jansson Åshild Olsen Faresjö Tomas Faresjö |
| author_facet | Alice Nyström Susanne Strömberg Karin Jansson Åshild Olsen Faresjö Tomas Faresjö |
| author_sort | Alice Nyström |
| collection | DOAJ |
| description | Abstract Background Prodromal cardiac symptoms are warning signals preceding cardiac disease. Previous studies have shown some gender differences in prodromal symptoms as well as established risk factors for MI. This study aims to map possible gender differences in social factors and established risk factors preceding myocardial infarction (MI). Methods The study includes data of N = 213 middle-aged men and women, all diagnosed with myocardial infarction (ICD-10 I21.9) from the region of south-east Sweden. They answered a questionnaire at discharge from the cardiologic clinic and additional clinical data from medical records were merged from the National Swedeheart Register. Results The dominant prodromal symptom for both sexes were experience of chest pain at the onset of MI. The major gender differences were that significantly more females (p = 0.015) had a hyperlipidemia diagnose. Females also reported to have experienced higher stress load the year preceding myocardial infarction with serious life events (p = 0.019), strained economy (p = 0.003), and reports of sadness/depression (p < 0.001). Females reported higher perceived stress load than men (p = 0.006). Men had higher systolic blood pressure than women at hospital admission and a higher systolic- and diastolic blood pressure at discharge. Conclusions Influences of the social environment, such as serious life events, strained economy, depression, stress, and sleep deprivation were stronger as potential risk factors for myocardial infarction in women than among men. Of the traditional risk factors only, hyperlipidemia was more frequent among women. These findings could contribute to a deeper understanding of diagnostic differences between gender, as well as a more gender-oriented cardiovascular preventive work. |
| first_indexed | 2024-12-13T00:16:19Z |
| format | Article |
| id | doaj.art-0a1b8c0abdea4b52b42a1b73fd260c74 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-12-13T00:16:19Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-0a1b8c0abdea4b52b42a1b73fd260c742022-12-22T00:05:46ZengBMCBMC Cardiovascular Disorders1471-22612022-03-012211710.1186/s12872-022-02555-3Cardiovascular risks before myocardial infarction differences between men and womenAlice Nyström0Susanne Strömberg1Karin Jansson2Åshild Olsen Faresjö3Tomas Faresjö4Department of Health, Medicine and Care, General Practice, Linköping UniversityDepartment of Health, Medicine and Care, General Practice, Linköping UniversityDepartment of Cardiology, Vrinnevi HospitalDepartment of Health, Medicine and Care, General Practice, Linköping UniversityDepartment of Health, Medicine and Care, General Practice, Linköping UniversityAbstract Background Prodromal cardiac symptoms are warning signals preceding cardiac disease. Previous studies have shown some gender differences in prodromal symptoms as well as established risk factors for MI. This study aims to map possible gender differences in social factors and established risk factors preceding myocardial infarction (MI). Methods The study includes data of N = 213 middle-aged men and women, all diagnosed with myocardial infarction (ICD-10 I21.9) from the region of south-east Sweden. They answered a questionnaire at discharge from the cardiologic clinic and additional clinical data from medical records were merged from the National Swedeheart Register. Results The dominant prodromal symptom for both sexes were experience of chest pain at the onset of MI. The major gender differences were that significantly more females (p = 0.015) had a hyperlipidemia diagnose. Females also reported to have experienced higher stress load the year preceding myocardial infarction with serious life events (p = 0.019), strained economy (p = 0.003), and reports of sadness/depression (p < 0.001). Females reported higher perceived stress load than men (p = 0.006). Men had higher systolic blood pressure than women at hospital admission and a higher systolic- and diastolic blood pressure at discharge. Conclusions Influences of the social environment, such as serious life events, strained economy, depression, stress, and sleep deprivation were stronger as potential risk factors for myocardial infarction in women than among men. Of the traditional risk factors only, hyperlipidemia was more frequent among women. These findings could contribute to a deeper understanding of diagnostic differences between gender, as well as a more gender-oriented cardiovascular preventive work.https://doi.org/10.1186/s12872-022-02555-3Prodromal cardiac symptomsMyocardial infarctionGenderRisk factors for myocardial infarction |
| spellingShingle | Alice Nyström Susanne Strömberg Karin Jansson Åshild Olsen Faresjö Tomas Faresjö Cardiovascular risks before myocardial infarction differences between men and women BMC Cardiovascular Disorders Prodromal cardiac symptoms Myocardial infarction Gender Risk factors for myocardial infarction |
| title | Cardiovascular risks before myocardial infarction differences between men and women |
| title_full | Cardiovascular risks before myocardial infarction differences between men and women |
| title_fullStr | Cardiovascular risks before myocardial infarction differences between men and women |
| title_full_unstemmed | Cardiovascular risks before myocardial infarction differences between men and women |
| title_short | Cardiovascular risks before myocardial infarction differences between men and women |
| title_sort | cardiovascular risks before myocardial infarction differences between men and women |
| topic | Prodromal cardiac symptoms Myocardial infarction Gender Risk factors for myocardial infarction |
| url | https://doi.org/10.1186/s12872-022-02555-3 |
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