Better long-term survival in young and middle-aged women than in men after a first myocardial infarction between 1985 and 2006. an analysis of 8630 patients in the Northern Sweden MONICA Study

• DOI: 10.1186/1471-2261-11-1
• Publication Date: 2011-01-05T20:05:31Z
• Authors: Rose-Marie Isaksson; Jan-Håkan Jansson; Dan Lundblad; Ulf Näslund; Karin Zingmark; Mats Eliasson
• Keywords: Angiology

There is conflicting and only scant evidence on the effect of gender long-term survival after a myocardial infarction (MI). Our aim was to analyse sex-specific patients for up 23 years first MI in northern Sweden describe time trends.The Northern MONICA Myocardial Infarction Registry linked The Swedish National Cause Death total 8630 patients, 25 64 age, 6762 men 1868 women, with during 1985-2006. Also deaths before admission hospital were included. Follow-up ended August 30, 2008.Median follow-up 7.1 years, maximum study included 70 072 patient-years. During 45.3% 43.7% women had died. Median 187 months (95% confidence interval (CI) 179-194) 200 CI 186-214). hazard ratio (HR) all cause mortality adjustment age group 1.092 (1.010-1.18, P = 0.025) females compared males, i.e. 9 percent higher women. After excluding subjects who died reaching HR declined 1.017 (95%CI 0.93-1.11, 0.7). For any duration proportion alive, irrespective group. 5-year survivals 75.3% 77.5%, younger (<57 years) 65.5% 66.3% older (57-64 respectively. each four successive cohorts improved. Survival longer than groups.Age-adjusted among has improved markedly equally both over 23-year period. This difference due lower risk die hospital.