Case fatality after an acute cardiac event: the effect of smoking and alcohol consumption.

作者: Patrick McElduff , Annette J Dobson

DOI: 10.1016/S0895-4356(00)00265-1

关键词:

摘要: The objective of this study was to use a population-based register acute cardiac events investigate the association between survival after an event and history smoking alcohol consumption. population all residents Lower Hunter Region Australia aged 25 69 years who suffered myocardial infarction or sudden death 1986 1994. Among 10,170 events, 2504 resulted in within 28 days. After adjusting for sex, age medical history, current smokers had similar risk dying never-smokers [odds ratio (OR)=1.10, 95% confidence interval (CI) 0.94-1.29]. People consumed more than 8 alcoholic drinks per day on 2 days week (OR=1.93, CI 1.39-2.69) former moderate heavy drinkers (OR=4.59, 3.65-5.76) were likely die people nondrinkers. results large community study, suggesting no effect case fatality increased drinkers, highlight importance view fatality. These can also shed some light reasons paradoxical from clinical trials.

参考文章(12)
GI Barbash, HD White, M Modan, R Diaz, JR Hampton, J Heikkila, A Kristinsson, S Moulopoulos, EA Paolasso, T Van der Werf, None, Significance of smoking in patients receiving thrombolytic therapy for acute myocardial infarction. Experience gleaned from the International Tissue Plasminogen Activator/Streptokinase Mortality Trial. Circulation. ,vol. 87, pp. 53- 58 ,(1993) , 10.1161/01.CIR.87.1.53
H F J Hendriks, J Veenstra, E J M V.-T. Wierik, G Shaafsma, C Kluft, Effect of moderate dose of alcohol with evening meal on fibrinolytic factors BMJ. ,vol. 308, pp. 1003- 1006 ,(1994) , 10.1136/BMJ.308.6935.1003
Cindy L. Grines, Eric J. Topol, William W. O’Neill, Barry S. George, Dean Kereiakes, Harry R. Phillips, Jeffrey D. Leimberger, Lynn H. Woodlief, Robert M. Califf, Effect of Cigarette Smoking on Outcome After Thrombolytic Therapy for Myocardial Infarction Circulation. ,vol. 91, pp. 298- 303 ,(1991) , 10.1161/01.CIR.91.2.298
Lloyd Chambless, Ulrich Keil, Annette Dobson, Markku Mähönen, Kari Kuulasmaa, Anna-Maija Rajakangas, Hannelore Löwel, Hugh Tunstall-Pedoe, Population Versus Clinical View of Case Fatality From Acute Coronary Heart Disease: Results From the WHO MONICA Project 1985–1990 Circulation. ,vol. 96, pp. 3849- 3859 ,(1997) , 10.1161/01.CIR.96.11.3849
Gabriel I Barbash, Jonathan Reiner, Harvey D White, Robert G Wilcox, Paul W Armstrong, Zygmunt Sadowsi, Douglas Morris, Philip Aylward, Lynn H Woodlief, Eric J Topol, Robert M Califf, Allan M Ross, GUSTO-I Investigators, Evaluation of paradoxic beneficial effects of smoking in patients receiving thrombolytic therapy for acute myocardial infarction: Mechanism of the “smoker's paradox” from the GUSTO-I trial, with angiographic insights Journal of the American College of Cardiology. ,vol. 26, pp. 1222- 1229 ,(1995) , 10.1016/0735-1097(95)00299-5
I S Ockene, J K Ockene, Smoking after acute myocardial infarction. A good thing? Circulation. ,vol. 87, pp. 297- 299 ,(1993) , 10.1161/01.CIR.87.1.297
Doron Zahger, Bojan Cercek, Christopher P. Cannon, Matthew Jordan, Vicki Davis, Eugene Braunwald, Prediman K. Shah, How do smokers differ from nonsmokers in their response to thrombolysis? (the TIMI-4 trial) American Journal of Cardiology. ,vol. 75, pp. 232- 236 ,(1995) , 10.1016/0002-9149(95)80026-O
G. S Sonke, A. W Stewart, R. Beaglehole, R. Jackson, H. D White, Comparison of case fatality in smokers and non-smokers after acute cardiac event BMJ. ,vol. 315, pp. 992- 993 ,(1997) , 10.1136/BMJ.315.7114.992