Homocysteine and major coronary events: a prospective population study amongst women.

Abstract:

OBJECTIVES:To study serum homocysteine concentration for its prediction of major coronary heart disease events amongst women. DESIGN:A case-control study nested within a follow-up study. Subjects. A total of 74 and 75 major coronary events (coronary deaths or nonfatal myocardial infarction) which occurred in women with and without known heart disease, respectively, during a 13-year follow-up and two individually matched controls per case. Main outcome measure. Major coronary event. RESULTS:Amongst women with baseline heart disease, the relative risk (95% CI) of such events, adjusted for age, smoking, hypertension, diabetes, serum cholesterol and body mass index, was 3.32 (1.05-10.5) in the highest homocysteine quintile compared with the lowest quintile. Amongst women free of heart disease at baseline, the corresponding relative risk value was 0.77 (0.24-2.45). CONCLUSIONS:This prospective study support the hypothesis that homocysteine is a risk factor for coronary events in women with heart disease.

journal_name

J Intern Med

authors

Knekt P,Alfthan G,Aromaa A,Heliövaara M,Marniemi J,Rissanen H,Reunanen A

doi

10.1046/j.1365-2796.2001.00830.x

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

461-5

issue

5

eissn

0954-6820

issn

1365-2796

pii

jim830

journal_volume

249

pub_type

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