Abstract:
:A population of 2955 patients admitted to the hospital with acute myocardial infarction (AMI) was followed for 1 year after AMI or until death. Smokers as compared to nonsmokers were over 10 years younger (p less than 0.001) and had a lower prevalence of hypertension (p less than 0.01), congestive heart failure (p less than 0.0001), angina pectoris (p less than 0.01), and diabetes (p less than 0.0001). They had less severe myocardial infarction evidenced, for example, by lower prevalence of pulmonary congestion on chest x-ray (p less than 0.01). Both early (1 month) and late (6 and 12 months) mortality rates were lower in the smoking population (p less than 0.0001 at 1 month, p less than 0.05 at 6 months, and p less than 0.01 at 1 year). Adjusting for age and other variables reduced but did not reverse the survival differential favoring smokers at 1 month, but adjusting for age alone eliminated the differences in mortality rates at 6 and 12 months. We conclude that while smoking is a risk factor for cardiovascular disease and may contribute to the occurrence of AMI at a younger age, smoking at the time of AMI does not appear to be an independent predictor of death during the first year after AMI.
journal_name
Am Heart Jjournal_title
American heart journalauthors
Kelly TL,Gilpin E,Ahnve S,Henning H,Ross J Jrdoi
10.1016/0002-8703(85)90071-7subject
Has Abstractpub_date
1985-09-01 00:00:00pages
535-41issue
3eissn
0002-8703issn
1097-6744pii
0002-8703(85)90071-7journal_volume
110pub_type
杂志文章abstract:BACKGROUND:Physical activity and symptom questionnaires have been used as surrogates for exercise testing to estimate a patient's functional capacity and to individualize an exercise testing protocol in accordance with exercise testing guidelines. To validate these approaches, they must be compared with measured oxygen...
journal_title:American heart journal
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doi:10.1067/mhj.2001.118740
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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更新日期:1996-09-01 00:00:00
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更新日期:2006-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ahj.2003.09.015
更新日期:2004-03-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章
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更新日期:2006-05-01 00:00:00
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pub_type: 杂志文章
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