Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Prior alcohol consumption and mortality following acute myocardial infarction
Autore:
Mukamal, KJ; Maclure, M; Muller, JE; Sherwood, JB; Mittleman, MA;
Indirizzi:
Harvard Univ, Sch Publ Hlth, Beth Israel Deaconess Med Ctr, Dept Epidemiol,Div Gen Med & Primary Care, Boston, MA 02215 USA Harvard Univ Boston MA USA 02215 Med & Primary Care, Boston, MA 02215 USA Harvard Univ, Sch Publ Hlth, Beth Israel Deaconess Med Ctr, Dept Epidemiol,Div Cardiol, Boston, MA 02215 USA Harvard Univ Boston MA USA 02215 demiol,Div Cardiol, Boston, MA 02215 USA Harvard Univ, Sch Publ Hlth, Beth Israel Deaconess Med Ctr, Dept Hlth & Social Behav,Div Gen Med & Primary Ca, Boston, MA 02215 USA Harvard Univ Boston MA USA 02215 n Med & Primary Ca, Boston, MA 02215 USA Harvard Univ, Sch Publ Hlth, Beth Israel Deaconess Med Ctr, Dept Hlth & Social Behav,Div Cardiol, Boston, MA 02215 USA Harvard Univ Boston MA USA 02215 Behav,Div Cardiol, Boston, MA 02215 USA Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA Massachusetts Gen Hosp Boston MA USA 02114 Cardiol, Boston, MA 02114 USA
Titolo Testata:
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
fascicolo: 15, volume: 285, anno: 2001,
pagine: 1965 - 1970
SICI:
0098-7484(20010418)285:15<1965:PACAMF>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY HEART-DISEASE; MIDDLE-AGED MEN; CARDIOVASCULAR MORTALITY; HYPERTENSIVE PATIENTS; FIBRINOLYTIC FACTORS; PHYSICAL EXERTION; CONTROLLED TRIAL; BLOOD-PRESSURE; RISK; ETHANOL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Mukamal, KJ Harvard Univ, Sch Publ Hlth, Beth Israel Deaconess Med Ctr, Dept Epidemiol,Div Gen Med & Primary Care, Boston, MA 02215 USA Harvard UnivBoston MA USA 02215 y Care, Boston, MA 02215 USA
Citazione:
K.J. Mukamal et al., "Prior alcohol consumption and mortality following acute myocardial infarction", J AM MED A, 285(15), 2001, pp. 1965-1970

Abstract

Context Studies have found that individuals who consume 1 alcoholic drink every 1 to 2 days have a lower risk of a first acute myocardial infarction (AMI) than abstainers or heavy drinkers, but the effect of prior drinking on mortality after AMI is uncertain. Objective To determine the effect of prior alcohol consumption on long-term mortality among early survivors of AMI. Design and Setting Prospective inception cohort study conducted at 45 US communi ly and tertiary care hospitals between August 1989 and September 1994, with a median follow-up of 3.8 years. Patients A total of 1913 adults hospitalized with AMI between 1989 and 1994. Main Outcome Measure All-cause mortality, compared by self-reported average weekly consumption of beer, wine, and liquor during the year prior to AMI. Results Of the 1913 patients, 896 (47%) abstained from alcohol, 696 (36%) consumed less than 7 alcoholic drinks/wk, and 321 (17%) consumed 7 or more alcoholic drinks/wk. Compared with abstainers, patients who consumed less than 7 drinks/wk had a lower all-cause mortality rate (3.4 vs 6.3 deaths per100 person-years; hazard ratio [HR], 0.55; 95% confidence interval [CI], 0.43-0.71) as did those who consumed 7 or more drinks/wk (2.4 vs 6.3 deaths per 100 person-years; HR, 0.38; 95% CI, 0.25-0.55; P<.001 for trend). Afteradjusting for propensity to drink and other potential confounders, increasing alcohol consumption remained predictive of lower mortality for less than 7 drinks/wk, with an adjusted HR of 0.79 (95% CI, 0.60-1.03), and for 7 or more drinks/wk, with an adjusted HR of 0.68 (95% CI, 0.45 1.05; P=.01 fortrend). The association was similar for total and cardiovascular mortality, among both men and women, and among different types of alcoholic beverages. Conclusion Self-reported moderate alcohol consumption in the year prior toAMI is associated with reduced mortality following infarction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/02/20 alle ore 17:17:14