Coronary disease & ACSCohort study

Attention-deficit/hyperactivity disorder and cardiometabolic risk profile in patients with acute myocardial infarction: data from the SWEDEHEART registry

Eur J Prev CardiolPublished

  • Observational cohort study (SWEDEHEART registry)
  • registry-based

Authors' conclusion

Adults with MI and ADHD present similar cardiometabolic risk profiles but poorer lifestyle behaviours, lower engagement in recommended interventions, and higher mortality compared with those without ADHD

Study context

Population
Adults aged 18–74 with first acute myocardial infarction (MI), 2006 to 2020, SWEDEHEART registry
Participants
582 vs 2,704
Exposure
Attention-deficit/hyperactivity disorder (ADHD) vs no ADHD
  • ADHDn = 582
  • Without ADHDn = 2,704reference
Outcome
Cardiometabolic risk profile (clinical parameters, disease histories, behavioural factors), engagement in guideline-recommended non-pharmacological interventions, recurrent CV events and mortality

Main finding

As reported in the abstract

Cardiometabolic risk profile, engagement in non-pharmacological interventions and outcomes, ADHD vs without ADHD
ADHD vs Without ADHDRR
smoking
1.53(95% CI 1.36–1.71)
snus use
1.65(CI 1.36–1.99)
participation in follow-up evaluations
0.87(CI 0.79–0.96)
stopping smoking after MI
0.76(CI 0.63–0.91)
Higher all-cause mortality after discharge in patients with ADHD (HR)
2.02; 1.05-3.88

Observational data: associations, not effects.

Original publication

Attention-deficit/hyperactivity disorder and cardiometabolic risk profile in patients with acute myocardial infarction: data from the SWEDEHEART registry. Eur J Prev Cardiol. Published 11 April 2025. doi:10.1093/eurjpc/zwaf151

Summarised from the published abstract; every number is checked against it