Coronary disease & ACS

Characteristics of Premature Myocardial Infarction Among Women With Prior Adverse Pregnancy Outcomes

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Among women with premature MIs, 39% had a history of an APO. Women with APO history presented sooner after pregnancy but had similar MI characteristics vs those without APOs.

Study context

Population
Women with premature myocardial infarction (MI) (<65 years) referred for left heart catheterization, matched with abstracted pregnancy dataage 49 ± 8 years
Participants
391 women
Exposure
Prior APO vs no APO
  • APOn = 154
Outcome
MI characteristics and epicardial coronary anatomy; time from delivery to MI

Main finding

As reported in the abstract

GroupValueHypertensive disorders of pregnancyPreeclampsiaGestational DMPreterm birth
APO39%78352848

APO

Value39%
Hypertensive disorders of pregnancy78
Preeclampsia35
Gestational DM28
Preterm birth48

Observational data: associations, not effects.

Further findings

Time from delivery to MI

P = 0.012

Prevalence of diabetes

P = 0.001

Time from delivery to MI — Driven by preeclampsia: 17.1 (IQR 12.7-22.4) years
P = 0.010

Original publication

Characteristics of Premature Myocardial Infarction Among Women With Prior Adverse Pregnancy Outcomes. JACC Adv. Published 19 July 2023. doi:10.1016/j.jacadv.2023.100411

Composed by AI from the published abstract and checked against it. How Briefs are made →

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