Coronary disease & ACS

Occasional smoking is a risk factor for myocardial infarction in the population-based Tromsø Study, 2001–21

Eur J Prev CardiolPublished Prospective cohort study

Main finding · First MI (1297 events)Result — go to the resultHazard ratio 1.41 95% CI 1.11–1.80

Authors' conclusion

This study highlights an elevated risk of MI among occasional smokers, with higher relative risk in women.

Study context

Population
Participants of the 5th and/or 6th survey of the Tromsø Study, Norway9.2% occasional smokers
Participants
15,617 participants
Exposure
Occasional smoking vs never smoking
Outcome
First-time myocardial infarction (MI)
Follow-up
2001–2021
Methodological detailspopulation-based
  • Population-based

Main finding

First MI (1297 events)

Hazard ratio

1.41

95% CI 1.11–1.80

Occasional smokersvs Never smokers
HR 1.41 (95% CI 1.11–1.80)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
First MI, occasional vs never smokers, by sex (subgroup)Occasional smokersvs Never smokersWomen2.08 (1.43–3.04)
First MI, occasional vs never smokers, by sex (subgroup)Occasional smokersvs Never smokersMen1.11 (0.81–1.52)

Original publication

Occasional smoking is a risk factor for myocardial infarction in the population-based Tromsø Study, 2001–21. Eur J Prev Cardiol. Published 27 March 2025. doi:10.1093/eurjpc/zwaf182

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