STEMI, Revascularization, and Peak Troponin by Adverse Pregnancy Outcomes in Women With Myocardial Infarction
Authors' conclusion
Among women with a first MI, a history of preterm preeclampsia or SGA infant were associated with STEMI and invasive revascularization.
Study context
- Population
- Women aged ≤65 years with first myocardial infarction (MI) in Sweden, 2007 to 2022
- Participants
- 8,320 women
- Exposure
- History of adverse pregnancy outcomes vs no such history
- Outcome
- STEMI at presentation (also invasive revascularization, high troponin)
Methodological detailsnationwide (Sweden)
- Nationwide (Sweden)
Main finding
As reported in the abstract
STEMI at presentation
Each group vs no such historyOdds ratio (95% CI)
Preterm preeclampsia
1.40(1.05–1.88)
SGA infant
1.30(1.13–1.50)
- Women with STEMI overall
- 3,128 (38%)
Observational data: associations, not effects.
Further findings
In-hospital revascularization
- Higher adjusted OR with preterm preeclampsia or SGA infant history
Troponin levels, stratified by infarct type
- Did not differ by adverse pregnancy outcome history
Original publication
STEMI, Revascularization, and Peak Troponin by Adverse Pregnancy Outcomes in Women With Myocardial Infarction. JACC Adv. Published 5 July 2024. doi:10.
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