Key result
Each 1-MET increase in self-reported physical fitness was associated with a decreased risk of major adverse cardiovascular events (HR 0.92; 95% CI 0.85-0.99; P=0.02).
Why the study?
Does self-reported physical fitness or body mass index better predict coronary artery disease and cardiovascular events in women with suspected myocardial ischemia?
Population
906 women evaluated for suspected myocardial ischemia undergoing clinically indicated coronary angiography…
Comparison
Self-reported physical fitness vs Measures of obesity
Design
Cohort
Follow-up
mean 3.9 (SD, 1.8) years
Authors
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May inform risk stratification in women with suspected ischemia; extends observational data on fitness and MACE but requires prospective validation.
Cohort (n=936)
Yes
Does self-reported physical fitness or body mass index better predict coronary artery disease and cardiovascular events in women with suspected myocardial ischemia?
Hazard Ratio: 0.92 (95% CI 0.85–0.99)
p-value: p=0.02
In women evaluated for suspected ischemia, self-reported physical fitness is a stronger independent predictor of obstructive CAD and adverse cardiovascular events than measures of obesity.
Timothy R. Wessel (2004) conducted a cohort in Suspected myocardial ischemia (n=936). Physical fitness (DASI score) vs. Lower physical fitness was evaluated on Incidence of adverse CV events (all-cause death or hospitalization for nonfatal myocardial infarction, stroke, congestive heart failure, unstable angina, or other vascular events) (HR 0.92, 95% CI 0.85-0.99, p=0.02). Each 1-MET increase in self-reported physical fitness was associated with a decreased risk of major adverse cardiovascular events (HR 0.92; 95% CI 0.85-0.99; P=0.02).
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