Short stature and prognosis of coronary heart disease in women
Why the study?
Does short stature increase the risk of recurrent adverse cardiac events in women following an acute coronary event?
Population
292 Swedish women aged 65 years or younger hospitalized for an acute event of coronary heart disease.
Comparison
Short stature (shortest 25% of women, < 160 cm) vs Tallest 25% of women (> 165 cm)
Design
Cohort
Follow-up
median 4.8 years
Authors
Discussion
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Member takes
Implication
Short stature may identify higher-risk women post-ACS for closer monitoring; leaves open causal role and need for prospective validation.
Structured PICO
Does short stature increase the risk of recurrent adverse cardiac events in women following an acute coronary event?
P
Population
292 Swedish women aged 65 years or younger hospitalized for an acute event of coronary heart disease (acute myocardial infarction or unstable angina pectoris).
I
Intervention
Short stature (shortest 25% of women, < 160 cm)
C
Comparator
Tallest 25% of women (> 165 cm)
O
Outcome
Composite of recurrent acute myocardial infarction, death from coronary heart disease, or revascularization procedure (percutaneous transluminal coronary angioplasty and coronary artery bypass grafting)composite
Short stature (< 160 cm) is a strong, independent predictor of recurrent adverse cardiac events in women following an acute coronary syndrome.
Cite This Study
Wamala et al. (1999) studied this question.