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April 15, 1997BloodOpen Access

Factor V Leiden (Resistance to Activated Protein C) Increases the Risk of Myocardial Infarction in Young Women

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Why the study?

Does the factor V Leiden mutation increase the risk of myocardial infarction in young women?

Population

472 women aged 18 to 44 years in western Washington state, including 84 women with a first myocardial…

Comparison

Presence of Factor V Leiden mutation vs Absence of Factor V Leiden mutation

Design

Case-control

Authors

Frits R. RosendaalFrits R. RosendaalVascular MedicineDSDavid S. SiscovickGeneral / Preventive / LipidsSSStephen M. SchwartzUniversité Claude Bernard Lyon 1

Discussion

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Implication

May support thrombophilia evaluation in young women with MI who smoke; hypothesis-generating and should not yet change practice.

Structured PICO

Does the factor V Leiden mutation increase the risk of myocardial infarction in young women?

P
Population
472 women aged 18 to 44 years in western Washington state, including 84 women with a first myocardial infarction (MI) and 388 control women without MI.
I
Intervention
Presence of Factor V Leiden mutation (factor V Arg506Gln)
C
Comparator
Absence of Factor V Leiden mutation
O
Outcome
First myocardial infarction (MI)hard clinical

The factor V Leiden mutation significantly increases the risk of myocardial infarction in young women, with the effect appearing to be largely confined to current smokers.

Cite This Study

Rosendaal et al. (1997) studied this question.

synapsesocial.com/papers/6a80bb2573f13514bdeedf19https://doi.org/10.1182/blood.v89.8.2817

Topics

Hypertension management
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mutation in the Gene Coding for Coagulation Factor V and the Risk of Myocardial Infarction, Stroke, and Venous Thrombosis in Apparently Healthy Men1995 · 1,055 citations
  2. 2Anticoagulant protein C pathway defective in majority of thrombophilic patients [see comments]1993 · 404 citations