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January 21, 2020European Journal of Preventive Cardiology

Abdominal obesity and the risk of recurrent atherosclerotic cardiovascular disease after myocardial infarction

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Why the study?

The association between abdominal obesity and recurrent atherosclerotic cardiovascular disease following a myocardial infarction was unknown.

Does abdominal obesity increase the risk of recurrent atherosclerotic cardiovascular disease in patients after a first myocardial infarction?

Population

22,882 patients 4-10 weeks after first myocardial infarction in the SWEDEHEART registry

Comparison

Quintiles of waist circumference and categories of body mass index

Design

Register-based observational cohort study

Follow-up

Median 3.8 years

Authors

HMHanieh MohammadiJOJoel OhmADAndrea Discacciati

Discussion

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Overview

Waist circumference may aid post-MI risk stratification; leaves open whether targeting abdominal obesity reduces recurrent ASCVD.

Structured PICO

Does abdominal obesity increase the risk of recurrent atherosclerotic cardiovascular disease in patients after a first myocardial infarction?

P
Population
22,882 patients evaluated 4-10 weeks after their first myocardial infarction (2005-2014) from the national Swedish SWEDEHEART registry.
I
Intervention
Higher waist circumference (fourth and fifth quintiles) as a measure of abdominal obesity
C
Comparator
Lowest waist circumference (first quintile)
O
Outcome
Recurrent atherosclerotic cardiovascular disease (composite of non-fatal myocardial infarction, coronary heart disease death, non-fatal or fatal ischaemic stroke)composite

Abdominal obesity, measured by waist circumference, is independently associated with an increased risk of recurrent atherosclerotic cardiovascular disease after a first myocardial infarction, particularly in men.

Cite This Study

Mohammadi et al. (2020) studied this question.

synapsesocial.com/papers/6a83fbced65172829ee67154https://doi.org/10.1177/2047487319898019
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