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January 1, 1999The LancetOpen Access

Lifetime risk of developing coronary heart disease

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Key result

Forty-year-old men face a ~53% higher lifetime risk of CHD than women.

  • 95% CI 45.8-51.3 (men), 29.2-34.2 (women)
  • n=7,733

Population

7,733 participants in the Framingham Heart Study, examined at least once at age 40-94 years between 1971 and…

Design

Cohort

Follow-up

109,948 person-years total

Authors

Donald M. Lloyd‐Jones
Donald M. Lloyd‐JonesGeneral / Preventive / Lipids
MLMartin G. LarsonSemmelweis University
Alexa S. Beiser
Alexa S. BeiserPreventive Cardiology

Discussion

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Overview

Highlights substantial lifetime CHD burden from age 40; extends observational risk data but leaves open effects of modern prevention.

Study Design

Type

Cohort (n=7,733)

Structured PICO

P
Population
7,733 participants aged 40-94 years, free of coronary heart disease at baseline, followed for a total of 109,948 person-years.
O
Outcome
Lifetime risk of coronary heart disease (composite of angina pectoris, coronary insufficiency, myocardial infarction, or death from coronary heart disease)composite

Main Result

Absolute Event Rate: 48.6% vs 31.7%

The lifetime risk of developing coronary heart disease at age 40 is approximately 1 in 2 for men and 1 in 3 for women, highlighting the substantial population burden of the disease.

Cite This Study

Lloyd‐Jones et al. (1999) conducted a cohort in Coronary heart disease (n=7,733). Male sex vs. Female sex was evaluated on Lifetime risk of coronary heart disease (angina pectoris, coronary insufficiency, myocardial infarction, or death from coronary heart disease) at age 40 years (95% CI 45.8-51.3 (men), 29.2-34.2 (women)). Men at age 40 years had a lifetime risk of developing coronary heart disease of 48.6% (95% CI 45.8-51.3), compared to 31.7% (95% CI 29.2-34.2) for women.

synapsesocial.com/papers/6aa66ace041e43fea73a7537https://doi.org/10.1016/s0140-6736(98)10279-9

Topics

Women and heart disease
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Effect of Age on the Association between Body-Mass Index and Mortality1998 · 1,627 citations
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