Key result
Diabetes (OR 2.42, p=0.003), systolic blood pressure, and serum cholesterol were significantly associated with an increased risk of incident myocardial infarction.
Cohort (n=1,696)
In a low-income urban Mexican cohort, the incidence of myocardial infarction is strongly driven by modifiable risk factors including diabetes, hypertension, and hypercholesterolemia.
Incidence data in low-income Mexicans remain sparse; leaves open whether estimates generalize or guide prevention strategies.
OBJECTIVE: To estimate the incidence of myocardial infarction (MI) in a low-income Mexican population. MATERIAL AND METHODS: A total of 1 696 men and women aged 35 to 64 years from a longitudinal study were included. All subjects were free of MI at baseline. Incident MI was diagnosed during follow-up by electrocardiogram or by death certificate. Multiple logistic regression was used to estimate the risk of MI. RESULTS: Median follow-up was 6.2 years. Sixty-two of the participants developed MI. Age-adjusted incidence of MI was 6.6 in men and 4.8 in women per 1 000 person-years. The risk of developing MI was associated diabetes (OR= 2.42, p= 0.003), systolic blood pressure (OR= 1.28 per10 mm Hg, p= 0.013) and serum cholesterol (OR= 1.36 per 50 mg/dL, p= 0.038). CONCLUSIONS: Incidence of MI in this population may be explained by the rising prevalence of diabetes and hypercholesterolemia. It is necessary to implement preventive measures to address those risk factors.
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Jiménez-Corona et al. (2009) conducted a cohort in Myocardial infarction (n=1,696). Diabetes was evaluated on Incident myocardial infarction (OR 2.42, p=0.003). Diabetes (OR 2.42, p=0.003), systolic blood pressure, and serum cholesterol were significantly associated with an increased risk of incident myocardial infarction.
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