Key result
Marital stress linked to ~3-fold higher risk of recurrent events in women with CHD.
Why the study?
The impact of marital stress on prognosis in women with coronary heart disease was not well established.
Does marital stress or work stress increase the risk of recurrent coronary events in women with coronary heart disease?
Observational
Does marital stress or work stress increase the risk of recurrent coronary events in women with coronary heart disease?
Marital stress, but not work stress, is a significant predictor of recurrent coronary events in women with coronary heart disease.
Marital stress may refine secondary prevention risk assessment in women; leaves open whether targeted interventions reduce recurrent events.
Results Among women who were married or cohabiting with a male partner (n=187), marital stress was associated with a 2.9-fold (95% confidence interval [CI], 1.3-6.5) increased risk of recurrent events after adjustment for age, estrogen status, education level, smoking, diagnosis at index event, diabetes mellitus, systolic blood pressure, smoking, triglyceride level, high-density lipoprotein cholesterol level, and left ventricular dysfunction. Among working women (n=200), work stress did not significantly predict recurrent coronary events (hazard ratio, 1.6; 95% CI, 0.8-3.3).
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Orth‐Gomér et al. (2000) conducted an observational in Coronary Heart Disease. Marital stress was evaluated on Recurrent events (HR 2.9, 95% CI 1.3-6.5). Marital stress was associated with a 2.9-fold increased risk of recurrent events in women with coronary heart disease (HR 2.9; 95% CI 1.3-6.5).
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