Document Detail


Hypertension and the risk of ischaemic heart disease.
MedLine Citation:
PMID:  3489158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The magnitude of the effect of hypertension as a risk factor for acute myocardial infarction (AMI) was estimated in 250 patients who presented with a first AMI who were aged 35-64 years (199 survivals and 51 deaths within 24 h), whose names were obtained from a community-based register of myocardial infarctions in the Hunter Region of New South Wales. The cases were matched by sex, age and residential area, and control subjects were obtained from a random population sample from the same region. A history of hypertension (odds ratio, 5.5; 95% confidence limits, 3.4 and 8.9) and treatment for hypertension (odds ratio, 4.2; 95% confidence limits, 2.5 and 7.2) were each significantly (P less than 0.0001) associated with an increased risk of AMI--persons with treated or untreated hypertension were four to five times more likely to develop AMI than were persons without hypertension. Adjustment for smoking did not affect the association between hypertension and the incidence of AMI. Cigarette smoking appears to have had less influence on the incidence of AMI (odds ratio, 1.7; 95% confidence limits, 1.1 and 2.4; P less than 0.01) than did a history of hypertension. Twenty-four per cent of the first AMIs that occurred in the study population were attributable to hypertension (after adjustment for smoking) and twenty-seven per cent were attributable to smoking (after adjustment for hypertension).
Authors:
K A Al-Roomi; A J Dobson; R F Heller; S R Leeder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  145     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1986 Sep 
Date Detail:
Created Date:  1986-10-20     Completed Date:  1986-10-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  249-51     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Australia
Cross-Sectional Studies
Female
Humans
Hypertension / complications*,  epidemiology
Male
Middle Aged
Myocardial Infarction / epidemiology,  etiology*
Risk
Smoking

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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