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Sex differences in potential triggers of myocardial infarction

Olsson, Anneli LU orcid ; Mohammad, Moman A. LU ; Rylance, Rebecca LU ; Platonov, Pyotr G. LU ; Sparv, David LU and Erlinge, David LU orcid (2023) In European Heart Journal Open 3(2).
Abstract

Aims: Internal and external triggers affect seasonal and circadian variations of myocardial infarction (MI). We aimed to assess sex differences in the common triggers of MI. Methods and results: A nationwide, retrospective, cross-sectional postal survey study was conducted. Individuals who experienced a MI during holidays and weekdays were identified through the SWEDEHEART registry. Twenty-seven potential MI triggers were rated in regards to occurring more or less than usual during the last 24h before the MI. Three areas were covered: Activities, emotions, and food or alcohol consumption. A logistic regression model was used to identify sex differences for each trigger and odds ratios (ORs) were reported. Four hundred and fifty-one... (More)

Aims: Internal and external triggers affect seasonal and circadian variations of myocardial infarction (MI). We aimed to assess sex differences in the common triggers of MI. Methods and results: A nationwide, retrospective, cross-sectional postal survey study was conducted. Individuals who experienced a MI during holidays and weekdays were identified through the SWEDEHEART registry. Twenty-seven potential MI triggers were rated in regards to occurring more or less than usual during the last 24h before the MI. Three areas were covered: Activities, emotions, and food or alcohol consumption. A logistic regression model was used to identify sex differences for each trigger and odds ratios (ORs) were reported. Four hundred and fifty-one patients, of whom 317 were men, responded. The most commonly reported triggers were stress (35.3%), worry (26.2%), depression (21.1%), and insomnia (20.0%). Women reported emotional triggers including sadness [OR 3.52, 95% confidence interval (CI) 1.92-6.45], stress (OR 2.38, 95% CI 1.52-3.71), insomnia (OR 2.31, 95% CI 1.39-3.81), and upset (OR 2.69, 95% CI 1.47-4.95) to a greater extent than men. Outdoor activity was less reported by women (OR 0.35, 95% CI 0.14-0.87). No significant sex differences were found in other activities or food and alcohol consumption. Conclusion: Self-experienced stress and distress were higher among women prior to MI compared with men. Understanding sex perspectives in acute triggers may help us find preventive strategies and reduce the excess numbers of MI.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Heart disease risk factors, Secondary prevention, Surveys and questionnaires
in
European Heart Journal Open
volume
3
issue
2
article number
oead011
publisher
Oxford University Press
external identifiers
  • pmid:37006409
  • scopus:85159589776
ISSN
2752-4191
DOI
10.1093/ehjopen/oead011
language
English
LU publication?
yes
id
8b94ddb2-7d7e-4370-b00b-2568893aaad2
date added to LUP
2023-08-23 10:51:57
date last changed
2024-04-20 01:19:43
@article{8b94ddb2-7d7e-4370-b00b-2568893aaad2,
  abstract     = {{<p>Aims: Internal and external triggers affect seasonal and circadian variations of myocardial infarction (MI). We aimed to assess sex differences in the common triggers of MI. Methods and results: A nationwide, retrospective, cross-sectional postal survey study was conducted. Individuals who experienced a MI during holidays and weekdays were identified through the SWEDEHEART registry. Twenty-seven potential MI triggers were rated in regards to occurring more or less than usual during the last 24h before the MI. Three areas were covered: Activities, emotions, and food or alcohol consumption. A logistic regression model was used to identify sex differences for each trigger and odds ratios (ORs) were reported. Four hundred and fifty-one patients, of whom 317 were men, responded. The most commonly reported triggers were stress (35.3%), worry (26.2%), depression (21.1%), and insomnia (20.0%). Women reported emotional triggers including sadness [OR 3.52, 95% confidence interval (CI) 1.92-6.45], stress (OR 2.38, 95% CI 1.52-3.71), insomnia (OR 2.31, 95% CI 1.39-3.81), and upset (OR 2.69, 95% CI 1.47-4.95) to a greater extent than men. Outdoor activity was less reported by women (OR 0.35, 95% CI 0.14-0.87). No significant sex differences were found in other activities or food and alcohol consumption. Conclusion: Self-experienced stress and distress were higher among women prior to MI compared with men. Understanding sex perspectives in acute triggers may help us find preventive strategies and reduce the excess numbers of MI.</p>}},
  author       = {{Olsson, Anneli and Mohammad, Moman A. and Rylance, Rebecca and Platonov, Pyotr G. and Sparv, David and Erlinge, David}},
  issn         = {{2752-4191}},
  keywords     = {{Heart disease risk factors; Secondary prevention; Surveys and questionnaires}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{2}},
  publisher    = {{Oxford University Press}},
  series       = {{European Heart Journal Open}},
  title        = {{Sex differences in potential triggers of myocardial infarction}},
  url          = {{http://dx.doi.org/10.1093/ehjopen/oead011}},
  doi          = {{10.1093/ehjopen/oead011}},
  volume       = {{3}},
  year         = {{2023}},
}