The absolute risk of recurrent myocardial infarction is similar amongst both sexes: MONICA Iceland Study 1981-1999

• Main Authors: Sigurdsson, Gunnar, Sigfusson, Nikulas, Gudmundsdottir, Inga Ingibjorg, Agnarsson, Uggi, Sigvaldason, Helgi, Gudnason, Vilmundur
• Format: Article in Journal/Newspaper
• Language: English
• Published: Lippincott Williams & Wilkins 2008
• Subjects: Adult; Aged; Female; Iceland; Incidence; Male; Middle Aged; Myocardial Infarction; Recurrence; Risk Assessment; Sex Factors; Time Factors
• Online Access: http://hdl.handle.net/2336/15962

To access publisher full text version of this article. Please click on the hyperlink in Additional Links field BACKGROUND: To do a gender comparison of absolute risk of recurrent myocardial infarction (MI). DESIGN: Registration of all first and second MI amongst Icelandic males and females 1981-1999. METHODS: The whole of Icelandic population, 40-74 years of age. RESULTS: The mean recurrence rate (second attack) for men was 45.7/1000 MI survivors/year and for women 39.0/1000 per year. The male/female (M/F) ratio was 1.17, 95% confidence interval 1.00-1.37, P = 0.05 and did not change significantly with age. The M/F ratio for first MI in comparison was two to seven, lowest in the oldest group. The recurrence rate decreased significantly and similarly in both sexes during the observation period. CONCLUSION: The absolute risk of MI is closely similar amongst both sexes and has decreased similarly suggesting that the same kind of secondary intervention is effective amongst both sexes in a general population.