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Single-living is associated with increased risk of long-term mortality among employed patients with acute myocardial infarction

Authors Nielsen FE, Mard S

Published 17 May 2010 Volume 2010:2 Pages 91—98


Review by Single anonymous peer review

Peer reviewer comments 2

Finn Erland Nielsen, Shan Mard

Department of Cardiology S, Herlev University Hospital, Denmark

Objective: There is conflicting evidence about the impact of social support on adverse outcome after acute myocardial infarction (MI). We examined the relation between single-living and long-term all-cause mortality after MI.

Design: A prospective cohort study of 242 employed patients with MI followed up to 16 years after MI.

Results: A total of 106 (43.8%) patients died during the follow-up. Single-living nearly doubled the risk of death; after adjusting for potential confounding factors, single-living was an independent predictor of death, with a hazard ratio of 2.55 (95% confidence interval: 1.52–4.30). Other predictors of death were diabetes mellitus, atrial fibrillation, age, and ejection fraction less than 35%.

Conclusion: Single-living is a prognostic determinant of long-term all-cause mortality after MI.

Keywords: acute myocardial infarction, social support, single-living, prognosis.

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