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Adult obesity and number of years lived with and without cardiovascular disease / M.C. Pardo Silva in Obesity, 14(2006)7 ([07/01/2006])
[article] Adult obesity and number of years lived with and without cardiovascular disease [printed text] / M.C. Pardo Silva, Author ; Chris De Laet , Author ; W.J. Nusselder, Author ; A.A. Mamun, Author ; A. Peeters, Author . - 2006 . - 1264-73.
Languages : English (eng)
in Obesity > 14(2006)7 [07/01/2006] . - 1264-73
Descriptors: Classification
W 1 Serials. Periodicals
Indexation
Aging ; Body Mass Index ; Cardiovascular diseases ; Cost of Illness ; Female ; Humans ; Journal Article ; Life Expectancy ; Male ; Middle Aged ; Myocardial infarction ; Obesity ; Overweight ; Peer Review ; Risk Assessment ; Risk Factors ; Stroke ; Time Factors ; United StatesAbstract: OBJECTIVE: To determine the differences in number of years lived free of cardiovascular disease (CVD) and number of years lived with CVD between men and women who were obese, pre-obese, or normal weight at 45 years of age.
RESEARCH METHODS AND PROCEDURES: We constructed multistate life tables for CVD, myocardial infarction, and stroke, using data from 2551 enrollees (1130 men) in the Framingham Heart Study who were 45 years of age.
RESULTS: Obesity and pre-obesity were associated with fewer number of years free of CVD, myocardial infarction, and stroke and an increase in the number of years lived with these diseases. Forty-five-year-old obese men with no CVD survived 6.0 years [95% confidence interval (CI), 4.1; 8.1] fewer than their normal weight counterparts, whereas, for women, the difference between obese and normal weight subjects was 8.4 years (95% CI: 6.2; 10.8). Obese men and women lived with CVD 2.7 (95% CI: 1.0; 4.4) and 1.4 years (95% CI: -0.3; 3.2) longer, respectively, than normal weight individuals.
DISCUSSION: In addition to reducing life expectancy, obesity before middle age is associated with a reduction in the number of years lived free of CVD and an increase in the number of years lived with CVD. Such information is paramount for preventive and therapeutic decision-making by individuals and practitioners alike.Link for e-copy: http://www.nature.com/oby/journal/v14/n7/pdf/oby2006144a.pdf Format of e-copy: PDF [Open Access] (Embargo 2 years) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2154 [article]Are thrombolytic drugs not evidence-based medications? / Hans Van Brabandt in Archives of Internal Medicine, 168(2008)2 ([01/28/2008])
[article] Are thrombolytic drugs not evidence-based medications? [printed text] / Hans Van Brabandt , Author ; France Vrijens , Author . - 2008 . - 40-1.
Languages : English (eng)
in Archives of Internal Medicine > 168(2008)2 [01/28/2008] . - 40-1
Descriptors: Classification
W 1 Serials. Periodicals
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Angioplasty, Balloon, Coronary ; Evidence-Based Medicine ; Fibrinolytic Agents ; Humans ; Journal Article ; Myocardial infarction ; Peer Review ; United StatesLink for e-copy: http://archinte.ama-assn.org.gateway.iscientia.net/cgi/reprint/168/2/239-a Format of e-copy: IP recognition ((via CEBAM - personal login recquired) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2487 [article]Distribution and composition of HDL subclasses in students whose parents suffered prematurely from a myocardial infarction in comparison with controls / M. Rosseneu in Atherosclerosis, 63(1987)2-3 ([02/01/1987])
[article] Distribution and composition of HDL subclasses in students whose parents suffered prematurely from a myocardial infarction in comparison with controls [printed text] / M. Rosseneu, Author ; Guy De Backer, Author ; H. Caster, Author ; Frank Hulstaert, Author ; J. Bury, Author . - 1987 . - 231-4.
Languages : English (eng)
in Atherosclerosis > 63(1987)2-3 [02/01/1987] . - 231-4
Descriptors: Classification
W 1 Serials. Periodicals
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Adult ; Apolipoprotein A-I ; Cholesterol ; Female ; Humans ; Journal Article ; Lipoproteins, HDL ; Male ; Myocardial infarction ; Netherlands ; Peer Review ; RiskAbstract: The purpose of this study was to analyze the distribution and composition of the HDL subclasses in students whose parents suffered from a premature coronary heart disease (CHD), in comparison with a control group without any familial history of CHD. In the first part of this study, we observed significantly lower apo A-I concentrations in the cases than in the controls. Since there was a significant difference in smoking habits between cases and controls, and since we wanted to study the effect of a parental history of premature CHD on the composition of the HDL subclasses independently of smoking, the present study was conducted on the 17 pairs of non-smokers male cases and controls. In agreement with the results on total serum, we observed lower apo A-I concentrations in the HDL2b and HDL2a + 3a fractions in the cases compared to the controls. The apo A-II and cholesterol levels in these fractions were not significantly different between the 2 groups. The selective decrease of apo A-I in the HDL subclasses with the lowest density might be due to a decreased number of particles containing only apo A-I, with which a protective effect against atherosclerosis might be associated. Link for e-copy: http://vdic.idm.oclc.org/login?url=http://www.sciencedirect.com/science/journal/ [...] Format of e-copy: VDIC IP recognition (ScienceDirect, 1995 to present) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2181 [article]More is not better in the early care of acute myocardial infarction / Hans Van Brabandt in European Heart Journal, 27(2006)22 ([10/20/2006])
[article] More is not better in the early care of acute myocardial infarction : a prospective cohort analysis on administrative databases [printed text] / Hans Van Brabandt , Author ; Dirk Ramaekers ; Luc Bonneux ; Cécile Camberlin , Author ; France Vrijens ; Yves Parmentier . - 2006 . - 2649-2654.
Languages : English (eng)
in European Heart Journal > 27(2006)22 [10/20/2006] . - 2649-2654
Descriptors: Classification
WG 300 Coronary vessels. Coronary disease
Indexation
Administrative databases ; Cost of Illness ; England ; Journal Article ; Myocardial infarction ; Peer Review ; Physician's Practice Patterns ; ReperfusionKeywords: Clinical practice variation Abstract: Aims To assess the outcome and costs of patients with acute myocardial infarction (AMI) after initial admission to hospitals with or without catheterization facilities in Belgium.
Methods and results From a nationwide hospital register, we retrieved the data of 34 961 patients discharged during 1999-2001 with a principal diagnosis of AMI. They were initially admitted to hospitals without catheterization facilities (A), with diagnostic (B1) or interventional catheterization facilities (B2). Mortality has been recorded till the end of 2003 and re-admissions till the end of 2001.
The mortality hazard ratio and 95% CI of 5 years mortality of A vs. B2 was 1.01 (0.97, 1.06) and of B1 vs. B2 was 1.03 (0.98, 1.09). Re-admission rates and 95% CI for cardiovascular reason per 100 patient-years were 23.5 (22.7, 24.3) for A, 23.8 (22.5, 25.1) for B1, and 22.0 (21.2, 22.9) for B2. The mean cost in hospital of a patient at low risk with a single stay was in A {euro}4072 (median: 3,861; IQR: 4467-3476), in B1 {euro}5083 (median: 5153; IQR: 5769-4340), and in B2 {euro}7741 (median: 7553; IQR: 8211-7298).
Conclusion Services with catheterization facilities compared with services without them showed no better health outcomes, but delivered more expensive care.Link for e-copy: http://eurheartj.oxfordjournals.org/cgi/content/full/27/22/2649 Format of e-copy: HTML Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=514 [article]Serum lipids and apoproteins in students whose parents suffered prematurely from a myocardial infarction / Guy De Backer in American Heart Journal, 112(1986)3 ([09/01/1986])
[article] Serum lipids and apoproteins in students whose parents suffered prematurely from a myocardial infarction [printed text] / Guy De Backer, Author ; Frank Hulstaert, Author ; K. De Munck, Author ; L. Van Parijs, Author ; M. Dramaix, Author . - 1986 . - 478-84.
Languages : English (eng)
in American Heart Journal > 112(1986)3 [09/01/1986] . - 478-84
Descriptors: Classification
W 1 Serials. Periodicals
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Adult ; Apolipoprotein A-I ; Female ; Humans ; Journal Article ; Lipids ; Male ; Middle Aged ; Myocardial infarction ; Peer Review ; Risk ; Smoking ; United StatesAbstract: Lipids and apoproteins as well as other coronary risk factors were measured in offspring of patients who suffered from a myocardial infarction before the age of 50 years; the results are compared with the results of a control group matched for age and sex. Significant differences were observed in the apoprotein A1 level, in the protein/fat ratios of high- and low-density lipoproteins, and in smoking habits. In a multivariate analysis, the offspring group was found to be different from the control group in nonhigh-density lipoprotein cholesterol/apoprotein B ratio, high-density lipoprotein cholesterol/apoprotein A1 ratio, smoking habits, apoprotein A1, and apoprotein A2. By means of these variables a total of 85% of all subjects could be correctly classified. We conclude that as early as age 21 years the offspring of patients with premature coronary heart disease differ from matched control subjects in lipoprotein measurements and in smoking habits. Link for e-copy: http://vdic.idm.oclc.org/login?url=http://www.sciencedirect.com/science/journal/ [...] Format of e-copy: VDIC IP recognition (ScienceDirect, 1995 to present) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2177 [article]Variaties in de ziekenhuispraktijk bij acuut myocardinfarct in België. / Hans Van Brabandt / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2005)
PermalinkVariations des pratiques médicales hospitalières en cas d'infarctus aigu du myocarde en Belgique / Hans Van Brabandt / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2005)
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