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Circulation. 2007;115:1059

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(Circulation. 2007;115:1059.)
© 2007 American Heart Association, Inc.

Issue Highlights


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    RISK FACTORS FOR ACUTE MYOCARDIAL INFARCTION IN LATIN AMERICA: THE INTERHEART LATIN AMERICAN STUDY, by Lanas et al.
 
Ischemic heart disease is the leading cause of death in Latin America, causing 26% of all deaths in the region in 1990, and it will remain the main cause of death in the region for decades to come. In order to assess the importance of traditional risk factors for acute myocardial infarction (AMI), 6 Latin American countries participated in INTERHEART, which is the largest study on risk factors for AMI conducted in this region. As part of the INTERHEART study, 1237 cases of first acute myocardial infarction and 1888 controls were enrolled in Argentina, Brazil, Colombia, Chile, Guatemala, and Mexico. Data on smoking behavior, history of hypertension and diabetes, dietary patterns, physical activity, alcohol consumption and psychosocial factors, anthropometry, and blood pressure were collected. Persistent psychosocial stress, history of hypertension and diabetes, current smoking, increased waist-to-hip ratio and increased ratio of apolipoprotein B to apolipoprotein A-1 increased the risk of AMI. Daily consumption of fruits or vegetables and regular exercise reduced the risk of AMI. Abdominal obesity, abnormal lipids, and smoking were the largest contributors to the risk of AMI, with population attributable risk of 48.5%, 40.8% and 38.4%, respectively; collectively these 10 risk factors accounted for 88% of the population’s attributable risk. The present study by Lanas et al suggests that regular exercise, a prudent diet, and avoidance of smoking could have a large impact, and that the majority of AMI in Latin America could be avoided by lifestyle modifications. See p 1067.


*    NONFATAL ACUTE MYOCARDIAL INFARCTION IN COSTA RICA: MODIFIABLE RISK FACTORS, POPULATION-ATTRIBUTABLE RISKS, AND ADHERENCE TO DIETARY GUIDELINES, by Kabagambe et al.
 
Cardiovascular disease, including myocardial infarction . . . [Full Text of this Article]


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