Outcomes Are Worse in STEMI Patients Without Traditional Cardiovascular Risk Factors

An analysis of Swedish registry data showed STEMI patients without cardiovascular risk factors — particularly women — experienced higher mortality.

Some patients who present with ST-segment elevation myocardial infarction (STEMI) do not have a history of standard modifiable cardiovascular risk factors (SMuRFs). Moreover, the proportion of STEMI patients without SMuRFs has increased over time. These researchers used data from the Swedish registry SWEDEHEART to follow patients who presented with a STEMI from 2005 to 2018, did not have SMuRFs, and had no preexisting coronary artery disease. SMuRFs included current smoking, hypercholesterolemia, diabetes, and hypertension.

Out of 62,048 patients with STEMI, 33% were women, and 15% were SMuRF-less. At discharge, patients without SMuRFs were less likely to receive a statin, angiotensin-converting-enzyme inhibitor/angiotensin receptor blocker,…

Reviewing Author

Fatima Rodriguez, MD, MPH, FACC, FAHA

Disclosures

Consultant/Advisory BoardNovoNordisk; HealthPals; Novartis; Amgen

EquityHealthPals; Carta

Grant/Research SupportNational Institutes of Health/National Heart, Lung, and Blood Institute; American Heart Association–Robert Wood Johnson Foundation

Editorial BoardsCardiology and Therapy