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Cancer risk of patients with ischaemic syndromes.

https://arctichealth.org/en/permalink/ahliterature16890
Source
J Intern Med. 2005 Aug;258(2):124-32
Publication Type
Article
Date
Aug-2005
Author
S K Pehrsson
A. Linnersjö
N. Hammar
Author Affiliation
Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden. k_pehrsson@hotmail.com
Source
J Intern Med. 2005 Aug;258(2):124-32
Date
Aug-2005
Language
English
Publication Type
Article
Keywords
Adult
Aged
Angina Pectoris - complications - epidemiology
Female
Humans
Incidence
Intermittent Claudication - complications - epidemiology
Male
Middle Aged
Myocardial Infarction - complications - epidemiology
Myocardial Ischemia - complications - epidemiology
Myocardial Revascularization - methods
Neoplasms - epidemiology - etiology
Risk factors
Sex Factors
Smoking - adverse effects
Sweden - epidemiology
Abstract
INTRODUCTION: Angiogenesis constitutes the regulation of collateral formation in subjects with ischaemic syndromes and is also a prerequisite for cancer progression. Patients with severe symptomatic ischaemic syndromes may have a reduced ability for angiogenesis and thus a lower risk to develop cancer. SUBJECTS AND METHODS: Patients below 80 years and treated for acute myocardial infarction (AMI), angina pectoris (AP), intermittent claudication (IC) or undergoing revascularization during 1972-1991 in Stockholm county (n=63 921) were followed regarding cancer incidence 1972-2000. Cancer incidence was compared with that of the general population of Stockholm County by standardized incidence ratios (SIR). RESULTS: An increased incidence of cancer overall compared with the general population was seen in patients treated for AMI [SIR men 1.08 (95% Confidence Interval 1.04-1.11) and women 1.15 (1.09-1.21)], AP [men 1.16 (1.11-1.21) and women 1.06 (1.00-1.12)] and IC [men 1.48 (1.31-1.64) and women 1.43 (1.17-1.68)]. This increase was mainly due to an increased incidence of tobacco-related cancer. In patients undergoing revascularization no increase in incidence was seen [SIR men 0.97 (0.91-1.03) and women 1.06 (0.91-1.20)]. CONCLUSION: Patients with mild to moderate symptomatic ischaemic syndromes are, as expected, at increased risk of subsequently develop tobacco-related cancer. A lack of increased cancer risk in patients undergoing revascularization could be due to a reduced ability for angiogenesis in patients with severe atherosclerotic disease but may also be related to lifestyle changes.
PubMed ID
16018789 View in PubMed
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Dental Calculus Links Statistically to Angina Pectoris: 26-Year Observational Study.

https://arctichealth.org/en/permalink/ahliterature284670
Source
PLoS One. 2016;11(6):e0157797
Publication Type
Article
Date
2016
Author
Birgitta Söder
Jukka H Meurman
Per-Östen Söder
Source
PLoS One. 2016;11(6):e0157797
Date
2016
Language
English
Publication Type
Article
Keywords
Angina Pectoris - complications - epidemiology
Dental Calculus - complications - epidemiology
Dental plaque
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Periodontal Diseases
Periodontal Index
Population Surveillance
Prospective Studies
Socioeconomic Factors
Sweden - epidemiology
Abstract
Dental infections, such as periodontitis, associate with atherosclerosis and its complications. We studied a cohort followed-up since 1985 for incidence of angina pectoris with the hypothesis that calculus accumulation, proxy for poor oral hygiene, links to this symptom.
In our Swedish prospective cohort study of 1676 randomly selected subjects followed-up for 26 years. In 1985 all subjects underwent clinical oral examination and answered a questionnaire assessing background variables such as socio-economic status and pack-years of smoking. By using data from the Center of Epidemiology, Swedish National Board of Health and Welfare, Sweden we analyzed the association of oral health parameters with the prevalence of in-hospital verified angina pectoris classified according to the WHO International Classification of Diseases, using descriptive statistics and logistic regression analysis.
Of the 1676 subjects, 51 (28 women/23 men) had been diagnosed with angina pectoris at a mean age of 59.8 ± 2.9 years. No difference was observed in age and gender between patients with angina pectoris and subjects without. Neither was there any difference in education level and smoking habits (in pack years), Gingival index and Plaque index between the groups. Angina pectoris patients had significantly more often their first maxillary molar tooth extracted (d. 16) than the other subjects (p = 0.02). Patients also showed significantly higher dental calculus index values than the subjects without angina pectoris (p = 0.01). Multiple regression analysis showed odds ratio 2.21 (95% confidence interval 1.17-4.17) in the association between high calculus index and angina pectoris (p = 0.015).
Our study hypothesis was confirmed by showing for the first time that high dental calculus score indeed associated with the incidence of angina pectoris in this cohort study.
Notes
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PubMed ID
27336307 View in PubMed
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High frequency of anxiety and angina pectoris in depressed women with coronary heart disease.

https://arctichealth.org/en/permalink/ahliterature83659
Source
Gend Med. 2007 Jun;4(2):146-56
Publication Type
Article
Date
Jun-2007
Author
Sundel Kristina Lindwall
Stain-Mahngren Rigmor
Andersson Agneta
Aberg-Wistedt Anna
Schenck-Gustafsson Karin
Author Affiliation
Department of Psychiatry, St. Görans Hospital, Institution for Clinical Neuroscience, The Karolinska Institutet, Stockholm, Sweden. kristina.sundel@sll.se
Source
Gend Med. 2007 Jun;4(2):146-56
Date
Jun-2007
Language
English
Publication Type
Article
Keywords
Adult
Angina Pectoris - complications - epidemiology - psychology
Anxiety - complications - epidemiology
Attitude to Health
Coronary Disease - complications - epidemiology - psychology
Cross-Sectional Studies
Depression - complications - epidemiology - psychology
Female
Health Surveys
Humans
Middle Aged
Prevalence
Severity of Illness Index
Sweden - epidemiology
Abstract
BACKGROUND: Depression is an unfavorable state that is difficult to recognize in patients with coronary heart disease (CHD). Little is known about the characteristics of depressed female CHD patients. OBJECTIVE: The purpose of this study was to investigate the occurrence of depressive symptoms in women entering a cardiac rehabilitation program, and furthermore, to examine whether women who have CHD and depressive symptoms display any unfavorable physical or psychological characteristics that could be helpful in identifying female CHD patients at increased risk of depression. METHODS: In a Swedish cross-sectional survey of Swedish women entering a randomized, female cardiac rehabilitation trial, patients with a Beck Depression Inventory (BDI) score indicating depression were compared with patients without depressive symptoms. RESULTS: Of the 121 women with CHD who participated in the study, 23.1% had BDI scores consistent with moderate to severe depression (BDI > or =19). Scores of > or =19 were strongly correlated to established angina pectoris (P = 0.007) and higher rates of anxiety on the Beck Anxiety Inventory (P
PubMed ID
17707848 View in PubMed
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Sleep and cardiac diseases amongst elderly people.

https://arctichealth.org/en/permalink/ahliterature54875
Source
J Intern Med. 1994 Jul;236(1):65-71
Publication Type
Article
Date
Jul-1994
Author
R. Asplund
Author Affiliation
County Hospital, Strömsund, Sweden.
Source
J Intern Med. 1994 Jul;236(1):65-71
Date
Jul-1994
Language
English
Publication Type
Article
Keywords
Aged
Angina Pectoris - complications - epidemiology
Arrhythmia - complications - epidemiology
Female
Humans
Male
Questionnaires
Sleep Disorders - complications - epidemiology
Sweden - epidemiology
Abstract
OBJECTIVES. To investigate the interrelationship between sleep complaints and cardiac symptoms. DESIGN. An epidemiological survey by means of questionnaire. SETTING. Västerbotten and Norrbotten in northern Sweden. SUBJECTS. All 10,216 members of the Swedish Pensioners' Association (SPF). MAIN OUTCOME MEASURES. Sleep disturbances and cardiac diseases. RESULTS. Of the men who slept well, 3.0% stated they were troubled by both spasmodic chest pain ('angina pectoris') and a sensation of irregular heart beats ('cardiac arrhythmia'), 9.9% had angina pectoris alone, 7.9% suffered from cardiac arrhythmia, and 79.2% had neither of these disorders. Amongst the men who slept poorly, the corresponding frequencies were 7.0%, 8.7%, 12.3% and 72.0% (P
Notes
Comment In: J Intern Med. 1995 Feb;237(2):215-67710530
PubMed ID
8021575 View in PubMed
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