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New research identifies modifiable risk factors for heart disease
Date:12/11/2009

ss all ethnic groups, suggesting menopause has a uniform influence on lipids. Researchers found no changes in inflammatory or anticoagulation factors, blood pressure, or insulin and glucose related to a woman's final menstrual period; instead, these risk factors were consistent with a linear model, indicative of chronological aging.

Authors state these findings emphasize the need to closely monitor lipid profiles of pre-menopausal and peri-menopausal women, and encourage proven lifestyle changes and therapeutic interventions to try to counter and possibly prevent adverse changes in lipids due to menopausal transition. Participants in this 9-year study ranged in age from 42 to 52 years; they were not taking hormone therapy before menopause, were free of stroke, heart disease and diabetes at entry and were followed annually for nine years and experienced their final menstrual period during follow-up.

Never Smoking or Quitting Before or After an Initial Heart Attack Improves Long-Term Survival

According to a new study that followed 1,521 patients (≤65 years of age) over a median of 13.2 years, survivors of a first heart attack who never smoked had roughly one-half the risk of dying than those who continued to smoking following a heart attack. Moreover, data suggests smokers who quit before or after suffering a heart attack had a better chance of survival (a reduced mortality risk of 50 percent and 37 percent, respectively) compared with persistent smokers. According to the authors, this reduction appears to be at least as beneficial as other secondary preventive therapies, such as lowering cholesterol (a 29 percent reduction), aspirin (15 percent) and beta blockers (23 percent).

Among patients who continued smoking, reducing the number of daily cigarettes played a protective rolecutting out five cigarettes a day was associated with an 18 percent decline in mortality risk (p < 0.001). The majority of patients followed
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Contact: Amanda Jekowsky
ajekowsk@acc.org
202-375-6645
American College of Cardiology
Source:Eurekalert

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