Association between family history and coronary heart disease death across long-term follow-up in men: the Cooper Center Longitudinal Study
- PMID: 22623718
- PMCID: PMC3631594
- DOI: 10.1161/CIRCULATIONAHA.111.065490
Association between family history and coronary heart disease death across long-term follow-up in men: the Cooper Center Longitudinal Study
Abstract
Background: Family history of coronary heart disease (CHD) has been well studied as an independent risk factor for CHD events in the short term (<10 years). However, data are sparse on the association between family history and risk for CHD across long-term follow-up.
Methods and results: We included 49 255 men from the Cooper Center Longitudinal Study. Premature family history of CHD was defined as the presence of angina, myocardial infarction, angioplasty, or bypass surgery in a relative <50 years of age. Cause-specific mortality was obtained from the National Death Index. The association between premature family history and cardiovascular disease (CVD) or CHD death was compared across 3 unique follow-up periods (0-10, >10-20, and >20 years). Lifetime risk was estimated by use of a modified survival analytic technique adjusted for competing risk with non-CVD death as the competing event. After 811 708 person-years of follow-up, there were 919 CHD deaths and 1456 CVD deaths. After adjustment for traditional risk factors, premature family history was associated with CHD mortality >10 to 20 years (1.59; 95% confidence interval, 1.14-2.22) and >20 years (1.43; 95% confidence interval, 1.05-1.95) with wider confidence intervals at 0 to 10 years (1.32; 95% confidence interval, 0.76-2.31). Similar findings were observed for CVD mortality. Compared with men without a family history of coronary artery disease, premature family history was associated with an ≈50% higher lifetime risk for both CHD and CVD mortality (13.7% versus 8.9% and 21% versus 14.1%, respectively).
Conclusion: Premature family history was associated with a persistent increase in both CHD and CVD mortality risk across long-term follow-up, resulting in significantly higher lifetime risk estimates.
Figures
![Figure 1](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3631594/bin/nihms-459143-f0001.gif)
![Figure 2](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3631594/bin/nihms-459143-f0002.gif)
Similar articles
-
The Prognostic Value of Family History for the Estimation of Cardiovascular Mortality Risk in Men: Results from a Long-Term Cohort Study in Lithuania.PLoS One. 2015 Dec 2;10(12):e0143839. doi: 10.1371/journal.pone.0143839. eCollection 2015. PLoS One. 2015. PMID: 26630455 Free PMC article.
-
Relationship of baseline serum cholesterol levels in 3 large cohorts of younger men to long-term coronary, cardiovascular, and all-cause mortality and to longevity.JAMA. 2000 Jul 19;284(3):311-8. doi: 10.1001/jama.284.3.311. JAMA. 2000. PMID: 10891962
-
Favorable cardiovascular risk profile in young women and long-term risk of cardiovascular and all-cause mortality.JAMA. 2004 Oct 6;292(13):1588-92. doi: 10.1001/jama.292.13.1588. JAMA. 2004. PMID: 15467061
-
Quantitative Association Between Serum/Dietary Magnesium and Cardiovascular Disease/Coronary Heart Disease Risk: A Dose-Response Meta-analysis of Prospective Cohort Studies.J Cardiovasc Pharmacol. 2019 Dec;74(6):516-527. doi: 10.1097/FJC.0000000000000739. J Cardiovasc Pharmacol. 2019. PMID: 31815866 Review.
-
Explaining the sex difference in coronary heart disease mortality among patients with type 2 diabetes mellitus: a meta-analysis.Arch Intern Med. 2002 Aug 12-26;162(15):1737-45. doi: 10.1001/archinte.162.15.1737. Arch Intern Med. 2002. PMID: 12153377 Review.
Cited by
-
Interleukin-6 and uric acid among type 2 diabetes mellitus patients with coronary artery disease.Bioinformation. 2023 Dec 31;19(12):1134-1138. doi: 10.6026/973206300191134. eCollection 2023. Bioinformation. 2023. PMID: 38250529 Free PMC article.
-
Initial Evaluation and Management of Patients Presenting with Acute Chest Pain in the Emergency Department.Curr Cardiol Rep. 2023 Dec;25(12):1677-1686. doi: 10.1007/s11886-023-01984-6. Epub 2023 Oct 27. Curr Cardiol Rep. 2023. PMID: 37889421 Review.
-
Risk factors associated with contrast-associated acute kidney injury in ST-segment elevation myocardial infarction patients: a systematic review and meta-analysis.BMJ Open. 2023 Jun 28;13(6):e070561. doi: 10.1136/bmjopen-2022-070561. BMJ Open. 2023. PMID: 37380206 Free PMC article.
-
Genetic, sociodemographic, lifestyle, and clinical risk factors of recurrent coronary artery disease events: a population-based cohort study.Eur Heart J. 2023 Sep 21;44(36):3456-3465. doi: 10.1093/eurheartj/ehad380. Eur Heart J. 2023. PMID: 37350734 Free PMC article.
-
Coronary Artery Disease Risk Prediction in Young Adults: How Can We Overcome the Dominant Effect of Age?Curr Atheroscler Rep. 2023 Jun;25(6):257-265. doi: 10.1007/s11883-023-01106-1. Epub 2023 May 17. Curr Atheroscler Rep. 2023. PMID: 37195598 Review.
References
-
- Lloyd-Jones DM, Nam BH, D’Agostino RB, Sr, Levy D, Murabito JM, Wang TJ, Wilson PW, O’Donnell CJ. Parental cardiovascular disease as a risk factor for cardiovascular disease in middle-aged adults: a prospective study of parents and offspring. JAMA. 2004;291:2204–2211. - PubMed
-
- Marenberg ME, Risch N, Berkman LF, Floderus B, de Faire U. Genetic susceptibility to death from coronary heart disease in a study of twins. N Engl J Med. 1994;330:1041–1046. - PubMed
-
- Andresdottir MB, Sigurdsson G, Sigvaldason H, Gudnason V. Fifteen percent of myocardial infarctions and coronary revascularizations explained by family history unrelated to conventional risk factors: the Reykjavik Cohort Study. Eur Heart J. 2002;23:1655–1663. - PubMed
-
- Third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106:3143–3421. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical