Living alone after myocardial infarction. Impact on prognosis
Case, R.B.; Moss, A.J.; Case, N.; McDermott, M.; Eberly, S.
JAMA 267(4): 515-519
1992
ISSN/ISBN: 0098-7484 PMID: 1729573 Document Number: 393440
Objective: To determine if the presence of a disrupted marriage or living alone would be an independent prognostic risk factor for a subsequent major cardiac event following an initial myocardial infarction. Design: Prospective evaluation in the placebo wing of a randomized, double-blind drug trial in patients with an enzyme-documented acute myocardial infarction who were admitted to a coronary care facility. Data for living alone and/or a marital disruption were entered into a Cox proportional hazards model constructed from important physiologic and nonphysiologic factors in the same database. Setting: Multicenter trial in a mixture of a community and academic hospitals in the United States and Canada. Patients: All consenting patients who were 25 to 75 years of age and without other serious diseases were enrolled (placebo, N = 1234) within 3 to 15 days of the index infarction and followed for a period of 1 to 4 years (mean, 2.1 years). Nine hundred sixty-seven patients were followed for 1.1 years and 530 for 2.2 years. Primary Outcome Measure: Recurrent major cardiac event (either recurrent nonfatal infarction or cardiac death). Results: Living alone was an independent risk factor, with a hazard ratio of 1.54 (95% confidence interval, 1.04 to 2.29; P < .03). Using the Kaplan-Meier statistical method for calculation, the recurrent cardiac event rate at 6 months was 15.8% in the group living alone. Risk remained significant throughout the follow-up period (P = .001). A disrupted marriage was not an independent risk factor. Conclusion: Living alone but not a disrupted marriage is an independent risk factor for prognosis after myocardial infarction when compared with all other known risk factors.