PURPOSE: To assess the relationship between sibling history of myocardial infarction (MI) or stroke with cardiovascular disease (CVD) and risk factors in older adults. METHODS: Prospective cohort study of 5,888 older adults participating in the Cardiovascular Health Study (CHS). History of MI and stroke in siblings was obtained by self-report. Participants with positive sibling histories were compared to those with negative histories to determine if prevalent or incident disease (coronary heart disease [CHD], MI, stroke, angina), subclinical CVD (carotid wall thickness, left ventricular mass, hypertension, diabetes, ankle-brachial index), CVD risk factors differed between groups. RESULTS: More than 91% (n = 5,383) of CHS participants reported at least one sibling. Sibling history of MI was associated with increased disease prevalence (CHD, MI, angina) and incidence (CHD, angina). Sibling history of stroke was associated with increased disease prevalence (CHD, angina). Sibling history of either MI or stroke was associated with increased disease prevalence and incidence for CHD, MI and angina, more subclinical disease, and a higher CVD risk profile. CONCLUSIONS: Sibling history of MI and stroke were markers of higher CVD risk status even in older adults. Of clinical importance, participants with positive sibling history have numerous risk factors amenable to intervention.
PURPOSE: To assess the relationship between sibling history of myocardial infarction (MI) or stroke with cardiovascular disease (CVD) and risk factors in older adults. METHODS: Prospective cohort study of 5,888 older adults participating in the Cardiovascular Health Study (CHS). History of MI and stroke in siblings was obtained by self-report. Participants with positive sibling histories were compared to those with negative histories to determine if prevalent or incident disease (coronary heart disease [CHD], MI, stroke, angina), subclinical CVD (carotid wall thickness, left ventricular mass, hypertension, diabetes, ankle-brachial index), CVD risk factors differed between groups. RESULTS: More than 91% (n = 5,383) of CHSparticipants reported at least one sibling. Sibling history of MI was associated with increased disease prevalence (CHD, MI, angina) and incidence (CHD, angina). Sibling history of stroke was associated with increased disease prevalence (CHD, angina). Sibling history of either MI or stroke was associated with increased disease prevalence and incidence for CHD, MI and angina, more subclinical disease, and a higher CVD risk profile. CONCLUSIONS: Sibling history of MI and stroke were markers of higher CVD risk status even in older adults. Of clinical importance, participants with positive sibling history have numerous risk factors amenable to intervention.
Authors: Lynda D Lisabeth; Sharon L R Kardia; Melinda A Smith; Myriam Fornage; Lewis B Morgenstern Journal: Neuroepidemiology Date: 2004-09-24 Impact factor: 3.282
Authors: P G Wiklund; W M Brown; T G Brott; B Stegmayr; R D Brown; S Nilsson-Ardnor; J A Hardy; B M Kissela; A Singleton; D Holmberg; S S Rich; J F Meschia Journal: Neurology Date: 2007-02-06 Impact factor: 9.910
Authors: Arvind K Pandey; Michael J Blaha; Kavita Sharma; Juan Rivera; Matthew J Budoff; Ron Blankstein; Mouaz Al-Mallah; Nathan D Wong; Leslee Shaw; Jeffery Carr; Daniel O'Leary; Joao A C Lima; Moyses Szklo; Roger S Blumenthal; Khurram Nasir Journal: Atherosclerosis Date: 2013-12-06 Impact factor: 5.162