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Kristina Bengtsson Boström

Associate professor

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Predictors of acute myocardial infarction mortality in hypertensive patients treated in primary care.


  • Erik Bøg-Hansen
  • Charlotte A Larsson
  • Bo Gullberg
  • Arne Melander
  • Kristina Bengtsson Boström
  • Lennart Råstam
  • Ulf Lindblad

Summary, in English

Objective. To explore risk factors for acute myocardial infarction (AMI) mortality in hypertensive patients treated in primary care. Design. Community-based cohort study. Setting. Hypertension outpatient clinic in primary health care. Subjects. Patients who consecutively underwent an annual follow-up during 1992-1993 (n =894; 377 men and 517 women). Methods. All events of fatal AMI were ascertained by record linkage to the National Mortality Register to December 31, 2002. Gender-specific predictors for AMI mortality were analysed by Cox regression. Main outcome measure. AMI mortality. Results. During a mean follow-up of 8.7 years 32 cases (8.5%) of fatal AMI were observed in men and 31 cases (6.0%) were observed in women. Most important predictors for AMI mortality in men were microalbuminuria (HR 3.8, CI 1.8-8.0) and left ventricular hypertrophy (HR 4.0, CI 1.7-9.4), whilst in women type 2 diabetes (HR 4.8, CI 2.4-9.8) was an important predictor. In hypertensive patients without diabetes male gender was associated with high AMI mortality (HR 2.7, CI 1.4-5.3), but in patients with both hypertension and type 2 diabetes the higher risk in men disappeared (HR 0.8, CI 0.4-1.7). Conclusion. Cardiovascular disease risk factors remain strong predictors of AMI mortality in hypertensive patients but with a different pattern in the two genders. Markers of organ damage are more important predictors in men, whereas markers of impaired glucose metabolism are more important predictors in women.


  • Department of Clinical Sciences, Malmö
  • Community Medicine

Publishing year







Scandinavian Journal of Primary Health Care





Document type

Journal article


Taylor & Francis


  • Health Care Service and Management, Health Policy and Services and Health Economy


  • Acute myocardial infarction
  • cardiovascular disease risk factors
  • family practice
  • hypertension
  • primary care
  • type 2 diabetes



Research group

  • Community Medicine


  • ISSN: 0281-3432