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Family Practice Advance Access originally published online on July 29, 2005
Family Practice 2005 22(6):583-584; doi:10.1093/fampra/cmi070
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© The Author (2005). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Increased mortality in partners of female myocardial infarction patients

Tanja MC Skrotzkia, Marjan van den Akkera, Arnold DM Kesterb and Frank Buntinxa,c

a Department of General Practice, Maastricht University, Care and Public Health Research Institute, The Netherlands, b Department of Methodology and Statistics, Maastricht University, Care and Public Health Research Institute, The Netherlands and c Department of General Practice, Katholieke Universiteit Leuven, Belgium.

Correspondence to Marjan van den Akker, Maastricht University, Department of General Practice, PO Box 616, 6200 MD Maastricht, The Netherlands; Email: marjan.vandenakker{at}hag.unimaas.nl

Background. Many studies have been performed on the impact of Alzheimer's disease, stroke and cancer on carers. Information on the influence of a myocardial infarction in a patient on the health of the partner is still scarce.

Methods. Exposed and non-exposed partners were compared with respect to the occurrence of mortality and predefined diseases, using Cox proportional hazards survival analysis.

Results. None of the disease incidence rates differed between exposed partners and control partners. Over 12 times as many male partners of (female) heart patients died as compared to their male control partners, when they had a low educational level.

Conclusion. When exposed to myocardial infarction in a patient, the risk of dying in low educated male partners was over 12 times as large as for male low educated unexposed partners.

Keywords. Morbidity, mortality, myocardial infarction, spouse caregivers.


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