Do heart failure status and psychosocial variables moderate the relationship between leisure time physical activity and mortality risk among patients with a history of myocardial infarction?

Background: Leisure time physical activity (LTPA) is inversely related to mortality risk among patients with a history of myocardial infarction (MI). The aims were to explore if heart failure (HF) status and psychosocial variables moderate the association.

Methods: Participants (n = 1169) were from a multi-center prospective cohort study.

Sense of coherence and 22-year all-cause mortality in adult men.

Background: Sense of coherence (SOC) is a central construct in Antonovsky's salutogenic theory, which focuses on people's health-promoting and health-protecting characteristics. We examined prospectively the association of SOC with all-cause mortality during 22 years (1989-2011).

Methods: The data of 585 men from the Israel longitudinal study of Glucose Intolerance, Obesity, and Hypertension (The Israel GOH) comprised the analytic sample.

Multilevel socioeconomic status and incidence of frailty post myocardial infarction.

Background: Frailty predicts mortality and hospitalizations in post-myocardial infarction (MI) patients. Socioeconomic status (SES) demonstrates a clear relationship with post-MI outcomes and is also associated with community frailty; however this relationship has yet to be evaluated in post-MI patients. We investigated the predictive value of socioeconomic factors in the development of post-MI frailty.

Exposure to particulate air pollution and long-term incidence of frailty after myocardial infarction.

Purpose: Frailty, a multidimensional syndrome of increased vulnerability, is prevalent post-myocardial infarction (MI) and predicts mortality and recurrent events. We investigated whether chronic exposure to particulate matter ≤2.5 μm in diameter (PM2.

Cumulative exposure to particulate matter air pollution and long-term post-myocardial infarction outcomes.

Introduction: Chronic environmental exposure to particulate matter <2.5μm in diameter (PM2.5) has been associated with cardiovascular disease; however, the effect of air pollution on myocardial infarction (MI) survivors is not clear.

Depression and anxiety following myocardial infarction and their inverse associations with future health behaviors and quality of life.

Background: Post-myocardial infarction (MI) depression and anxiety were found to predict prognosis and quality of life.

Purpose: The purpose of this study was to test a behavioral pathway from post-MI depression/anxiety to future quality of life.

Methods: This is a longitudinal cohort study.

Recovery of self-rated health as a predictor of recurrent ischemic events after first myocardial infarction: a 13-year follow-up.

Objective: Following the trajectory hypothesis for the validity of self-rated health (SRH), we tested whether subjective recovery of health, that is, return to the same or higher level of SRH after a major health event, independently predicts better long-term prognosis.

Methods: Participants were 640 patients (≤ 65 years) admitted to the eight medical centers in central Israel with incident MI in a 1-year period (mean age 54, 17% female). Baseline data were collected within days of the index MI.

Ethnicity and long-term prognosis after myocardial infarction: a population-based cohort study.

Background: Health disparities are systematic differences in health, favoring members of advantaged over disadvantaged groups in the society. This study examines the contribution of multiple socioeconomic status (SES) measures to ethnic differences in after myocardial infarction (MI) prognosis.

Methods: Patients aged 65 years and younger (n=1040) belonging to Ashkenazi and Mizrahi advantaged and disadvantaged ethnic groups discharged from 8 hospitals in central Israel after incident MI in 1992-1993, were followed up through 2005 for all-cause mortality, recurrent MI, heart failure, and ischemic stroke.

Clinical relevance of frailty trajectory post myocardial infarction.

Background: Frailty describes the heterogeneity of vulnerability in older people and has been shown to predict mortality, disability, and institutionalization. Little is known about the clinical relevance of frailty post myocardial infarction (MI).

Design: The Rockwood frailty index, based on accumulation of deficits, was adapted in a cohort of MI survivors followed up for 20 years, in order to assess trajectory and predictive value for clinical outcomes.

Socioeconomic environment and recurrent coronary events after initial myocardial infarction.

Purpose: Longitudinal data linking area-level socioeconomic status (SES) to repeated acute coronary syndrome (ACS) events are limited. Using multiple failure-time data, we examined the association between neighborhood SES and ACS in a community-based cohort of myocardial infarction (MI) survivors.

Methods: Consecutive patients aged 65 years or younger discharged from eight hospitals in central Israel after first MI in 1992-1993 were followed through 2005.

Post-myocardial infarction depression: increased hospital admissions and reduced adoption of secondary prevention measures--a longitudinal study.

Objective: Depression is prevalent in the aftermath of myocardial infarction (MI), and has been linked with mortality however few studies have investigated hospital admissions in MI survivors. Using a prospective cohort design, we examined the long-term relationship between depressive symptoms, post-MI hospital admissions and secondary prevention measures, in order to assess the burden of post-MI depression on patients and the healthcare system.

Methods: A cohort of 632 patients aged ≤65 years, admitted for first-ever MI to 1 of the 8 hospitals in central Israel, was followed up for 10-13 years.

Sense of coherence predicts post-myocardial infarction trajectory of leisure time physical activity: a prospective cohort study.

Background: Physical activity confers a survival advantage after myocardial infarction (MI), yet the majority of post-MI patients are not regularly active. Since sense of coherence (SOC) has been associated with health outcomes and some health behaviours, we investigated whether it plays a role in post-MI physical activity. We examined the predictive role of SOC in the long-term trajectory of leisure time physical activity (LTPA) after MI using a prospective cohort design.

Neighborhood socioeconomic status and leisure-time physical activity after myocardial infarction: A longitudinal study.

Background: Area-level SES is independently associated with myocardial infarction (MI) prognosis, yet the mechanisms for this association remain speculative.

Purpose: Using a population-based cohort of MI patients, this study examined whether neighborhood SES predicts long-term trajectory of leisure-time physical activity (LTPA), an established prognostic factor.

Methods: Patients aged ≤65 years (n=1410) admitted to hospital in central Israel with first MI in 1992-1993, were followed up through 2005.

Role of socioeconomic status measures in long-term mortality risk prediction after myocardial infarction.

Background: The relationship of risk factors to outcomes has traditionally been assessed by measures of association such as odds ratio or hazard ratio and their statistical significance from an adjusted model. However, a strong, highly significant association does not guarantee a gain in stratification capacity. Using recently developed model performance indices, we evaluated the incremental discriminatory power of individual and neighborhood socioeconomic status (SES) measures after myocardial infarction (MI).

Long-term predictors of smoking cessation in a cohort of myocardial infarction survivors: a longitudinal study.

Background: Smoking has been causally linked to cardiovascular disease, and smoking cessation after myocardial infarction (MI) has been associated with a 50% reduction in mortality. Post-MI smokers are a vulnerable population for which efforts to encourage cessation should be maximized. We examined the determinants of smoking cessation after MI.

Socioeconomic risk factor aggregation and long-term incidence of ischemic stroke in patients after first acute myocardial infarction.

Background: Low socioeconomic status (SES) has been associated with increased cardiovascular risk. However, the association between SES and stroke incidence in patients with acute myocardial infarction (AMI) has not been studied. We assessed the association between a multidimensional SES construct and long-term ischemic stroke incidence after AMI in a prospective community-based cohort study.

Poor neighborhood socioeconomic status and risk of ischemic stroke after myocardial infarction.

Background: Data linking neighborhood socioeconomic status (SES) to stroke risk are scarce. We examined long-term stroke incidence according to neighborhood SES in a population-based cohort of patients hospitalized with first myocardial infarction (MI).

Methods: Consecutive patients aged 65 years or less, discharged from 8 hospitals in central Israel after incident MI in 1992-1993, were followed for stroke through 2005.

Long-term trajectory of leisure time physical activity and survival after first myocardial infarction: a population-based cohort study.

The benefits of leisure time physical activity (LTPA) in cardiovascular prevention are well established. While cardiac rehabilitation programmes have been demonstrated as improving myocardial infarction (MI) prognosis, the strength of the association between LTPA and post-MI survival has yet to be quantified. We evaluated long-term survival after MI of inactive, irregularly active, and regularly active patients and examined trajectories of LTPA and their relationship to mortality risk.

Cumulative exposure to air pollution and long term outcomes after first acute myocardial infarction: a population-based cohort study. Objectives and methodology.

Background: Cardiovascular disease is a leading cause of morbidity and mortality worldwide and epidemiological studies have consistently shown an increased risk for cardiovascular events in relation to exposure to air pollution. The Israel Study of First Acute Myocardial Infarction was designed to longitudinally assess clinical outcomes, psychosocial adjustment and quality of life in patients hospitalized with myocardial infarction. The current study, by introducing retrospective air pollution data, will examine the association between exposure to air pollution and outcome in myocardial infarction survivors.

Smoking status and long-term survival after first acute myocardial infarction a population-based cohort study.

Objectives: We compared long-term survival after acute myocardial infarction (AMI) of never-smokers, pre-AMI quitters, post-AMI quitters, and persistent smokers and assessed whether cigarette reduction among persistent smokers is associated with lower mortality.

Background: Quitting smoking has been shown to improve outcome after AMI. However, longitudinal cohort data with repeated assessments of smoking and information on multiple confounders are lacking.

[Clinical outcome and psychosocial adjustment 10-13 years after a first acute myocardial infarction: preliminary findings].

Unlabelled: Preliminary findings of the previousLy described followup study of myocardial infarction (MI) are summarized herein. All-cause mortality was 28%. One or more cardiac events occurred in 83% of the patients: recurrent MI in 31%; unstable angina pectoris in 52%; heart failure in 23%.

Neighborhood socioeconomic context and long-term survival after myocardial infarction.

Background: Neighborhood of residence has been suggested to affect cardiovascular risk above and beyond personal socioeconomic status (SES). However, such data are currently lacking for patients with myocardial infarction (MI). We examined all-cause and cardiac mortality according to neighborhood SES in a cohort of MI patients.

[Prospective cohort study of patients with a first acute myocardial infarction in Israel: study description].

Background: Sociodemographic, medical and psychosocial factors affect coronary disease occurrence and clinical course as well as psychosocial adjustment to illness. However, Longitudinal studies of their differential and independent role are scarce. This article describes a Longitudinal prospective investigation of patients hospitalized in Israel in 1992-3 with a first acute myocardial infarction (AMI).

Prognostic importance and long-term determinants of self-rated health after initial acute myocardial infarction.

Background: Self-rated health (SRH) is a valid measure of health and its trajectories over time have been found to predict mortality. A better understanding of the determinants of changes in SRH is required, particularly post-myocardial infarction (MI), where rapid changes in health may occur.

Objectives: To evaluate the prognostic importance of SRH and the determinants of its long-term trajectory in patients with MI.