1. Smoking and Type 1 Versus Type 2 Myocardial Infarction Among People With HIV in the United States: Results from the Center for AIDS Research Network Integrated Clinical Systems Cohort.
- Author
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Crane HM, Nance RM, Ruderman SA, Drumright LN, Mixson LS, Heckbert SR, Feinstein MJ, Budoff MJ, Bamford L, Cachay E, Napravnik S, Moore RD, Keruly J, Willig AL, Burkholder GA, Hahn A, Ma J, Fredericksen R, Saag MS, Chander G, Kitahata MM, Crothers K, Mayer KH, O'Cleirigh C, Cropsey K, Whitney BM, and Delaney JAC
- Subjects
- Humans, Male, Female, Middle Aged, United States epidemiology, Adult, Risk Factors, Cohort Studies, Proportional Hazards Models, Myocardial Infarction epidemiology, HIV Infections epidemiology, HIV Infections complications, Smoking epidemiology
- Abstract
Abstract: Smoking is a myocardial infarction (MI) risk factor among people with HIV (PWH). Questions persist regarding the role of smoking behaviors and measurements (e.g., intensity, duration) on MI risk. We used Cox proportional hazards regression to compare the association of smoking parameterization with incidents of type 1 and type 2 MI and whether smoking intensity or duration improves MI risk prediction among PWH. Among 11,637 PWH, 37% reported currently smoking, and there were 346 MIs. Current smoking was associated with type 1 (84% increased risk) but not type 2 MI in adjusted analyses. The type 1 MI model with pack years had the best goodness of fit compared with other smoking parameterizations. Ever or never parameterization and smoking diagnosis data had significantly poorer model fit. These results highlight the importance of differentiating MI types and performing patient-based smoking assessments to improve HIV care and research rather than relying on smoking status from diagnoses., (Copyright © 2024 Association of Nurses in AIDS Care.)
- Published
- 2024
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