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Updated: Nov 23, 2025

Extraction and Analysis of Cortisol from Human and Monkey Hair
Published on: January 24, 2014
Elevated levels of cortisol in hair precede acute myocardial infarction
Tomas Faresjö1, Susanna Strömberg2, Mike Jones3
1Department of Health, Medicine and Care, General Practice, Linköping University, Linköping, Sweden. tomas.faresjo@liu.se.
Insights
Elevated hair cortisol concentrations (HCC) were observed in individuals who experienced acute myocardial infarction (AMI). This finding suggests chronic stress may be a significant risk factor for heart attacks.
Area of Science:
- Endocrinology
- Cardiology
- Psychoneuroimmunology
Background:
- Modern societies face widespread long-term stress, a potential trigger for various diseases.
- Acute myocardial infarction (AMI) is a leading cause of mortality, with ongoing research into its risk factors.
Purpose of the Study:
- To investigate the association between hair cortisol concentrations (HCC) and acute myocardial infarction (AMI).
- To determine if cortisol levels are an independent risk factor for AMI.
Main Methods:
- A case-control study comparing middle-aged AMI patients (n=174) with a population-based control group (n=3156).
- Measurement of Hair Cortisol Concentrations (HCC) in both cases and controls.
- Statistical analysis including bivariate and multivariate analyses, controlling for established cardiovascular risk factors.
Main Results:
- Median HCC was significantly higher in AMI patients (53.2 pg/mg) compared to controls (22.2 pg/mg) (p < 0.001).
- Higher HCC levels showed a strong association with AMI status (OR=5.69, p < 0.001).
- This association remained significant after adjusting for cardiovascular risk factors (OR=5.04, p < 0.001).
Conclusions:
- Middle-aged individuals with AMI exhibit significantly elevated cortisol levels in the month preceding the event.
- Cortisol concentration, measured via HCC, is an independent and significant biomarker related to AMI.
- Chronic stress emerges as a potential novel risk factor for acute myocardial infarction.
Abstract:
Long term stress exposure is typical for modern societies and might trigger different diseases. This case-control study reveals that persons who had suffered an acute myocardial infarction (AMI) had elevated cortisol concentrations in the month before the acute event. Middle-aged patients admitted to cardiology clinics with acute myocardial infarction (AMI) (n = 174) were compared to 3156 controls from a population-based cohort in southeast Sweden. The median Hair Cortisol Concentrations (HCC) for those who had suffered an AMI was 53.2 pg/mg compared to 22.2 pg/mg for the control group (p < 0.001). In bivariate analysis, higher levels of HCC were strongly (OR = 5.69) and statistically significantly associated with current AMI status. The discrimination of cases with AMI from controls remained statistically significant (OR = 5.04) even after controlling for established cardiovascular risk factors in a multivariate analysis. Middle-aged persons with acute myocardial infarction had significantly elevated cortisol levels during the month before the cardiac event. This was evident for both men and women. The biomarker cortisol concentration was independently and statistically significantly related to AMI. Chronic stress seems to be a new promising risk factor for AMI.
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