Trends, Characteristics and Outcomes in Breast Cancer Survivors With STEMI

Jia Ee Chia1, Song Peng Ang2, Muhammed Haris Usman3

  • 1Department of Internal Medicine, Texas Tech University Health Science Center, El Paso, TX, USA.

Angiology
|January 22, 2025
PubMed

Insights

Breast cancer survivors hospitalized for ST-elevation myocardial infarction (STEMI) experienced lower in-hospital mortality and fewer complications. These findings suggest improved care may benefit this patient group.

Area of Science:

  • Cardiology
  • Oncology
  • Public Health

Background:

  • Breast cancer is the most common cancer in women, and survivors have an increased risk of cardiovascular disease.
  • Limited data exist on cardiac outcomes for breast cancer survivors experiencing ST-elevation myocardial infarction (STEMI).

Purpose of the Study:

  • To investigate in-hospital mortality and cardiac outcomes in breast cancer survivors hospitalized with STEMI.
  • To compare outcomes between breast cancer survivors and women without a history of breast cancer following STEMI.

Main Methods:

  • Retrospective cohort study using the National Inpatient Sample (NIS) database from 2016-2021.
  • Inclusion of adult women hospitalized with STEMI, categorized into breast cancer survivors and non-survivors.
  • Multivariable logistic regression analysis to adjust for confounding factors and assess primary outcome (in-hospital mortality) and secondary outcomes.

Main Results:

  • The study included 369,070 women (13,890 breast cancer survivors).
  • Breast cancer survivors were older and had more cardiovascular comorbidities.
  • Adjusted analysis revealed lower odds of in-hospital mortality (aOR 0.82), cardiogenic shock (aOR 0.88), and acute kidney injury (aOR 0.85) in breast cancer survivors.

Conclusions:

  • Breast cancer survivors hospitalized for STEMI demonstrated better in-hospital outcomes, including reduced mortality and complications.
  • These findings may indicate the positive impact of advancements in both oncology and cardiovascular care.
  • Further research is needed to confirm these hypothesis-generating results and explore underlying mechanisms.

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