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Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
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.
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.
Abstract:
Breast cancer is the most common malignancy among women. While advances in detection and treatment have improved survival, breast cancer survivors face an increased risk of cardiovascular disease. However, limited data exist on cardiac outcomes after ST-elevation myocardial infarction (STEMI) in this population. This retrospective cohort study analyzed the National Inpatient Sample (NIS) database (2016-2021). Adult women hospitalized with STEMI were categorized as breast cancer survivors or without a history of breast cancer. The primary outcome was in-hospital mortality, with multivariable logistic regression used to adjust for confounders. A total of 369,070 adult females were included (breast cancer survivors, n = 13,890; without breast cancer, n = 355,180). Breast cancer survivors were older with more cardiovascular comorbidities. After adjustment, breast cancer survivors had lower odds of in-hospital mortality (adjusted odds ratio [aOR] 0.82, 95% CI 0.72-0.93), cardiogenic shock (aOR 0.88, 95% CI 0.77-0.99), and acute kidney injury (aOR 0.85, 95% CI 0.76-0.95). Breast cancer survivors hospitalized for STEMI had lower in-hospital mortality and complications, compared with those without breast cancer. These hypothesis-generating findings suggest that advances in oncology and cardiovascular care may contribute to improved outcomes.
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