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Marriage reduces the risk of heart attack in both men and women and at all ages
Date:1/31/2013

Similarly, mortality rates among 65-74-year old married women were 247 per 100,000 persons per year, but 493 per 100,000 when the woman was unmarried. Statistically, the figures represented a 28-day "case fatality" rate of 26% in the 35-64-year-old married men, 42% in men who had previously been married, and 51% in never-married men. Among women, the corresponding figures were 20%, 32%, and 43%.

Consistent with this finding, the case fatality rate of 35-64-year-old single men and women was higher than that of those living with one or more people.

According to the authors' background to the study, being unmarried or living alone is known to increase total and cardiovascular mortality and cardiovascular disease incidence. However, many of these previous studies have included only men in their analysis, with missing data on women and older age groups.

Why should single living or being unmarried be associated with such a greater susceptibility to coronary events, and particularly fatal events? The authors suggest several possibilities:

  • Differences in the prevalence of traditional cardiovascular risk factors. "We cannot exclude the possibility that persons with poor health status may be more prone to staying unmarried or getting divorced," the authors state.

  • Married people may be better off, have better health habits, and enjoy higher levels of social support than the unmarried, which will all promote their overall health.

  • Better prospects in the pre-hospital phase because of earlier intervention. "It may be assumed that resuscitation or calling for help was initiated faster and more often among those married or cohabiting," say the authors.

  • Better treatment once in hospital and after discharge. "We found that a larger proportion of married and cohabiting men received reperfusion therapy at acute stage which may contribute to their better survival after hospitalisation. Lower
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Contact: Jacqueline Partarrieu
press@escardio.org
33-492-947-756
European Society of Cardiology
Source:Eurekalert

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