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Cited by 229

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Serum bilirubin and risk of ischemic heart disease in middle-aged British men

Breimer, L H, Wannamethee, G, Ebrahim, S, Shaper, A G·1995·Clinical Chemistry

Abstract

The possibility that low concentrations of serum bilirubin may be associated with increased risk of ischemic heart disease has been examined in a prospective study of 7685 middle-aged British men. During 11.5 years there were 737 major ischemic heart disease (IHD) events. A U-shaped relationship was observed between serum bilirubin and risk of IHD. Low bilirubin was associated with several cardiovascular risk factors, in particular smoking, low concentrations of high-density lipoprotein cholesterol, low forced expiratory volume in 1 s, and low serum albumin. The U-shaped relationship persisted even after adjusting for several risk factors. Compared with men in the lowest fifth of the distribution (bilirubin < 7 mumol/L), those in the middle range (8-9 mumol/L) showed a 30% reduction in relative risk [RR = 0.68 (95% confidence intervals 0.51-0.89)] in IHD, whereas men in the top fifth (> 12 mumol/L) showed similar risk to the lowest fifth [RR = 0.99 (95% confidence intervals 0.73-1.34)], which persisted after exclusion of men with bilirubin > 17 mumol/L. The significance of this U-shaped relationship is unclear, but it could be interpreted as support for the role of endogenous antioxidants in the etiology of IHD.

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Metadata

Authors
Breimer, L. H., Wannamethee, G., Ebrahim, S., & Shaper, A. G.
Venue
Clinical Chemistry
Published
1995-10-01
Volume
41
Issue
10
Pages
1504-1508
ISSN
  • 0009-9147 (ISSN-L)
  • 1530-8561
OpenAlex
W2108870749
Cited by
229
References
2
FWCI
0.59
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Serum bilirubin and risk of ischemic heart disease in middle-aged British men. https://app.cochat.ai/papers/10.1093/clinchem/41.10.1504
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Breimer, L. H., Wannamethee, G., Ebrahim, S., & Shaper, A. G. (1995). Serum bilirubin and risk of ischemic heart disease in middle-aged British men. Clinical Chemistry. https://doi.org/10.1093/clinchem/41.10.1504

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