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Cited by 232

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Increased Risk of Acute Myocardial Infarction in Carriers of the Hemochromatosis Gene Cys282Tyr Mutation: A Prospective Cohort Study in Men in Eastern Finland

Tuomainen, Tomi-Pekka, Kontula, Kimmo, Nyyssönen, Kristiina, Lakka, Timo A., Heliö, Tiina, Salonen, Jukka T.·1999·Circulation

Abstract

Background —Homozygosity for a relatively common Cys282Tyr mutation of the human hemochromatosis-associated ( HFE ) gene was recently found to account for most cases of hereditary hemochromatosis. Because excess iron has been postulated to enhance risk of vascular disease, we studied whether occurrence of this mutation was associated with increased risk of first acute myocardial infarction in healthy middle-aged men in a prospective cohort study. Methods and Results —Study subjects were the 1150 participants in the population-based Kuopio Ischemic Heart Disease Risk Factor Study (KIHD), aged 42, 48, 54, or 60 years at baseline, who had no coronary heart disease at baseline and for whom a DNA sample was available. Information about myocardial infarctions was collected prospectively by use of FINMONICA (FINnish MONItoring of trends and determinants in CArdiovascular disease study) and hospital data. Events were classified by MONICA (MONItoring of trends and determinants in CArdiovascular disease study) diagnostic criteria. The HFE Cys282Tyr mutation was assayed by a solid-phase minisequencing technique. One subject was homozygous and 76 individuals were heterozygous for the HFE Cys282Tyr mutation (6.7%). During a mean follow-up of 9 years, 8 (10.4%) of 77 carriers and 60 (5.6%) of 1073 noncarriers experienced an acute myocardial infarction. In a Cox proportional hazards model allowing for the other strongest risk factors, the carriers had a 2.3-fold (95% CI 1.1 to 4.8; P =0.03) risk of acute myocardial infarction compared with noncarriers. Conclusions —Male carriers of the common hemochromatosis gene mutation are at 2-fold risk for first acute myocardial infarction compared with noncarriers.

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Metadata

Authors
Tuomainen, T.-P., Kontula, K., Nyyssönen, K., Lakka, T. A., Heliö, T., & Salonen, J. T.
Venue
Circulation
Published
1999-09-21
Volume
100
Issue
12
Pages
1274-1279
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W1977960047
Cited by
232
References
7
FWCI
15.80
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Increased Risk of Acute Myocardial Infarction in Carriers of the Hemochromatosis Gene Cys282Tyr Mutation: A Prospective Cohort Study in Men in Eastern Finland. https://app.cochat.ai/papers/10.1161/01.cir.100.12.1274
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Tuomainen, T.-P., Kontula, K., Nyyssönen, K., Lakka, T. A., Heliö, T., & Salonen, J. T. (1999). Increased Risk of Acute Myocardial Infarction in Carriers of the Hemochromatosis Gene Cys282Tyr Mutation: A Prospective Cohort Study in Men in Eastern Finland. Circulation. https://doi.org/10.1161/01.cir.100.12.1274

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