Lupus & antiphospholipid syndrome

Assessing the mortality burden after acute myocardial infarction in SLE: insights from the MINAP Registry

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Adjusted all-cause mortalityResult — go to the resultHazard ratio 1.84 95% CI 1.63–2.09

Authors' conclusion

Individuals with SLE have a persistently higher risk of all-cause and cardiovascular mortality following AMI, despite being younger and having less traditional cardiovascular comorbidities.

Study context

Population
Adults hospitalised with acute myocardial infarction (AMI) between January 2005 and March 2019 (MINAP registry)715 (0.1%) with SLE
Participants
784,091 adults
Exposure
SLE vs no SLE after AMI
  • SLEn = 715
Outcome
Long-term all-cause mortality after AMI
Follow-up
Up to 5 years
Methodological detailsnational registry (MINAP) linked with Hospital Episode Statistics and Office for National Statistics mortality records, adjusted analysis
  • National registry (MINAP) linked with Hospital Episode Statistics and Office for National Statistics mortality records
  • Adjusted analysis

Main finding

Adjusted all-cause mortality

Hazard ratio

1.84

95% CI 1.63–2.09

P < 0.001

SLEvs Without SLE
HR 1.84 (95% CI 1.63–2.09); P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Adjusted all-cause mortality · 30 daysAdjusted1.62 (1.23–2.12)P = 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Assessing the mortality burden after acute myocardial infarction in SLE: insights from the MINAP Registry. Rheumatology (Oxford). Published 11 July 2026. doi:10.1093/rheumatology/keag365

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