099 History of breast cancer in women with acute myocardial infarction. Data from the RICO survey

BackgroundBreast Cancer (BC) is the most frequent cancer, whereas CV diseases such as myocardial infarction (MI) are the leading cause of death. BC and MI share common major risk factors such as obesity. We aimed to analyse the characteristics of women with a history of BC in the setting of acute MI.Patients and methodsAmong the 2087 consecutive women included between 01/01/2001 and 31/12/2009 in the French regional RICO survey database, 73 (3%) had a history of BC. Each woman with prior BC (n=73) was matched, with respect to age, with 5 women without prior BC (n=365).ResultsWomen with prior BC were 74 (65–80) year old. Time from BC diagnosis to acute MI was 10 (3–16) years. Most BC had been treated by surgery and/or radiation therapy, and 37% had also received hormone therapy. CV risk factors (smoking, obesity), type of MI, acute management and in-hospital complications were similar for the 2 groups. Chronic statin use and admission blood lipids were also identical for the 2 groups. However, median admission CRP levels were lower in women with a history of BC (1.0(1.0–9.8) vs. 5.6 (2.8–13.6)mg/l, respectively, p