Differences in Baseline Characteristics and Outcomes in Young Caucasians and African Americans with Acute Myocardial Infarction
| Autor: | Amreeta V. Sharma, Howard S. Rosman, Tariq S. Marroush, Rajendra H. Mehta, Susanna Szpunar, Bassent Botros |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Myocardial Infarction Infarction 030204 cardiovascular system & hematology Coronary Angiography White People Coronary artery disease 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus medicine Humans 030212 general & internal medicine Myocardial infarction Adverse effect African american business.industry Incidence (epidemiology) General Medicine Length of Stay Middle Aged medicine.disease Black or African American Treatment Outcome Baseline characteristics Female business |
| Zdroj: | The American journal of the medical sciences. 361(2) |
| ISSN: | 1538-2990 |
| Popis: | Background The incidence of acute myocardial infarction (AMI) in young patients is increasing. While race-related differences in clinical characteristics and outcomes for older AMI patients have been well-studied, such differences in young patients are unknown. Methods We performed a retrospective review of charts of Caucasian and African American (AA) patients Results A total of 271 patients were identified with 156 being AAs (57.5%). Mean age was 43 years which was similar in both groups. AAs with AMI were 2.2 times more likely to be women and to have a history of diabetes and 1.2 times more likely to have BMI >30 kg/m2. History of coronary artery disease (1.8-fold) and hypertension (1.5-fold) were also more common in AAs. Overall presenting features were similar, other than that AAs presented more often with non-ST-elevation MI and tended to present less often with cardiac arrest. No differences were observed in the angiographic findings or in-hospital outcomes in the two groups, with the exception of lower need of mechanical support in AAs. Conclusions In conclusion, our data provide important, not previously described information on race-related differences in history, presentation, clinical and angiographic features and outcomes in AAs compared with Caucasians younger than 50 with AMI. These findings may have implications for tailoring specific preventive strategies to decrease the incidence of AMI and its associated adverse events in both racial groups. |
| Databáze: | OpenAIRE |
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