Differences in incident and recurrent myocardial infarction among White and Black individuals aged 35 to 84: Findings from the ARIC community surveillance study.
Community surveillance
Myocardial infarction outcomes
Racial differences
Racial disparities
Recurrent myocardial infarction
Risk
Journal
American heart journal
ISSN: 1097-6744
Titre abrégé: Am Heart J
Pays: United States
ID NLM: 0370465
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
02
02
2022
revised:
25
05
2022
accepted:
26
05
2022
pubmed:
7
6
2022
medline:
9
9
2022
entrez:
6
6
2022
Statut:
ppublish
Résumé
No previous study has examined racial differences in recurrent acute myocardial infarction (AMI) in a community population. We aimed to examine racial differences in recurrent AMI risk, along with first AMI risk in a community population. The community surveillance of the Atherosclerosis Risk in Communities Study (2005-2014) included 470,000 people 35 to 84 years old in 4 U.S. communities. Hospitalizations for recurrent and first AMI were identified from ICD-9-CM discharge codes. Poisson regression models were used to compare recurrent and first AMI risk ratios between Black and White residents. Recurrent and first AMI risk per 1,000 persons were 8.8 (95% CI, 8.3-9.2) and 20.7 (95% CI, 20.0-21.4) in Black men, 6.8 (95% CI, 6.5-7.0) and 14.1 (95% CI, 13.8-14.5) in White men, 5.3 (95% CI, 5.0-5.7) and 16.2 (95% CI, 15.6-16.8) in Black women, and 3.1 (95% CI, 3.0-3.3) and 8.8 (95% CI, 8.6-9.0) in White women, respectively. The age-adjusted risk ratios (RR) of recurrent AMI were higher in Black men vs White men (RR, 1.58 95% CI, 1.30-1.92) and Black women vs White women (RR, 2.09 95% CI, 1.64-2.66). The corresponding RRs were slightly lower for first AMI: Black men vs White men, RR, 1.49 (95% CI, 1.30-1.71) and Black women vs White women, RR, 1.65 (95% CI, 1.42-1.92) CONCLUSIONS: Large disparities exist by race for recurrent AMI risk in the community. The magnitude of disparities is stronger for recurrent events than for first events, and particularly among women.
Sections du résumé
BACKGROUND
No previous study has examined racial differences in recurrent acute myocardial infarction (AMI) in a community population. We aimed to examine racial differences in recurrent AMI risk, along with first AMI risk in a community population.
METHODS
The community surveillance of the Atherosclerosis Risk in Communities Study (2005-2014) included 470,000 people 35 to 84 years old in 4 U.S. communities. Hospitalizations for recurrent and first AMI were identified from ICD-9-CM discharge codes. Poisson regression models were used to compare recurrent and first AMI risk ratios between Black and White residents.
RESULTS
Recurrent and first AMI risk per 1,000 persons were 8.8 (95% CI, 8.3-9.2) and 20.7 (95% CI, 20.0-21.4) in Black men, 6.8 (95% CI, 6.5-7.0) and 14.1 (95% CI, 13.8-14.5) in White men, 5.3 (95% CI, 5.0-5.7) and 16.2 (95% CI, 15.6-16.8) in Black women, and 3.1 (95% CI, 3.0-3.3) and 8.8 (95% CI, 8.6-9.0) in White women, respectively. The age-adjusted risk ratios (RR) of recurrent AMI were higher in Black men vs White men (RR, 1.58 95% CI, 1.30-1.92) and Black women vs White women (RR, 2.09 95% CI, 1.64-2.66). The corresponding RRs were slightly lower for first AMI: Black men vs White men, RR, 1.49 (95% CI, 1.30-1.71) and Black women vs White women, RR, 1.65 (95% CI, 1.42-1.92) CONCLUSIONS: Large disparities exist by race for recurrent AMI risk in the community. The magnitude of disparities is stronger for recurrent events than for first events, and particularly among women.
Identifiants
pubmed: 35660476
pii: S0002-8703(22)00114-4
doi: 10.1016/j.ahj.2022.05.020
pmc: PMC10007857
mid: NIHMS1874506
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
67-75Subventions
Organisme : NHLBI NIH HHS
ID : K24 HL148521
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK111024
Pays : United States
Informations de copyright
Copyright © 2022. Published by Elsevier Inc.
Références
Circ Cardiovasc Qual Outcomes. 2016 Feb;9(2 Suppl 1):S36-44
pubmed: 26908858
JAMA Netw Open. 2019 Dec 2;2(12):e1917885
pubmed: 31851350
Ann Intern Med. 2009 Mar 3;150(5):314-24
pubmed: 19258559
Am Heart J. 2015 Aug;170(2):249-55
pubmed: 26299221
Circulation. 2012 Apr 17;125(15):1848-57
pubmed: 22420957
JAMA Netw Open. 2020 Jul 1;3(7):e2011686
pubmed: 32716516
Circulation. 2014 Feb 18;129(7):754-63
pubmed: 24326988
Circulation. 2005 Mar 15;111(10):1225-32
pubmed: 15769762
Am J Public Health. 2017 Jan;107(1):130-135
pubmed: 27854531
Am Heart J. 2008 Sep;156(3):483-90
pubmed: 18760130
J Clin Epidemiol. 1996 Feb;49(2):223-33
pubmed: 8606324
J Am Heart Assoc. 2018 Apr 6;7(8):
pubmed: 29626153
Circulation. 2010 Mar 23;121(11):1322-8
pubmed: 20212281
Health Serv Res. 2007 Aug;42(4):1613-31
pubmed: 17610440
JAMA. 2004 Oct 6;292(13):1563-72
pubmed: 15467058
JAMA. 2021 Feb 16;325(7):623-624
pubmed: 33492329
JAMA Cardiol. 2020 Feb 1;5(2):136-145
pubmed: 31913411
JAMA Netw Open. 2018 Nov 2;1(7):e184240
pubmed: 30646346
Circulation. 2017 Nov 21;136(21):e393-e423
pubmed: 29061565
JAMA Netw Open. 2019 Mar 1;2(3):e191938
pubmed: 30874787
N Engl J Med. 2000 Apr 13;342(15):1094-100
pubmed: 10760310
Circulation. 2017 Jul 11;136(2):152-166
pubmed: 28696265
Am Heart J. 2004 Jul;148(1):92-8
pubmed: 15215797
Circulation. 2017 Feb 7;135(6):532-543
pubmed: 28153990
Circulation. 2007 Oct 9;116(15):1653-62
pubmed: 17893274
J Am Geriatr Soc. 2007 Jul;55(7):1056-65
pubmed: 17608879
J Am Heart Assoc. 2014 Sep 23;3(5):e001197
pubmed: 25249298
J Am Coll Cardiol. 2016 Mar 15;67(10):1235-1250
pubmed: 26498666
Circulation. 2009 Jun 23;119(24):3110-7
pubmed: 19506116
Circ Cardiovasc Qual Outcomes. 2020 Dec;13(12):e006683
pubmed: 33302710
Lancet. 2015 Mar 21;385(9973):1114-22
pubmed: 25467573
Med Care. 2008 Jul;46(7):678-85
pubmed: 18580386
Circulation. 2018 Mar 13;137(11):1195-1197
pubmed: 29530895
Am Heart J. 2003 Sep;146(3):459-64
pubmed: 12947363
J Clin Epidemiol. 1990;43(1):93-9
pubmed: 2319286
Am J Epidemiol. 2004 Dec 15;160(12):1137-46
pubmed: 15583364
Circulation. 2014 Aug 19;130(8):659-67
pubmed: 25002016
Circ Cardiovasc Qual Outcomes. 2021 Feb;14(2):e007868
pubmed: 33567860