PMID- 37040853
OWN - NLM
STAT- MEDLINE
DCOM- 20230619
LR  - 20230619
IS  - 1535-6280 (Electronic)
IS  - 0146-2806 (Linking)
VI  - 48
IP  - 8
DP  - 2023 Aug
TI  - Racial Disparities in Diagnostic Evaluation and Revascularization in Patients 
      With Acute Myocardial Infarction-A 15-Year Longitudinal Study.
PG  - 101733
LID - S0146-2806(23)00150-0 [pii]
LID - 10.1016/j.cpcardiol.2023.101733 [doi]
AB  - We aimed to evaluate longitudinal trends of racial and ethnic disparities in the 
      utilization of diagnostic angiograms, percutaneous coronary intervention (PCI), 
      and coronary artery bypass graft surgery (CABG) for non-ST elevation myocardial 
      infarction (NSTEMI) and ST elevation myocardial infarction (STEMI). We 
      retrospectively analyzed the National Inpatient Sample (2005-2019). The 15-year 
      period was divided into 5, 3-year periods. Our study included 9 million adult 
      patients (NSTEMI, 72%; STEMI, 28%). No improvement in utilization of these 
      procedures was seen in period 5 (2017-2019) vs period 1 (2005-2007) for both 
      NSTEMI and STEMI in non-White patients vs White patients (P > 0.05 for all 
      comparisons), excepting in CABG for STEMI in Black patients vs White patients 
      (difference in CABG rate: period 1, 2.6%; period 5, 1.4%; P = 0.03). Reducing 
      disparities in PCI for NSTEMI and both PCI and CABG for STEMI in Black patients 
      vs White patients was associated with improved outcomes.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Ashraf, Muddasir
AU  - Ashraf M
AD  - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's 
      Medical Centers, Milwaukee, WI.
FAU - Zlochiver, Viviana
AU  - Zlochiver V
AD  - Boston University Chobanian & Avedisian School of Medicine, Academic Affairs, 
      Cardiovascular Research, Aurora Sinai/Aurora St. Luke's Medical Centers, 
      Milwaukee, WI.
FAU - Sajed, Sulaiman Mohammad
AU  - Sajed SM
AD  - Boston University Chobanian & Avedisian School of Medicine, Boston, MA.
FAU - Sajed, Saaniyah
AU  - Sajed S
AD  - Department of Biology, Elmhurst University, Elmhurst, IL.
FAU - Bajwa, Tanvir
AU  - Bajwa T
AD  - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's 
      Medical Centers, Milwaukee, WI; Division of Cardiovascular Medicine, University 
      of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, 
      Milwaukee, WI.
FAU - Allaqaband, Suhail Q
AU  - Allaqaband SQ
AD  - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's 
      Medical Centers, Milwaukee, WI; Division of Cardiovascular Medicine, University 
      of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, 
      Milwaukee, WI.
FAU - Jan, M Fuad
AU  - Jan MF
AD  - Aurora Cardiovascular and Thoracic Services, Aurora Sinai/Aurora St. Luke's 
      Medical Centers, Milwaukee, WI; Division of Cardiovascular Medicine, University 
      of Wisconsin School of Medicine and Public Health, Milwaukee Clinical Campus, 
      Milwaukee, WI. Electronic address: wi.publishing18@aah.org.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20230410
PL  - Netherlands
TA  - Curr Probl Cardiol
JT  - Current problems in cardiology
JID - 7701802
SB  - IM
MH  - Adult
MH  - Humans
MH  - *ST Elevation Myocardial Infarction/diagnosis/surgery
MH  - *Non-ST Elevated Myocardial Infarction/diagnosis/surgery
MH  - Longitudinal Studies
MH  - Retrospective Studies
MH  - *Percutaneous Coronary Intervention/methods
MH  - Risk Factors
MH  - Treatment Outcome
MH  - *Myocardial Infarction/diagnosis/surgery
EDAT- 2023/04/12 06:00
MHDA- 2023/06/19 13:08
CRDT- 2023/04/11 19:15
PHST- 2023/03/29 00:00 [received]
PHST- 2023/04/06 00:00 [accepted]
PHST- 2023/06/19 13:08 [medline]
PHST- 2023/04/12 06:00 [pubmed]
PHST- 2023/04/11 19:15 [entrez]
AID - S0146-2806(23)00150-0 [pii]
AID - 10.1016/j.cpcardiol.2023.101733 [doi]
PST - ppublish
SO  - Curr Probl Cardiol. 2023 Aug;48(8):101733. doi: 10.1016/j.cpcardiol.2023.101733. 
      Epub 2023 Apr 10.