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Association of socioeconomic disadvantage with long-term mortality after myocardial infarction

JAMA May 28, 2021

Berman AN, Biery DW, Ginder C, et al. - Researchers undertook this cohort study to examine the link of neighborhood-level socioeconomic disadvantage with long-term results among patients who suffered an myocardial infarction (MI) at a young age. Using the Mass General Brigham YOUNG-MI Registry, patients who encountered an MI at or prior to 50 years of age were analyzed. To ascertain higher rates of socioeconomic disadvantage, each patient’s home address was mapped to the Area Deprivation Index. A median follow-up of 11.3 years was performed. Higher all-cause and cardiovascular mortality, even post-adjustment for clinical comorbidities, was observed in relation to socioeconomic disadvantage, among patients who had an MI at or before age 50 years. A crucial role of neighborhood and socioeconomic factors in long-term post-MI survival was thus indicated.

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