Outcomes of ST‐elevation myocardial infarction by age and gender in a low‐income urban community: The Montefiore STEMI Registry
Clinical Cardiology Aug 04, 2020
Bortnick AE, Shahid M, Shitole SG, et al. - This investigation was carried out to compare results by age and gender in race/ethnic minorities presenting with ST‐elevation myocardial infarction (STEMI). Participants were 1,208 STEMI patients assessed for primary percutaneous coronary intervention between 2008 and 2014 at Montefiore Health System (Bronx, NY). Most of the patients self‐identified as nonwhite, and young (< 45 years) or middle‐aged (45‐64 years) were nearly two‐thirds. Across age groups, significant variation in risk factors was obvious; with the older age group (≥ 65 years) having more women and non‐Hispanic whites, hypertension, diabetes, dyslipidemia, prior cardiovascular disease, non‐sinus rhythm, and collagen vascular disease; and the young having higher BMI, smoking, cocaine use, HIV infection and family history of heart disease. Experts noted that among younger adults with STEMI from an inner‐city community, there was a high burden of risk factors. To more effectively address health differences in STEMI as well as its adverse results, there is a need for programs to target sociobehavioral factors in disadvantaged settings, including substance abuse, obesity, and risk of HIV.
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