Racial differences in long-term outcomes among black and white patients with drug-eluting stents
American Heart Journal Jun 06, 2019
Sullivan LT, et al. - In this analysis with 4,474 consecutive patients who underwent drug-eluting stent (DES) placement, researchers assessed 915 black vs 3,559 white patients in terms of long-term outcomes following percutaneous coronary intervention with DES implantation. The participants were recruited from Duke University Medical Center. Compared to white patients, blacks were younger, more often female, had higher body mass indexes, had more diabetes mellitus, hypertension, renal disease, as well as lower median household incomes. A long-term follow-up (6 years) revealed higher unadjusted rates of myocardial infarction and major bleeding among black patients vs white patients; racial differences in comorbid disease may explain these variations. There were no statistically significant racial differences in any of these outcomes at 6 years following multivariable adjustment.
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