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Recurrent atherosclerotic cardiovascular event rates differ among patients meeting the very high risk definition according to age, sex, race/ethnicity, and socioeconomic status

Journal of the American Heart Association Dec 11, 2020

An J, Zhang Y, Muntner P, et al. - Researchers quantified the risk for recurrent atherosclerotic cardiovascular disease (ASCVD) events in adults meeting the definition of very high risk by age, gender, race/ethnicity, as well as socioeconomic status in a US integrated healthcare system. Participants were members of the Kaiser Permanente Southern California, aged ≥ 21 years with a history of clinical ASCVD. Among patients who met the definition of very high risk, higher recurrent ASCVD rates were identified in older (> 75 years) vs younger patients (21–40 years), non‐Hispanic Black patients vs non‐Hispanic White patients, those who resided in neighborhoods with lower (<$35k) vs higher annual household income (≥$80k), or with lower (≥31.2%) vs higher education levels (<8.8% high school or lower). Findings demonstrated the presence of disparities in the risk for recurrent ASCVD events across sociodemographic factors in a population of very high risk patients. To attenuate health disparities, the addition of sociodemographic factors to current definitions of very high risk could be helpful.

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