Racial disparity in the utilization of implantable-cardioverter defibrillators among patients with prior myocardial infarction and an ejection fraction of ≤ 35%
Racial disparity in the utilization of implantable-cardioverter defibrillators among patients with prior myocardial infarction and an ejection fraction of ≤ 35%
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DOI：
10.1016/j.amjcard.2007.04.024
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发表时间：
2007-09-15
影响因子：
2.8
通讯作者：
Gilliam, F. Roosevelt
中科院分区：
文献类型：
--
作者：
Thomas, Kevin L.;Al-Khatib, Sana M.;Gilliam, F. Roosevelt
与其他种族群体相比，黑人患者的心脏性猝死率最高。植入式心律转复除颤器（ICD）的预防性植入提供了显着减少心脏性猝死和总死亡率的患者心肌梗死后，显着的左心室收缩功能障碍。本研究的目的是确定左心室收缩功能障碍的黑人患者是否比白色患者更不可能接受ICD作为心源性猝死的一级预防。分析来自国家心脏健康促进登记处（ADVANCENT）的数据，以确定哪些患者有心肌梗死史和射血分数
Age-adjusted sudden cardiac death rates are highest for black patients compared with other racial groups. The prophylactic implantation of an implantable cardioverter-defibrillator (ICD) provides a significant reduction in sudden cardiac death and overall mortality in patients after myocardial infarctions with significant left ventricular systolic dysfunction . The purpose of this study was to determine whether black patients with left ventricular systolic dysfunction were less likely than white patients to receive ICDs for the primary prevention of sudden cardiac death. Data from the National Registry to Advance Heart Health (ADVANCENT) were analyzed to determine which patients with histories of myocardial infarctions and ejection fractions