Differences in incident and recurrent myocardial infarction among White and Black individuals aged 35 to 84: Findings from the ARIC community surveillance study.
Differences in incident and recurrent myocardial infarction among White and Black individuals aged 35 to 84: Findings from the ARIC community surveillance study.
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DOI：
10.1016/j.ahj.2022.05.020
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发表时间：
2022-11
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
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此前尚无研究探讨社区人群中复发性急性心肌梗死 (AMI) 的种族差异。我们的目的是检查社区人群中复发性 AMI 风险以及首次 AMI 风险的种族差异。社区动脉粥样硬化风险研究（2005-2014）的社区监测包括美国 4 个社区的 470000 名 35-84 岁人群。根据 ICD-9-CM 出院代码确定因复发和首次 AMI 住院的情况。泊松回归模型用于比较黑人和白人居民之间复发性和首次 AMI 的风险比。每 1000 人中，每 1000 人中复发和首次 AMI 风险分别为 8.8 (95% CI, 8.3–9.2) 和 20.7 (95% CI, 20.0–21.4)，白人男性为 6.8 (95% CI, 6.5–7.0) 和 14.1 (95% CI, 13.8–14.5)，白人男性为 5.3 (95% CI, 13.8–14.5)。黑人女性的 CI，5.0–5.7）和 16.2（95% CI，15.6–16.8），白人女性的 CI，分别为 3.1（95% CI，3.0–3.3）和 8.8（95% CI，8.6–9.0）。黑人男性复发 AMI 的年龄调整风险比 (RR) 高于白人男性 (RR, 1.58 95% CI, 1.30–1.92) 和黑人女性高于白人女性 (RR, 2.09 95% CI, 1.64–2.66)。首次 AMI 的相应 RR 略低：黑人男性与白人男性相比，RR，1.49（95% CI，1.30-1.71）；黑人女性与白人女性相比，RR，1.65（95% CI，1.42-1.92）。社区中不同种族的复发 AMI 风险存在巨大差异。重复事件的差异程度比首次事件更大，尤其是在女性中。
No previous study has examined racial differences in recurrent acute myocardial infarction (AMI) in a community population. We aimed to examine racial differences in recurrent AMI risk, along with first AMI risk in a community population. The community surveillance of the Atherosclerosis Risk in Communities Study (2005–2014) included 470000 people 35–84 years old in 4 U.S. communities. Hospitalizations for recurrent and first AMI were identified from ICD-9-CM discharge codes. Poisson regression models were used to compare recurrent and first AMI risk ratios between Black and White residents. Recurrent and first AMI risk per 1000 persons were 8.8 (95% CI, 8.3–9.2) and 20.7 (95 % CI, 20.0–21.4) in Black men, 6.8 (95% CI, 6.5–7.0) and 14.1 (95 % CI, 13.8–14.5) in White men, 5.3 (95% CI, 5.0–5.7) and 16.2 (95 % CI, 15.6–16.8) in Black women, and 3.1 (95% CI, 3.0–3.3) and 8.8 (95 % CI, 8.6–9.0) in White women, respectively. The age-adjusted risk ratios (RR) of recurrent AMI were higher in Black men vs. White men (RR, 1.58 95 % CI, 1.30–1.92) and Black women vs. White women (RR, 2.09 95 % CI, 1.64–2.66). The corresponding RRs were slightly lower for first AMI: Black men vs. White men, RR, 1.49 (95 % CI, 1.30–1.71) and Black women vs. White women, RR, 1.65 (95 % CI, 1.42–1.92) Large disparities exist by race for recurrent AMI risk in the community. The magnitude of disparities is stronger for recurrent events than for first events, and particularly among women.
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影响因子：
168.9
作者：
Nallamothu, Brahmajee K.;Normand, Sharon-Lise T.;Wang, Yongfei;Hofer, Timothy P.;Brush, John E., Jr.;Messenger, John C.;Bradley, Elizabeth H.;Rumsfeld, John S.;Krumholz, Harlan M.
通讯作者：
Krumholz, Harlan M.
影响因子：
37.8
作者：
Chen, Jersey;Normand, Sharon-Lise T.;Krumholz, Harlan M.
通讯作者：
Krumholz, Harlan M.
影响因子：
5.4
作者：
Li, Shanshan;Fonarow, Gregg C.;Bhatt, Deepak L.
通讯作者：
Bhatt, Deepak L.
影响因子：
13.8
作者：
Eijsvogels, Thijs M. H.;Maessen, Martijn F. H.;Hopman, Maria T. E.
通讯作者：
Hopman, Maria T. E.
影响因子：
24
作者：
Levine, Glenn N.;Bates, Eric R.;Hundley, Jody
通讯作者：
Hundley, Jody