MI SYMPTOMS IN WOMEN: DISPARITIES IN WOMEN OF COLOR

描述：尽管几十年来的研究，以预防和治疗心血管疾病 疾病，每年它继续杀死50多万妇女， 比随后的16种死因加起来还要多。黑人女性 年龄调整后的冠心病死亡率超过71% 高于白色妇女，冠心病是死亡的主要原因， 西班牙裔女性此外，黑人和西班牙裔妇女的人数增加， 心脏危险因素和合并症。然而，很少有研究专门 关注女性的心肌梗死（MI）和CHD， 前驱症状对有色人种女性的MI症状知之甚少。 这种缺乏对症状的准确描述意味着女性通常不会 认识到他们的症状，从而延迟寻求治疗，这是相关的 有效性较低，治疗选择较少，住院时间较长， 死亡率和发病率较高。由于黑人和西班牙裔妇女 寻求治疗的时间比其他群体长，也许是因为他们的症状 不符合他们的期望，研究人员必须描绘他们的生物学。 对有色人种女性心肌梗死症状的更准确描述应该会有所帮助 他们更能认识自己的症状，并及早寻求治疗。因此，我们认为， 本研究拟描述Black心肌梗死的前驱症状和急性症状， 西班牙裔妇女使用电话调查的1030名妇女从10个医疗中心。 我们将询问妇女的颜色4-6个月后，他们的MI关于他们的前驱 急性症状和心血管风险状态。我们会比较症状 有色人种女性和白色女性的比例 投资R 01我们将分析各民族之间的差异， 控制可能在组中唯一的因素，例如 心血管风险状态和MI位置。这项研究的结果将有助于 我们更充分地描述和认识前驱期和急性胰腺炎， 患有冠心病和心肌梗死的有色人种女性这些信息将有助于 开发针对有色人种妇女的教育材料， 早期诊断和治疗。

DESCRIPTION: Despite decades of research to prevent and treat cardiovascular disease, each year it continues to kill more than half a million women, a greater number than the subsequent 16 causes of death combined. Black women have age-adjusted death rates from coronary heart disease (CHD) over 71 percent higher than that of white women, and CHD is the leading cause of death in Hispanic women. Further, Black and Hispanic women have increased numbers of cardiac risk factors and comorbidities. However, few studies have specifically focused on women's of myocardial infarction (MI) and CHD or addressed their prodromal symptoms. Even less is known about MI symptoms in women of color. This lack of an accurate description of symptoms means that women often do not recognize their symptoms and thus delay seeking treatment, which is associated with less effective and fewer treatment options, longer hospitalizations, and higher mortality and morbidity rates. Since Black and Hispanic women delay seeking treatment longer than other groups, perhaps because their symptoms do not match their expectations, researchers must delineate their symptomatology. A more accurate description of symptoms of MI in women of color should help them recognize their symptoms better and seek treatment earlier. Therefore, this study proposes to describe prodromal and acute symptoms of MI in Black and Hispanic women using a telephone survey of 1030 women from 10 medical centers. We will query women of color 4-6 months after their MI about their prodromal and acute symptoms and cardiovascular risk status. We will compare the symptoms of women of color with those of white women being investigated in our currently funded R01. We will analyze differences among the ethnic groups while controlling for factors that may be unique in the groups, such as cardiovascular risk status and location of MI. Results of this study will help us more fully describe and recognize prodromal and acute symptomatology in women of color with CHD and MI. This information will facilitate the development of educational materials tailored to women of color and should lead to earlier diagnosis and treatment.