MI SYMPTOMS IN WOMEN: DISPARITIES IN WOMEN OF COLOR

描述：尽管几十年来一直在研究预防和治疗心血管疾病 这种疾病每年继续导致50多万妇女死亡， 这一数字超过了随后的16个死因的总和。黑人女性 年龄调整后的冠心病死亡率超过71% 这一比例高于白人女性，冠心病是#年的主要死因 西班牙裔女性。此外，黑人和西班牙裔女性的数量增加了 心脏危险因素和合并症。然而，很少有研究明确指出 专注于女性的心肌梗死(MI)和冠心病或解决她们的 前驱症状。对有色人种女性的心肌梗死症状更是知之甚少。 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，从而推迟寻求治疗，这与 疗效较差，治疗选择较少，住院时间较长，以及 更高的死亡率和发病率。自从黑人和西班牙裔女性推迟 寻求治疗的时间比其他组长，可能是因为他们的症状确实如此 与他们的预期不符，研究人员必须描绘出他们的症状。 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 他们更好地认识到自己的症状，并更早地寻求治疗。因此， 这项研究建议描述黑人和黑人心肌梗塞的前驱症状和急性症状 西班牙裔女性对来自10个医疗中心的1030名女性进行了电话调查。 我们将询问有色人种女性在心肌梗塞后4-6个月的前驱症状 急性症状和心血管危险状态。我们会比较这些症状 有色人种妇女与白人妇女的关系目前正在我们的 已资助R01。我们将分析民族之间的差异，同时 控制可能在组中独一无二的因素，例如 心肌梗死的心血管危险状态和部位。这项研究的结果将有助于 美国更全面地描述和认识前驱症状和急性症状 患有冠心病和心肌梗塞的有色人种女性。这些信息将有助于 开发为有色人种妇女量身定做的教育材料，并应发挥带头作用 到更早的诊断和治疗。

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.