Validation of reported myocardial infarction mortality in blacks and whites

摘要: Abstract It is widely believed that blacks experience a higher mortality due to coronary heart disease (CHD) than do whites. To determine whether this reported difference in between and whites real, we studied the question context of Community Cardiovascular Surveillance Program (CCSP). Fatal nonfatal cases CHD were reviewed 12 US communities. Standardized criteria applied classify these as possible CHD, definite myocardial infarction (MI), or MI. The annual age-adjusted rate per 100,000 ascribed MI by CCSP was whites: 47 white men (95% confidence interval, 36 58), 18 women 8 28), 95 black 10 180), 41 for 0 99). proportion all fatal events (16%) (12%). For events, however, blacks: 322 293 351), 225 160 290), 82 43 121), 103 88 118). lower (30%). Thus, overall ( 215 100, 000 ) 244 ). These observations suggest combination high case-fatality ratio misclassification cause death may contribute among blacks.