Race and Sex Differences in Management and Outcomes of Patients After ST-Elevation and Non-ST-Elevation Myocardial Infarct: Results From the NCDR.

摘要: Background Race and sex have been shown to affect management of myocardial infarction (MI); however, it is unclear if such disparities exist in contemporary care ST-segment elevation (STEMI) non-ST-segment (NSTEMI). Hypothesis Disparities will be less prevalent more heavily protocol-driven STEMI than the algorithmic NSTEMI. Methods Data were collected from ACTION Registry-GWTG database assess differences related race patients presenting with NSTEMI or STEMI. For key treatments outcomes, adjustments made including patient demographics, baseline comorbidities, markers socioeconomic status. Results Key demographic variables demonstrate significant comorbidities; black had higher incidences hypertension diabetes, women frequently diabetes. With few exceptions, rates acute discharge medical therapy similar by any category both populations. Rates catheterization for but not NSTEMI, where men lower invasive therapy. revascularization significantly groups regardless sex. adverse events differed sex, death major bleeding; after adjustment, within comparisons. Conclusions In this cohort, although there are presentation MI, processes seem show fewer racial disparities.