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Myocardial Infarction among Black Patients: Poor Prognosis after Hospital Discharge

Angel Castaner, MD; Brian E. Simmons, MD; Maxine Mar, RN, MPH; and Richard Cooper, MD
[+] Article and Author Information

Grant Support: Partial support by National Institutes of Health grant RO1 HS36723.

Requests for Reprints: Richard Cooper, MD; Division of Cardiology, Cook County Hospital, 1835 West Harrison Street; Chicago, IL 60612.

Current Author Addresses: Drs. Castaner, Simmons, and Cooper, and Ms. Mar: Division of Adult Cardiology and Section of Clinical Epidemiology, Cook County Hospital, 1835 W. Harrison St., Chicago, IL 60612.


© 1988 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1988;109(1):33-35. doi:10.7326/0003-4819-109-1-33
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Previous studies suggest that long-term survival among symptomatic black patients with coronary artery disease is reduced compared with white patients. Of 342 patients hospitalized with a myocardial infarction over a 3-year period, 285 were black and 249 of these were discharged alive. In this cohort, the all-causes mortality was 14% (95% CI, 9 to 19) at 1 year and 22% (95% CI, 13 to 31) at 2 years. Cardiac causes accounted for 71% and 82% of all deaths at 1 and 2 years, respectively. These mortality rates exceed previous reports of survival after myocardial infarction among white patients in the United States, and confirm that inner-city minority patients served by municipal health care institutions have a particularly poor prognosis for coronary artery disease.

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