Angel Castaner, MD; Brian E. Simmons, MD; Maxine Mar, RN, MPH; Richard Cooper, MD
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.
Castaner A, Simmons BE, Mar M, et al. Myocardial Infarction among Black Patients: Poor Prognosis after Hospital Discharge. Ann Intern Med. 1988;109:33–35. doi: 10.7326/0003-4819-109-1-33
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Published: Ann Intern Med. 1988;109(1):33-35.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine, Hospital Medicine.
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