Ann
Intern Med 1988 Jul 1;109(1):33-5
Myocardial infarction among black patients: poor prognosis after hospital
discharge.
Castaner A, Simmons BE, Mar M, Cooper R.
Cook County Hospital, Chicago, Illinois.
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.
PMID: 3377351 [PubMed - indexed for MEDLINE]
