Myocardial infarction among black patients: poor prognosis after hospital discharge.
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
A
Cook County Hospital, Chicago, Illinois.
Simmons
B E
BE
Mar
M
M
Cooper
R
R
D001741:Black or African American; D000368:Aged; D044383:Black People; D004812:Epidemiologic Methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000208:ethnology* / Q000209:etiology / Q000401:mortality; D011379:Prognosis; D012307:Risk Factors