D. Edmund Anstey|Shuang Li|Laine Thomas|Tracy Y. Wang|Stephen D. Wiviott
Race and Sex Differences in Management and Outcomes of Patients After <scp>ST</scp>?Elevation and Non–<scp>ST</scp>?Elevation Myocardial Infarct: Results From the <scp>NCDR</scp>
Harvard University|Brigham and Women's Hospital|Duke University|Clinical Research Institute|Duke University|Clinical Research Institute|Duke University|Clinical Research Institute|Brigham and Women's Hospital|Harvard University
abstract background race sex shown affect management myocardial infarction mi however unclear disparities exist contemporary care stsegment elevation myocardial infarction stemi nonstsegment elevation myocardial infarction nstemi hypothesis disparities care less prevalent heavily protocoldriven management stemi less algorithmic care nstemi methods data collected action registrygwtg database assess care differences related race sex patients presenting nstemi stemi key treatments outcomes adjustments made including patient demographics baseline comorbidities markers socioeconomic status results key demographic variables demonstrate significant differences baseline comorbidities black patients higher incidences hypertension diabetes women frequently diabetes exceptions rates acute discharge medical therapy similar race sex category stemi nstemi populations rates catheterization similar race stemi nstemi black men women lower rates invasive therapy rates revascularization significantly lower black patients stemi nstemi groups regardless sex rates adverse events differed sex disparities death major bleeding adjustment rates similar race within sex comparisons conclusions contemporary cohort although differences race presentation management mi heavily protocoldriven processes seem show fewer racial disparities