Racial Disparity Among the Clinical Outcomes Post-Myocardial Infarction Patients: A Systematic Review and
Vikash Jaiswal1, Muhammad Hanif2, Song Peng Ang3
1JCCR Cardiology Research, Varanasi, India.
Current Problems in Cardiology
|December 8, 2022
Summary
Black patients face higher risks of mortality and stroke after myocardial infarction (MI) compared to White patients. This meta-analysis reveals disparities in revascularization procedures, with Black patients undergoing fewer coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI) surgeries.
Area of Science:
- Cardiology
- Health Disparities
- Clinical Outcomes Research
Background:
- Clinical outcomes following Myocardial Infarction (MI) between Black and White patients are understudied.
- Existing literature lacks comprehensive data on racial disparities in post-MI care and prognosis.
- Understanding these differences is crucial for addressing health inequities in cardiovascular disease.
Approach:
- A systematic meta-analysis was conducted, searching PubMed, Embase, and Scopus databases until September 26, 2022.
- Included 6 studies encompassing 220,984 patients to analyze clinical outcomes.
- Compared demographic data, comorbidities, mortality rates, stroke incidence, and revascularization utilization between Black and White patients.
Key Points:
- Black patients exhibited significantly lower utilization of Coronary Artery Bypass Graft (CABG) and Percutaneous Coronary Intervention (PCI) compared to White patients.
- White patients had a significantly lower likelihood of all-cause mortality and stroke post-MI.
- Hypertension was a more prevalent comorbidity among Black patients (87.73%) than White patients (53%).
- Thirty-day mortality rates were comparable between the two racial groups.
Conclusions:
- This meta-analysis, the largest to date, indicates Black patients face elevated risks for all-cause mortality and stroke post-MI.
- Disparities in revascularization procedures (CABG and PCI) exist, with lower utilization rates in Black patients.
- Further research and targeted interventions are needed to address these racial disparities in cardiovascular care and outcomes.
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