Racial and Gender Disparities in CABG Surgery After First Heart Attack

MedicalResearch.com Interview with:

MedicalResearch.com Interview with: Dr. Srikanth Yandrapalli New York Medical College NYMC · Cardiology

Dr. Yandrapalli

Dr. Srikanth Yandrapalli
New York Medical College
NYMC · Cardiology

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Selection of coronary artery bypass grafting over percutaneous coronary intervention during an acute myocardial infarction is influenced by the extent of coronary artery disease and patient comorbidities. Prior studies have shown sex and racial differences in coronary artery diseaseburden.

We sought to identify if there are any sex and racial differences in the utilization of  coronary artery bypass grafting over percutaneous coronary intervention during a revascularized first  acute myocardial infarction in the US.

We found that males had a higher coronary artery bypass grafting rate than women, and compared to Whites, Blacks had lower coronary artery bypass grafting rate and Asians had higher coronary artery bypass grafting at the time of a first myocardial infarction.

MedicalResearch.com: What should readers take away from your report?

Response: In the US, gender and racial differences exist in the rate and mode of revascularization for a first AMI. These findings suggest possible differences in the burden of  coronary artery disease in these patient populations at the time of a first myocardial infarction . 

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Further research should validate our findings in more appropriate epidemiological study settings, and then evaluate the basis for the presence of these disparities across sex and racial groups. Identification of the socio-demographic and pathophysiologic milieu responsible for such differences might have a role in devising public health approaches and therapeutics. 

The authors have no relevant disclosures.  

Citation:

AHA 2018 abstract: November 11 2018

Gender and Race Differences in the Rate and Method of Revascularization During a First Acute Myocardial Infarction in the United States

Su1341 / 1341 – Gender and Race Differences in the Rate and Method of Revascularization During a First Acute Myocardial Infarction in the United States

Srikanth Yandrapalli, Christopher Nabors, Wilbert S Aronow, Diwakar Jain, NY Medical Coll Westchester Med Ctr, Valhalla, NY; Ajay Kirtane, Columbia Univ Medical Ctr, New York, NY; Gregg C Fonarow, Ahmanson UCLA Cardiomyopathy Ctr, Los Angeles, CA; Srihari S Naidu, Howard A Cooper, Julio A Panza, William H Frishman, NY Medical Coll Westchester Med Ctr, Valhalla, NY

 

Nov 13, 2018 @ 12:52 pm

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