Comparison of Delay Times from Symptom Onset to Medical Contact in Blacks versus Whites with Acute Myocardial Infarction

Abstract Clinical outcomes in acute myocardial infarction (AMI) worsen with increasing delay between symptom onset and clinical presentation. Prior studies have shown that black patients with AMI have longer presentation delays. The object of this analysis is to explore the potential contribution of...

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Bibliographic Details
Published in:The American journal of cardiology 2017-04, Vol.119 (8), p.1127-1134
Main Authors: Miller, Amy Leigh, MD, PhD, Simon, DaJuanicia, MS, Roe, Matthew T., MD, MHS, Kontos, Michael C., MD, Diercks, Deborah, MD, Amsterdam, Ezra, MD, Bhatt, Deepak L., MD, MPH
Format: Article
Language:English
Subjects:
African Americans - statistics & numerical data
Age Distribution
Aged
Cardiovascular
Cardiovascular disease
Census of Population
Cerebral infarction
Communities
Comorbidity
Coronary vessels
Delay
Demographics
Diabetes mellitus
Economic indicators
Emergency Medical Services
Emergency Service, Hospital
European Continental Ancestry Group - statistics & numerical data
Female
Health Care Surveys
Heart
Heart attacks
Heart diseases
Households
Humans
Hypertension
Intervention
Life expectancy
Male
Middle Aged
Myocardial infarction
Myocardial Infarction - epidemiology
Myocardial Infarction - therapy
Myocardial Revascularization - statistics & numerical data
Patients
Postal codes
Race
Registries
Regression analysis
Review boards
Single Person - statistics & numerical data
Social Class
Socioeconomic factors
Socioeconomics
Stroke
Thrombolytic Therapy - statistics & numerical data
Time-to-Treatment
Trends
Troponin - blood
United States - epidemiology
Urban areas
Urban Population
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Description
Summary:Abstract Clinical outcomes in acute myocardial infarction (AMI) worsen with increasing delay between symptom onset and clinical presentation. Prior studies have shown that black patients with AMI have longer presentation delays. The object of this analysis is to explore the potential contribution of community factors to presentation delays in black patients with AMI. We linked clinical data for 346,499 consecutive AMI patients from ACTION Registry-Get With the GuidelinesTM (2007-2014) to socioeconomic and community information from the American Community Survey. Black patients with AMI had longer symptom onset to first medical contact times than white patients (114 vs. 101 minutes, p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2016.12.021