Racial Variation in the Complexity of Coronary Artery Disease in Patients with Acute ST-Segment Elevation Myocardial Infarction

Authors

Ayman Elbadawi, Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, TX, United States of America.
Erfan Alotaki, Rochester Regional HealthFollow
Carlos Vazquez, Division of Cardiovascular Medicine, University of New Mexico, Albuquerque, NM, United States of America.
Kirolos Barssoum, Rochester Regional HealthFollow
Sumon Roy, Rochester Regional HealthFollow
Hend I. Shahin, Department of Pharmaceutical Sciences, Future University, Cairo, Egypt.
Islam Y. Elgendy, Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States of America.
Jeremiah P. Depta, Rochester Regional HealthFollow

Department

Internal Medicine

Document Type

Article

Publication Title

Cardiovascular Revascularization Medicine

Abstract

BACKGROUND: Racial variations in presentation of patients with ST-segment elevation myocardial infarction (STEMI) have been suggested. METHODS: This was a retrospective analysis of a tertiary center from 2012 to 2016. We included patients presenting with acute STEMI who received primary percutaneous coronary intervention (PCI). The main outcome was racial variation in the complexity of coronary artery disease assessed by SYNTAX score. We also reported predictors of higher SYNTAX scores in the study population. RESULTS: Our final analysis included 260 patients: 201 Whites (77.3%), 24 African Americans-AA (9.2%), 19 Hispanics (7.3%) and 15 were of other ethnicities (5.8%). The mean SYNTAX score was 13.8 ± 7.7. There was no significant difference between Whites, AA, Hispanics and other races in the SYNTAX score (13.8 ± 7.7, 13.4 ± 7.9, 14.5 ± 9 and 13.5 ± 6.6, p = 0.965). Logistic regression analysis identified chronic kidney disease as the only significant predictor of higher SYNTAX score (Coefficient = 3.5, 95%CI:0.41-6.60, p = 0.026), while no significant association was identified between different races and higher SYNTAX score. CONCLUSION: The current study did not identify racial variations in the complexity of coronary artery disease for STEMI patients. Further studies are needed at a larger scale to identify racial variations in STEMI patients.

First Page

887

Last Page

890

DOI

10.1016/j.carrev.2018.12.012

Volume

20

Issue

10

Publication Date

10-1-2019

Medical Subject Headings

African Americans; Aged; Coronary Angiography; Coronary Artery Disease (diagnostic imaging, ethnology, therapy); Female; Health Status Disparities; Hispanic or Latino; Humans; Male; Middle Aged; Percutaneous Coronary Intervention; Race Factors; Renal Insufficiency, Chronic (ethnology); Retrospective Studies; Risk Assessment; Risk Factors; ST Elevation Myocardial Infarction (diagnostic imaging, ethnology, therapy); Whites

PubMed ID

30581087

Recommended Citation

Elbadawi, A., Alotaki, E., Vazquez, C., Barssoum, K., Roy, S., Shahin, H. I., Elgendy, I. Y., & Depta, J. P. (2019). Racial Variation in the Complexity of Coronary Artery Disease in Patients with Acute ST-Segment Elevation Myocardial Infarction. Cardiovascular Revascularization Medicine, 20 (10), 887-890. https://doi.org/10.1016/j.carrev.2018.12.012