Abstract 13344: Racial Differences in Baseline Characteristics Among Adult Women Presenting With ST Elevation Myocardial Infarction

• Published in: Circulation (New York, N.Y.) Vol. 144; no. Suppl_1
• Main Authors: Senthil Kumaran, Sriviji, Del Cid Fratti, Juan, Desai, Anjali R, Mungee, Sudhir, Mukhopadhyay, Ekanka, Kizhakekuttu, Tinoy J
• Format: Journal Article
• Language: English
• Published: 16.11.2021
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.144.suppl_1.13344

Abstract only Background: Race related differences in baseline characteristics among women presenting with ST Elevation Myocardial Infraction (STEMI) has not been well studied. Methods: We used the National inpatient sample database to identify women who were admitted with STEMI as the primary diagnosis from 2016 to 2018. We evaluated the differences in comorbid conditions among different races - Caucasians, African Americans, Hispanics, Asian and other minority races including native Americans. Results: Of 208,223 female patients with STEMI, 75.7% were Caucasians, 11.3% African American, 7.4% Hispanic, 2.4% Asian, and 4.3% other races. African Americans had the highest percentage of obesity (23%), Obstructive Sleep Apnea (6%) and Tobacco use. Overall, Diabetes mellitus was more common among the racial minorities with the highest among Hispanics (52.3%) followed by Asians (47.8%) and then African Americans (41.2%). All racial minorities had higher incidence of Chronic kidney disease (CKD) when compared to Caucasians. Despite similar prevalence of Coronary artery disease, Asians had lower rates of prior revascularization procedures compared to other subgroups. Conclusion: The differences in prevalence of the various comorbidities among racial subgroups is crucial to note. This will determine outcomes in these patients. CKD is a key association that plays an important role in the pathogenesis of multiple cardiac diseases, including STEMI. Our study underscores the increased prevalence of CKD among racial minorities. Our findings will help guide the management of these populations and make long term management more patient centered.