African-American heart attack patients fare worse long term

DURHAM, N.C. -- In the largest analysis of its kind, researchers from the Duke Clinical Research Institute (DCRI) found that African-American heart attack patients have a 1.7 times higher death rate than Caucasians one year after being treated in the hospital.

The researchers also found that while mortality rates within the first 30 days after treatment were similar between the two ethnic groups, African-Americans were more likely to suffer a major bleeding event or a stroke.

Importantly, differences between Caucasians and African-Americans in terms of patient characteristics and cardiovascular risk factors accounted for only a portion of the disparity in long-term mortality outcomes, according to Duke cardiologist Rajendra Mehta, M.D.

"No matter what patient or treatment feature we adjusted for statistically, this disparity in long-term outcomes still remained," said Mehta, who presented the results of the Duke analysis Nov.9, 2004, at the American Heart Association's annual scientific sessions in New Orleans.

"There has to be something else going on that we don't fully understand," Mehta said. "In order to improve the outcomes for African-American heart attack patients, we feel that there should be prospective clinical study to help us understand what these factors may be and how best to address them."

While the current analysis was not designed to uncover the reasons for these differences, behind, Mehta said he suspects a combination of socio-economic factors, including compliance with long-term drug therapy, mistrust of the medical system, and lack of medical insurance.

According to Mehta, health professionals have assumed African-Americans with coronary artery disease suffer worse outcomes because of their higher prevalence of risk factors, such as hypertension and diabetes, delays in seeking care, lower quality of care and access issues.

However, most studies addressing these questions have involved smal

Contact: Richard Merritt
Duke University Medical Center

Page: 1 2 3

Related medicine news :

1. African-American women with endometrial cancer have more aggressive cancer than Caucasian women
2. Researchers say breast cancer in Africa may provide clues to the disease in African-Americans
3. Obesity among African-American stroke survivors increases risk factors for recurrent stroke
4. African-Americans receive less aggressive heart attack treatment
5. African-Americans may need more medication to control asthma
6. Good medicine, good economics: African-Americans need equal treatment for pain, SLU study finds
7. Beliefs may hinder HIV prevention among African-Americans
8. Study suggests obesity has lesser financial impact on African-Americans
9. Sobering disparity: African-Americans receive less compensation for job-related back injuries
10. New Crestor data in African-American patients with high cholesterol
11. New medication dramatically decreases congestive heart failure in African-American patients

Post Your Comments:

(Date:10/13/2017)... ... 2017 , ... The International Association of Eating Disorders Professionals ... the field of eating disorders, announces the opening of early registration for the ... at the Omni Resort at ChampionsGate. , The annual iaedp™ Symposium ...
(Date:10/13/2017)... ... 2017 , ... Apple Rehab Shelton Lakes , which specializes in the ... facility as part of a disaster drill on October 3rd. , Apple Rehab participated ... Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid Plan ...
(Date:10/13/2017)... ... 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids Fun Run brought ... This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, is aimed at ... towards children of all ages; it is a non-competitive, non-timed event, which is all ...
(Date:10/13/2017)... ... 2017 , ... “The Journey: From the Mountains to the Mission Field”: the ... in the Philippines. “The Journey: From the Mountains to the Mission Field” is the ... She has taught all ages and currently teaches a class of ladies at her ...
(Date:10/12/2017)... New Orleans, LA (PRWEB) , ... October 12, 2017 , ... ... fitness centers in the U.S., announced today its plans to open a flagship location ... club will occupy the former Rooms To Go store next to Office Depot in ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... SAN DIEGO , Sept. 22, 2017 ... ll medical device is now successfully helping those with ... Union. Fibromyalgia diagnosed Amanda in ... getting dressed and washing my hair, experiencing no sleep ... body in painful spasm… I cannot recommend [the AVACEN ...
(Date:9/19/2017)... LOUISVILLE, Ky. , Sept. 19, 2017   ZirMed ... and predictive analytics, today announced that it has been ranked ... the Black Book™ Rankings 2017 User Survey. ZirMed ... software solution for large hospitals and medical centers over 200 ... in Black Book,s healthcare technology user survey history. ...
(Date:9/18/2017)... Sept. 18, 2017 EpiVax, Inc. ... bioinformatics and immune engineering, today announced a ... A (H7N9) vaccine. ... seasonal influenza and presents a challenge for ... exposure to be effective. Using state-of-the-art bioinformatics and ...
Breaking Medicine Technology:
Cached News: