Ethnic differences in utilization of invasive cardiac procedures and in long‐term survival following acute myocardial infarction

Mak, Koon‐Hou; Kark, Jeremy D.; Chia, Kee‐Seng; Tan, C.T.; Foong, B H; Chew, Suok‐Kai

doi:10.1002/clc.4960270507

Cited by 6 publications

(3 citation statements)

References 19 publications

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“…Only in Singapore has a difference been shown between the Malay, South Asian, and Chinese populations, 16 however, the data set was small, no age-standardization between ethnic populations was performed, 16 and there were significant ethnic differences in health care utilization, thus introducing bias into the case identification process. 32,33 Furthermore, both Australia and Canada have a broadly genetically diverse population.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Achalasia in South Australia Based on Esophageal Manometry Findings

Duffield

Hamer

Heddle

et al. 2017

Clinical Gastroenterology and Hepatology

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Section: Discussionmentioning

confidence: 99%

Incidence of Achalasia in South Australia Based on Esophageal Manometry Findings

Duffield

Hamer

Heddle

et al. 2017

Clinical Gastroenterology and Hepatology

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“…Previous studies focused on short-term outcomes [11][12][13][14] did not adjust for differences in socioeconomic status (SES), or they were limited by inadequate sample sizes to allow meaningful analyses between ethnic groups. Further complicating the current understanding of whether ethnicity affects outcomes after AMI, many studies examined ethnic groups under different healthcare systems.…”

Section: Editorial See P 1550 Clinical Perspective On P 1577mentioning

confidence: 99%

Outcomes After Acute Myocardial Infarction in South Asian, Chinese, and White Patients

et al. 2010

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Background-Cardiac mortality rates vary substantially between countries and ethnic groups. It is unclear, however, whether South Asian, Chinese, and white populations have a variable prognosis after acute myocardial infarction (AMI).To clarify this association, we compared mortality, use of revascularization procedures, and risk of recurrent AMI and hospitalization for heart failure between these ethnic groups in a universal-access healthcare system. Methods and Results-We used a population cohort study design using hospital administrative data linked to cardiac procedure registries from British Columbia and the Calgary Health Region Area in Alberta (1994Alberta ( to 2003 to identify AMI cases. Patient ethnicity was categorized using validated surname algorithms. There were 2190 South Asian, 946 Chinese, and 38479 white patients with AMI identified. There was no significant difference in use of revascularization procedures between ethnic groups at 30 d and 1 year. Short-term (30-day) mortality was higher among Chinese relative to white patients (odds ratio, 1.23; 95% confidence interval, 1.02 to 1.48). There was no significant difference in 30-day mortality between South Asian and white patients. South Asian patients had a 35% lower relative risk of long-term mortality compared with white patients (hazard ratio, 0.65; 95% confidence interval, 0.57 to 0.72). There was no significant difference in long-term mortality between Chinese and white patients. Among AMI survivors, Chinese patients had a lower risk of recurrent AMI, whereas there was no difference between South Asian and white patients. Conclusion-The ethnic groups studied have striking differences in outcomes after AMI, with South Asian patients having significantly lower long-term mortality after AMI. (Circulation. 2010;122:1570-1577.)

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“…[91][92][93][94] Table 1 summarizes different studies of coronary revascularization and its clinical outcome including mortality among immigrant SA populations. 82,83,[85][86][87][88][89][90][92][93][94][95][96][97][98]…”

Section: Does Sa Ethnicity Affect Response To Antiplatelet Agents?mentioning

confidence: 99%

Management of Coronary Artery Disease in South Asian Populations

Ahmed

El‐Menyar

2015

Angiology

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The South Asian (SA) population constitutes one of the largest ethnic groups in the world. Several studies that compared host and migrant populations around the world indicate that SAs have a higher risk of developing cardiovascular disease (CVD) than their native-born counterparts. Herein, we review the literature to address the role of the screening tools, scoring systems, and guidelines for primary, secondary, and tertiary prevention in these populations. Management based on screening for the CVD risk factors in a high-risk population such as SAs can improve health care outcomes. There are many scoring tools for calculating 10-year CVD risk; however, each scoring system has its limitations in this particular ethnicity. Further work is needed to establish a unique scoring and guidelines in SAs.

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Ethnic differences in utilization of invasive cardiac procedures and in long‐term survival following acute myocardial infarction

Cited by 6 publications

References 19 publications

Incidence of Achalasia in South Australia Based on Esophageal Manometry Findings

Incidence of Achalasia in South Australia Based on Esophageal Manometry Findings

Outcomes After Acute Myocardial Infarction in South Asian, Chinese, and White Patients

Management of Coronary Artery Disease in South Asian Populations

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