Whether racial disparities exist in the treatment of ST elevation myocardial infarction (STEMI) is not exactly known. We report a retrospective chart review of patients with rst event of STEMI, in two groups separated by one decade. Results revealed that hospital mortality in the 2007 and 1997 groups for African Americans versus Caucasians was one of 22 versus 21 of 170, 95 % condence interval (CI) -0.178 to 0.022, p=0.48 and four of 41 versus 39 of 402, 95 % CI -0.095 to 0.096, p=1.00, respectively. The mean length of stay (LOS) for African Americans and Caucasians in the 2007 and 1997 groups was 5.7 versus 4.1 days (p=0.09) and 7.3 versus 6.6 days (p=0.42), respectively. During follow-up, a total of 40 patients needed re-intervention in the 2007 group. The re-intervention rate in African American patients being 13.6 % (three of 22) versus 21.2 % (36 of 170) in Caucasians, 95 % CI -0.231 to 0.081, with p=0.57. In conclusion, there was no evidence of racial disparity in the treatment of STEMI in terms of hospital mortality, length of hospital stay and re-intervention rate.
Abhijeet Basoor - Division of Cardiology, St Joseph Mercy Oakland, Pontiac
Gagan Randhawa - Department of Medicine, St Joseph Mercy Oakland, Pontiac
John F Cotant - Division of Cardiology, St Joseph Mercy Oakland, Pontiac
Nishit Choksi - Division of Cardiology, Department of Internal Medicine, St. Joseph Mercy Oakland Hospital, Pontiac, Michigan, US
Abdul R Halabi - Division of Cardiology, St Joseph Mercy Oakland, Pontiac
Kiritkumar C Patel - Division of Cardiology, St Joseph Mercy Oakland, Pontiac
Michele DeGregorio - Division of Cardiology, St Joseph Mercy Oakland, Pontiac