Griffiths D H, Pokorny M E, Bowman J M
Nursing Program, Nash Community College, Rocky Mount, NC, USA.
Am J Crit Care. 1999 Mar;8(2):101-4.
Despite overall declining death rates from cardiovascular disease, the number of women dying of cardiovascular disease increases each year, with substantially higher rates in African American women than in white women.
To investigate differences in presentation, diagnostic method, and type of infarction between African American and white women with myocardial infarction.
Chart review of all women with discharge diagnosis of myocardial infarction.
No significant differences were found between African American and white women in admitting diagnosis, diagnostic methods, or type of infarction. At the time of admission, 2 medical history variables, stroke and hypertension, differed significantly between African American and white women (P = .027 and P = .002, respectively).
Healthcare professionals must be aware of possible racial differences in medical history, signs and symptoms, and prognosis when assessing patients and planning interventions. Studies with larger samples are needed to confirm these findings on African American and white women with myocardial infarction.
尽管心血管疾病的总体死亡率在下降，但死于心血管疾病的女性人数每年都在增加，非裔美国女性的死亡率远高于白人女性。
调查非裔美国和白人心肌梗死女性在临床表现、诊断方法和梗死类型上的差异。
对所有出院诊断为心肌梗死的女性进行病历回顾。
非裔美国和白人女性在入院诊断、诊断方法或梗死类型上未发现显著差异。入院时，非裔美国和白人女性有2个病史变量存在显著差异，即中风和高血压（P值分别为0.027和0.002）。
医疗保健专业人员在评估患者和规划干预措施时，必须意识到病史、体征和症状以及预后方面可能存在的种族差异。需要更大样本量的研究来证实这些关于非裔美国和白人心肌梗死女性的研究结果。
