Castaner A, Simmons B E, Mar M, Cooper R
Cook County Hospital, Chicago, Illinois.
Ann Intern Med. 1988 Jul 1;109(1):33-5. doi: 10.7326/0003-4819-109-1-33.
Previous studies suggest that long-term survival among symptomatic black patients with coronary artery disease is reduced compared with white patients. Of 342 patients hospitalized with a myocardial infarction over a 3-year period, 285 were black and 249 of these were discharged alive. In this cohort, the all-causes mortality was 14% (95% CI, 9 to 19) at 1 year and 22% (95% CI, 13 to 31) at 2 years. Cardiac causes accounted for 71% and 82% of all deaths at 1 and 2 years, respectively. These mortality rates exceed previous reports of survival after myocardial infarction among white patients in the United States, and confirm that inner-city minority patients served by municipal health care institutions have a particularly poor prognosis for coronary artery disease.
先前的研究表明，有症状的冠心病黑人患者与白人患者相比，长期生存率较低。在3年期间因心肌梗死住院的342例患者中，285例为黑人，其中249例存活出院。在这个队列中，1年时全因死亡率为14%（95%CI，9%至19%），2年时为22%（95%CI，13%至31%）。心脏原因分别占1年和2年时所有死亡的71%和82%。这些死亡率超过了美国白人患者心肌梗死后生存的先前报告，并证实由市政医疗机构服务的市中心少数族裔患者冠心病预后特别差。
