Maynard C, Every N R, Litwin P E, Martin J S, Weaver W D
Department of Medicine, School of Medicine, University of Washington, Seattle 98102, USA.
J Natl Med Assoc. 1995 May;87(5):339-44.
Increasing attention has been given to the investigation of cardiovascular disease in women, although African-American women have received little attention. This study compares characteristics and outcomes in women admitted to coronary care units for suspected acute myocardial infarction (MI). Between January 1988 and December 1991, a total of 554 (5%) African-American and 9738 (95%) white women with suspected acute MI were admitted to coronary care units in metropolitan Seattle, Washington. Relevant demographic socioeconomic, clinical, and outcome data were abstracted from the medical record and entered in the Myocardial Infarction Triage and Intervention registry. African-American women were younger, more often single and unemployed, and were less likely to have health insurance than their white counterparts. In addition, a higher proportion of African-American women reported a history of hypertension and diabetes mellitus. After adjustment for age, African-American women were equally as likely to develop acute MI and were more likely to die in the hospital. In addition, a higher proportion of African-American women were readmitted to coronary care units for suspected MI. Compared with their white counterparts, African-American women with suspected acute MI were considerably worse off from both socioeconomic and clinical standpoints, and their relative disadvantage was apparent in poor outcomes.
尽管非裔美国女性很少受到关注，但对女性心血管疾病的研究已越来越受到重视。本研究比较了因疑似急性心肌梗死（MI）入住冠心病监护病房的女性的特征和预后。1988年1月至1991年12月期间，华盛顿州西雅图市共有554名（5%）非裔美国女性和9738名（95%）白人女性因疑似急性心肌梗死入住冠心病监护病房。从病历中提取相关的人口统计学、社会经济、临床和预后数据，并录入心肌梗死分诊与干预登记处。与白人女性相比，非裔美国女性更年轻，单身和失业的比例更高，拥有医疗保险的可能性更小。此外，报告有高血压和糖尿病病史的非裔美国女性比例更高。在对年龄进行调整后，非裔美国女性发生急性心肌梗死的可能性相同，但在医院死亡的可能性更大。此外，因疑似心肌梗死再次入住冠心病监护病房的非裔美国女性比例更高。与白人女性相比，疑似急性心肌梗死的非裔美国女性在社会经济和临床方面的情况都要差得多，她们的相对劣势在不良预后中明显体现出来。
