{"doi":"10.18865/ed.32.3.193","title":"Race-Ethnic Differences of ST -Elevation Myocardial Infarction: Findings from a New York Health System Registry","abstract":"Background: Race and ethnicity are major considerations in the incidence, management, and long-term outcome of ST-elevation myocardial infarction (STEMI) in the United States, but there is limited existing comparative data. Methods: We assembled a registry in a health system serving Bronx, NY of STEMI patients from 2008-2014 and analyzed differences in presentation, treatment and mortality between Hispanic/Latino (H/L), non-Hispanic Black (NHB) and non-Hispanic White (NHW). Upon discharge post-treatment for STEMI, all patients were followed for a median of 4.4 years (interquartile range 2.5, 6.0). Out of 966 STEMI patients, mean age was 61 years, 46% were H/L and 65% were male. H/Ls and NHBs had a higher prevalence of hypertension and diabetes mellitus than their NHW counterparts, coinciding with a lower socioeconomic status (SES). Results: The number of critically diseased vessels found at cardiac catheterization and mean troponin levels did not vary by race-ethnicity; neither did the adjusted hazard ratios (HR) for death. However, age-sex adjusted rates of general hospital readmission were higher in NHBs vs NHWs (HR 1.30, P=.03). Age-sex adjusted cardiovascular readmissions rates were higher in H/Ls than NHWs (HR 1.42, P=.03). Age-sex adjusted heart failure readmissions were increased for both H/Ls (HR 2.14, P=.01) and NHBs (HR 2.12, P=.02) over NHWs. Conclusions: Among STEMI patients, a higher prevalence of modifiable cardiovascular risk factors and a lower SES was seen among NHBs and H/Ls compared to NHWs. Despite similar coronary disease severity and in-hospital death, NHBs and H/Ls had a greater risk of general, cardiovascular and heart failure readmissions post-STEMI compared to NHWs.","journal":"Ethnicity & Disease","year":2022,"id":282508,"datarank":0.4261221499602127,"base_score":2.0794415416798357,"endowment":2.0794415416798357,"self_citation_contribution":0.31191623125197543,"citation_network_contribution":0.11420591870823725,"self_endowment_contribution":0.31191623125197543,"citer_contribution":0.11420591870823725,"corpus_percentile":56.362651814032645,"corpus_rank":5642,"citation_count":7,"citer_count":7,"citers_with_citation_signal":4,"citers_with_endowment":4,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5702,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":958494,"name":"C Zamora","orcid":"0000-0002-3238-2168","position":1,"is_corresponding":false},{"id":413542,"name":"Sanyog G. Shitole","orcid":"0000-0002-3831-5118","position":2,"is_corresponding":false},{"id":959002,"name":"Panagiota Christa","orcid":null,"position":3,"is_corresponding":false},{"id":476852,"name":"Un Jung Lee","orcid":"0000-0002-6097-6414","position":4,"is_corresponding":false},{"id":413540,"name":"Anna E. Bortnick","orcid":"0000-0001-7983-5243","position":5,"is_corresponding":false},{"id":246786,"name":"Jorge R. Kizer","orcid":"0000-0001-9936-7803","position":6,"is_corresponding":false},{"id":74999,"name":"Carlos J. Rodríguez","orcid":"0000-0003-0860-9008","position":7,"is_corresponding":false},{"id":958493,"name":"Christopher S. G. Murray","orcid":"0000-0002-8435-8506","position":0,"is_corresponding":true}],"reference_count":36,"raw_metadata":null,"created_at":"2026-07-19T00:29:19.691592Z","pmid":"35909638","pmcid":"PMC9311301","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}