Perceived discrimination linked to worse outcomes after myocardial infarction in younger patients

November 10, 2022

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Arakaki A, et al. Abstract 547. Presented at: American Heart Association Scientific Sessions; November 5-7, 2022; Chicago (hybrid meeting).

Disclosures:
Arakaki does not report relevant financial disclosures.


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CHICAGO. In heart attack survivors younger than 55, those who reported perceived discrimination had worse outcomes in the year after their heart attack compared with those who did not, researchers reported at the American Heart Association Scientific Sessions. Heart.

Andrew j arakaki

“In recent years, there has been an increased focus on assessing the social determinants of disparities in cardiovascular health. Understanding the impact of perceived discrimination on post-acute myocardial infarction outcomes is an important step in addressing barriers to health equity.” Andrew j Arakaki, MPH, doctoral candidate in the department of chronic disease epidemiology at the Yale School of Public Health, he told Healio. “Previous studies have shown that older and middle-aged adults who reported higher perceived discrimination were more likely to have cardiovascular disease risk factors (i.e. hypertension) and had a higher risk of having a heart attack. Young adults tend to report more discrimination, and little is known about whether perceived discrimination affects recovery and outcomes after a heart attack.”

The researchers analyzed the health status at one month and one year of 2,670 patients younger than 55 years with myocardial infarction. from the VIRGO study. They determined perceived discrimination using the Everyday Discrimination Scale, general health using the SF-12 score, and disease-specific health using four domains of the Seattle Angina Questionnaire score: quality of life, satisfaction with treatment, limitation physical and frequency of angina.

Approximately 35% of the cohort reported perceived discrimination as reflected by an Everyday Discrimination Scale score of greater than 0.

At 1 month, a higher Daily Discrimination Scale score was associated with a lower SF-12 score, quality of life score, and treatment satisfaction score, and a higher likelihood of physical and mental limitations. angina, according to the researchers. Those associations remained consistent at 1 year except for treatment satisfaction score.

There was no relationship between perceived discrimination and SF-12 score.

“Everyday discrimination is a psychosocial stressor that is common among young adults with acute myocardial infarction. Discrimination is independently associated with poor cardiac-specific outcomes during the first year of recovery from acute myocardial infarction and deserves attention when treating young adults hospitalized for acute myocardial infarction,” Arakaki told Healio. “Further research is needed to understand the mechanism underlying this association to identify appropriate targets for interventions.”

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