Why the study?
Insurance status is a key socioeconomic determinant of cardiovascular health and may contribute to disparities in in-hospital outcomes among hypertensive patients with acute myocardial infarction, but contemporary population-level data are limited.
Does Medicaid or Medicare insurance increase in-hospital mortality compared to private insurance in hypertensive patients with acute myocardial infarction?
Observational (n=1,029,345)
Yes
Does Medicaid or Medicare insurance increase in-hospital mortality compared to private insurance in hypertensive patients with acute myocardial infarction?
Answers are grounded in this paper and cite their sources.
Among hypertensive patients presenting with acute myocardial infarction, having Medicaid or Medicare insurance is associated with significantly higher in-hospital mortality and mechanical ventilation requirements compared to private insurance.
Acute myocardial infarction (MI) remains a leading cause of mortality worldwide, with hypertension as one of its most prevalent risk factors. Insurance status is a key population-level socioeconomic determinant of cardiovascular health and may contribute to disparities in vascular outcomes among hypertensive patients presenting with acute MI. However, contemporary population-level data evaluating insurance-related disparities in in-hospital outcomes within this high-risk population remain limited.
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Sandhu et al. (2026) conducted an observational in Acute myocardial infarction with primary hypertension (n=1,029,345). Medicaid insurance vs. Private insurance was evaluated on In-hospital mortality (aOR 1.31, 95% CI 1.10-1.56).
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