Key result
Patients in the highest income quintile were 76% more likely to undergo any revascularization after acute myocardial infarction compared to those in the lowest quintile.
Why the study?
Does higher household income increase the use of invasive cardiac procedures in patients with acute myocardial infarction?
Observational (n=28,698)
Yes
Does higher household income increase the use of invasive cardiac procedures in patients with acute myocardial infarction?
Effect estimate: OR 1.76 (any revascularization)
Lower household income is an independent negative predictor of the use of invasive cardiac procedures following acute myocardial infarction, highlighting socioeconomic disparities in cardiovascular care.
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Income disparities may limit post-AMI revascularization access; leaves open whether targeted policies can reduce inequities.
Philbin et al. (2000) conducted an observational in acute myocardial infarction (n=28,698). Highest quintile of household income vs. Lowest quintile of household income was evaluated on Use of cardiac catheterization, PTCA, CABG, and any revascularization procedure (OR 1.76 (any revascularization)). Patients in the highest income quintile were 76% more likely to undergo any revascularization after acute myocardial infarction compared to those in the lowest quintile.
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