February 18, 2003HeartOpen Access

Bangladeshi patients present with non-classic features of acute myocardial infarction and are treated less aggressively in east London, UK

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Why the study?

Do Bangladeshi patients present with different symptoms and experience delays in emergency treatment for acute myocardial infarction compared to white patients?

Population

371 patients admitted with Q wave acute myocardial infarction at an East London teaching hospital.

Comparison

Bangladeshi ethnicity (observational exposure) vs White ethnicity

Design

Cohort

Authors

KBK BarakātMinistry of Health

Discussion

Member takes

Implication

Atypical AMI presentations in Bangladeshi patients were associated with thrombolysis delays; leaves open whether targeted protocols reduce disparities.

Structured PICO

Do Bangladeshi patients present with different symptoms and experience delays in emergency treatment for acute myocardial infarction compared to white patients?

Population

371 patients (263 white and 108 Bangladeshi) admitted with Q wave acute myocardial infarction (AMI) at an East London teaching hospital.

Intervention

Bangladeshi ethnicity (observational exposure)

Comparator

White ethnicity

Outcome

Character of presenting symptoms, their interpretation by the patient, and the provision of emergency treatment (including door-to-needle time for thrombolysis)

Bangladeshi patients with acute myocardial infarction frequently present with atypical symptoms, which is associated with significant delays in receiving emergency thrombolysis compared to white patients.

Cite This Study

K Barakāt (2003) studied this question.

synapsesocial.com/papers/6a865e61da4bf993812ed8f2 https://doi.org/10.1136/heart.89.3.276

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Implication

Atypical AMI presentations in Bangladeshi patients were associated with thrombolysis delays; leaves open whether targeted protocols reduce disparities.