Effect of Race on Clinical Outcomes Following Hemodynamically Supported High-Risk Percutaneous Coronary Intervention
Key result
A cited meta-analysis found that Black patients had a higher risk of major adverse cardiac events at 5 years compared with White patients (HR 1.28; P=0.01).
Why the study?
Racial disparities and poor outcomes following PCI persist, particularly for Black patients.
Authors
Discussion
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Implication
Persistent post-PCI outcome gaps for Black patients warrant targeted equity strategies; confirms higher comorbidity burden in stent RCT participants.
Key Points
- Examine the impact of racial disparities on clinical outcomes and adverse cardiovascular events following high-risk percutaneous coronary intervention.
- Evaluated racial differences in cardiovascular risk factors and outcomes following percutaneous coronary intervention.
- Assessed meta-analytic evidence across 10 randomized controlled trials evaluating coronary stents in Black and White patients.
- Black patients exhibited higher baseline rates of cardiovascular risk factors, including diabetes, dyslipidemia, hypertension, and smoking.
- Black patients had an increased risk of major adverse cardiac events at 5 years compared with White patients (HR 1.28, P = .01).
Study Design
Type
Observational
PICO
P
Population
Coronary artery disease requiring hemodynamically supported high-risk percutaneous coronary intervention
E
Exposure / Comparator
Black race vs White race
Cite This Study
Fuller et al. (2023) conducted an observational in Coronary artery disease requiring hemodynamically supported high-risk percutaneous coronary intervention. Black race vs. White race was evaluated. A cited meta-analysis found that Black patients had a higher risk of major adverse cardiac events at 5 years compared with White patients (HR 1.28; P=0.01).