Key result
Indigenous patients with AMI undergo ~22% fewer coronary procedures compared to non-Indigenous patients.
Why the study?
Are rates of percutaneous coronary interventions and bypass surgery after acute myocardial infarction lower in Indigenous compared to non-Indigenous patients?
Cohort (n=14,683)
Yes
Are rates of percutaneous coronary interventions and bypass surgery after acute myocardial infarction lower in Indigenous compared to non-Indigenous patients?
Relative Risk: 0.78 (95% CI 0.64–0.94)
Indigenous patients with AMI have significantly lower rates of PCI compared to non-Indigenous patients, which may be partly driven by a higher burden of comorbidities.
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Disparities in post-AMI coronary procedures among Indigenous patients require urgent exploration; observational data leave open the roles of comorbidities and access barriers.
Coory et al. (2005) conducted a cohort in Acute myocardial infarction (AMI) (n=14,683). Indigenous status vs. Non-Indigenous patients was evaluated on Any coronary procedure (PCI or bypass surgery) (RR 0.78, 95% CI 0.64-0.94). Indigenous patients with acute myocardial infarction had a significantly lower adjusted rate of any coronary procedure compared to non-Indigenous patients (RR 0.78; 95% CI 0.64-0.94).
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