2001
Underutilization of reperfusion therapy in eligible African Americans with acute myocardial infarction: Role of presentation and evaluation characteristics
Manhapra A, Canto J, Barron H, Malmgren J, Taylor H, Rogers W, Weaver W, Every N, Borzak S. Underutilization of reperfusion therapy in eligible African Americans with acute myocardial infarction: Role of presentation and evaluation characteristics. American Heart Journal 2001, 142: 604-610. PMID: 11579349, DOI: 10.1067/mhj.2001.118464.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAngioplastyBlack or African AmericanComorbidityCoronary Artery BypassFemaleHeart FailureHospitalizationHumansMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionMyocardial ReperfusionPatient SelectionProspective StudiesRegistriesStrokeThrombolytic TherapyTime FactorsTreatment OutcomeConceptsAcute myocardial infarctionReperfusion therapyMyocardial infarctionAfrican AmericansImmediate reperfusion therapyMyocardial Infarction 2Early reperfusion therapyCongestive heart failureCoronary blood flowDefinite myocardial infarctionAfrican American patientsEligible patientsPrior strokeChest painHospital arrivalInitial admissionRate of useAtypical presentationEarly reperfusionHeart failureMean ageAmerican patientsNational registryCare providersBlood flow
2000
Electrocardiographic presentation of blacks with first myocardial infarction does not explain race differences in thrombolysis administration
Manhapra A, Khaja F, Syed M, Rybicki B, Wulbrecht N, Alam M, Sabbah H, Goldstein S, Borzak S. Electrocardiographic presentation of blacks with first myocardial infarction does not explain race differences in thrombolysis administration. American Heart Journal 2000, 140: 200-205. PMID: 10925330, DOI: 10.1067/mhj.2000.107173.Peer-Reviewed Original ResearchConceptsElectrocardiographic presentationThrombolysis administrationFirst myocardial infarctionBundle branch blockConditional logistic regressionST-segment deviationFirst MIInitial electrocardiogramConsecutive patientsClinical presentationClinical variablesMyocardial infarctionBranch blockThrombolysisGreater prevalenceElectrocardiographic manifestationsLogistic regressionMyocardial infarction (MI) accountUnmeasured differencesRacial differencesSimilar proportionsFurther studiesEligibilityAdministrationPresentation