Hispanics less likely to have repeat revascularizations 1 year after a...(tes of death and heart attack were simil...),Health
tes of death and heart attack were similar between Hispanics and Caucasians one year after PCI.
"It's interesting that Hispanics were younger and had more risk factors," Parikh said. "With higher rates of insulin treated diabetes, hypertension, and longer lesion lengths, one would expect Hispanic patients to have higher rates of repeat revascularization either though CABG or PCI. However, despite having these risk factors for increased rates of restenosis, Hispanics were found to be revascularized less often after initial PCI than their Caucasian counterparts.
"It is possible that a referral bias exists in which Hispanic patients are not being referred for coronary artery bypass surgery as commonly as Caucasians," Parikh said. "Or, there may be mediating factors intrinsic to the Hispanic patient that could be protective toward restenosis."
Parikh advocates for increased preventive measures and for modification of risk factors among these patients before they reach the cath labs. Better control of the unique set of risk factors in Hispanics could decrease the need for downstream invasive interventions.
Parikh and colleagues are planning to do further research on Hispanics in Dallas, where one-third of all patients undergoing cardiac catheterization at the Parkland Memorial Hospital catheterization laboratories are Hispanic.
According to the American Heart Association, data from the National Health Interview Survey 2005 study of the National Center for Health Statistics showed that among Hispanics/Latinos age 18 and older, 8.3 percent have heart disease, 5.9 percent have coronary heart disease, 20.3 percent have hypertension, and 2.2 percent have had a stroke.
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| Contact: AHA News Media Staff Office karen.astle@heart.org 504-670-6524 American Heart Association Source:Eurekalert |
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