Author + information
- Shikhar Agarwal,
- Karan Sud,
- Badal Thakkar,
- Venu Menon,
- Wael Jaber and
- Samir Kapadia
Background: The current literature appears inconsistent with respect to secular trends of atherosclerotic risk factors across the world. We aimed to evaluate the secular trends in demographics, risk factors as well as clinical characteristics of patients presenting with acute myocardial infarction (MI) or acute ischemic stroke, using a large nationally representative dataset of in-hospital admissions.
Methods: We used the 2003-2013 Nationwide Inpatient Sample. All admissions with primary diagnosis of acute MI or acute ischemic stroke were included. Risk factors and clinical comorbidities were identified using ICD-9 codes.
Results: Across 2003-2013, a total of 1,360,660 patients with acute MI and 937,425 patients with acute stroke were included in the study. We noted a progressive reduction in the mean age of patients presenting with acute MI and acute stroke (p-trend <0.001 for all groups), implying that the burden of young patients with these acute syndromes is progressively increasing. In addition, there was a progressive increase in the proportion of patients who are uninsured among patients presenting with acute MI and acute stroke. Furthermore, despite a progressively younger age at presentation, there was an observed increase in the prevalence of atherosclerotic risk factors including hypertension, hyperlipidemia, diabetes, smoking and obesity among patients presenting with acute MI or acute stroke during 2003-2013. Significant disparities were noted in the prevalence of risk factors among various demographic and geographical cohorts. Low SES as well as uninsured patients had a significantly higher prevalence of preventable risk factors like smoking and obesity as compared to the high SES and insured patients respectively.
Conclusions: There have been significant changes in the risk factor profile of patients presenting with acute MI and acute stroke over the last decade. Targeted interventions addressing cardiovascular risk factors among economically disadvantaged subgroups is warranted.
Moderated Poster Contributions
Acute and Stable Ischemic Heart Disease Moderated Poster Theater, Poster Hall, Hall C
Sunday, March 19, 2017, 12:30 p.m.-12:40 p.m.
Session Title: New Perspectives on CAD Risk Factors
Abstract Category: 2. Acute and Stable Ischemic Heart Disease: Clinical
Presentation Number: 1319M-03
- 2017 American College of Cardiology Foundation