Age adjusted nationwide trends in the incidence of all cause and ST elevation myocardial infarction associated cardiogenic shock based on gender and race in the United States

Mohammad R Movahed, Muhammad F. Khan, Mehrnoosh Hashemzadeh, Mehrtash Hashemzadeh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Recent improvement in the care of patients with myocardial infarction should lead to better outcome. The goal of this study was to evaluate the incidence of all cause cardiogenic shock (CS) and CS occurring in the setting of ST elevation myocardial infarction (STEMI) in the United States. Method: The Nationwide Inpatient Sample (NIS) database was utilized to calculate the age-adjusted incident rate of CS from 1996 to 2006 based on ICD-9 coding in the setting of STEMI. Furthermore, we evaluated this trend based on race and gender. Results: A total population of 52,784,917 patients was available between 1996 and 2006. We found that the incidence of all cause CS has not changed over time. However, in the setting of STEMI, CS has been declining slowly over the last 10. years. The age-adjusted rate for CS was 4.3 per 100,000 in 1996 which remained steady with an incidence of 3.1 per 100.000 in 2006 (p < 0.01). This decline was persistent across different race or gender. However, African Americans and female gender had persistently lower rate of CS. Conclusion: Advancement in the treatment of acute STEMI has led to gradual reduction in the incidence of STEMI related cardiogenic shock irrespective of ethnicities or gender suggesting improving outcome of patients presenting with STEMI in recent years.

Original languageEnglish (US)
Pages (from-to)2-5
Number of pages4
JournalCardiovascular Revascularization Medicine
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Cardiogenic Shock
Incidence
ST Elevation Myocardial Infarction
International Classification of Diseases
African Americans
Inpatients
Patient Care
Myocardial Infarction
Databases

Keywords

  • Acute coronary syndrome
  • Acute myocardial infarction
  • Coronary artery disease
  • Shock

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Age adjusted nationwide trends in the incidence of all cause and ST elevation myocardial infarction associated cardiogenic shock based on gender and race in the United States. / Movahed, Mohammad R; Khan, Muhammad F.; Hashemzadeh, Mehrnoosh; Hashemzadeh, Mehrtash.

In: Cardiovascular Revascularization Medicine, Vol. 16, No. 1, 01.01.2015, p. 2-5.

Research output: Contribution to journalArticle

@article{23fab24fbc7b4aedbc9d0c453d477ac7,
title = "Age adjusted nationwide trends in the incidence of all cause and ST elevation myocardial infarction associated cardiogenic shock based on gender and race in the United States",
abstract = "Background: Recent improvement in the care of patients with myocardial infarction should lead to better outcome. The goal of this study was to evaluate the incidence of all cause cardiogenic shock (CS) and CS occurring in the setting of ST elevation myocardial infarction (STEMI) in the United States. Method: The Nationwide Inpatient Sample (NIS) database was utilized to calculate the age-adjusted incident rate of CS from 1996 to 2006 based on ICD-9 coding in the setting of STEMI. Furthermore, we evaluated this trend based on race and gender. Results: A total population of 52,784,917 patients was available between 1996 and 2006. We found that the incidence of all cause CS has not changed over time. However, in the setting of STEMI, CS has been declining slowly over the last 10. years. The age-adjusted rate for CS was 4.3 per 100,000 in 1996 which remained steady with an incidence of 3.1 per 100.000 in 2006 (p < 0.01). This decline was persistent across different race or gender. However, African Americans and female gender had persistently lower rate of CS. Conclusion: Advancement in the treatment of acute STEMI has led to gradual reduction in the incidence of STEMI related cardiogenic shock irrespective of ethnicities or gender suggesting improving outcome of patients presenting with STEMI in recent years.",
keywords = "Acute coronary syndrome, Acute myocardial infarction, Coronary artery disease, Shock",
author = "Movahed, {Mohammad R} and Khan, {Muhammad F.} and Mehrnoosh Hashemzadeh and Mehrtash Hashemzadeh",
year = "2015",
month = "1",
day = "1",
doi = "10.1016/j.carrev.2014.07.007",
language = "English (US)",
volume = "16",
pages = "2--5",
journal = "Cardiovascular Revascularization Medicine",
issn = "1553-8389",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Age adjusted nationwide trends in the incidence of all cause and ST elevation myocardial infarction associated cardiogenic shock based on gender and race in the United States

AU - Movahed, Mohammad R

AU - Khan, Muhammad F.

AU - Hashemzadeh, Mehrnoosh

AU - Hashemzadeh, Mehrtash

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background: Recent improvement in the care of patients with myocardial infarction should lead to better outcome. The goal of this study was to evaluate the incidence of all cause cardiogenic shock (CS) and CS occurring in the setting of ST elevation myocardial infarction (STEMI) in the United States. Method: The Nationwide Inpatient Sample (NIS) database was utilized to calculate the age-adjusted incident rate of CS from 1996 to 2006 based on ICD-9 coding in the setting of STEMI. Furthermore, we evaluated this trend based on race and gender. Results: A total population of 52,784,917 patients was available between 1996 and 2006. We found that the incidence of all cause CS has not changed over time. However, in the setting of STEMI, CS has been declining slowly over the last 10. years. The age-adjusted rate for CS was 4.3 per 100,000 in 1996 which remained steady with an incidence of 3.1 per 100.000 in 2006 (p < 0.01). This decline was persistent across different race or gender. However, African Americans and female gender had persistently lower rate of CS. Conclusion: Advancement in the treatment of acute STEMI has led to gradual reduction in the incidence of STEMI related cardiogenic shock irrespective of ethnicities or gender suggesting improving outcome of patients presenting with STEMI in recent years.

AB - Background: Recent improvement in the care of patients with myocardial infarction should lead to better outcome. The goal of this study was to evaluate the incidence of all cause cardiogenic shock (CS) and CS occurring in the setting of ST elevation myocardial infarction (STEMI) in the United States. Method: The Nationwide Inpatient Sample (NIS) database was utilized to calculate the age-adjusted incident rate of CS from 1996 to 2006 based on ICD-9 coding in the setting of STEMI. Furthermore, we evaluated this trend based on race and gender. Results: A total population of 52,784,917 patients was available between 1996 and 2006. We found that the incidence of all cause CS has not changed over time. However, in the setting of STEMI, CS has been declining slowly over the last 10. years. The age-adjusted rate for CS was 4.3 per 100,000 in 1996 which remained steady with an incidence of 3.1 per 100.000 in 2006 (p < 0.01). This decline was persistent across different race or gender. However, African Americans and female gender had persistently lower rate of CS. Conclusion: Advancement in the treatment of acute STEMI has led to gradual reduction in the incidence of STEMI related cardiogenic shock irrespective of ethnicities or gender suggesting improving outcome of patients presenting with STEMI in recent years.

KW - Acute coronary syndrome

KW - Acute myocardial infarction

KW - Coronary artery disease

KW - Shock

UR - http://www.scopus.com/inward/record.url?scp=84922838673&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922838673&partnerID=8YFLogxK

U2 - 10.1016/j.carrev.2014.07.007

DO - 10.1016/j.carrev.2014.07.007

M3 - Article

C2 - 25458070

AN - SCOPUS:84922838673

VL - 16

SP - 2

EP - 5

JO - Cardiovascular Revascularization Medicine

JF - Cardiovascular Revascularization Medicine

SN - 1553-8389

IS - 1

ER -