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Canadian Journal of Cardiology

Understanding Associations, Social Inequities, and Cardiovascular Risks

  • James M. Brophy
    Correspondence
    Corresponding author: Dr James M. Brophy, McGill University Health Center, Centre for Health Outcomes Research (CORE), 5252 Boul de Maisonneuve West, Room 2B.37, Montreal, Quebec H4A 3S5, Canada.
    Affiliations
    McGill University Health Center, Centre for Health Outcomes Research (CORE), Montreal, Quebec H4A 3S5, Canada
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Published:September 29, 2022DOI:https://doi.org/10.1016/j.cjca.2022.09.024
      In this issue of the Canadian Journal of Cardiology, Moroni and colleagues

      Moroni F, Damonte JI, Veeramgari DPR, et al. Prognostic effect of race on the risk of contrast-associated acute kidney injury among patients who undergo percutaneous coronary intervention [e-pub ahead of print]. Can J Cardiol 10.1016/j.cjca.2022.09.003.

      report the prognostic effect of race on the risk of contrast-associated acute kidney injury (CA-AKI) among patients who underwent percutaneous coronary intervention (PCI) in their tertiary American hospital. Because a previous review
      • Azzalini L.
      • Candilio L.
      • McCullough P.A.
      • Colombo A.
      Current risk of contrast-induced acute kidney injury after coronary angiography and intervention: a reappraisal of the literature.
      has shown that CA-AKI is a significant problem after PCI, it is of interest to identify potential risk factors. Because minority groups in the United States have a long history of diminished access and poorer outcomes to cardiovascular procedures
      • Ayanian J.Z.
      • Udvarhelyi I.S.
      • Gatsonis C.A.
      • Pashos C.L.
      • Epstein A.M.
      Racial differences in the use of revascularization procedures after coronary angiography.
      compared with non-Hispanic white (NHW) patients, it seems appropriate to investigate if race is similarly associated with the development of cardiovascular procedural complications.
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      References

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      Linked Article

      • Prognostic Effect of Race on the Risk of Contrast-Associated Acute Kidney Injury Among Patients Who Undergo Percutaneous Coronary Intervention
        Canadian Journal of Cardiology
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          Minority groups in the United States have worse cardiovascular outcomes compared with non-Hispanic white (NHW) individuals, which can be attributed not only to the traditional cardiovascular risk factors, but also to marked differences in the social determinants of health. Racial disparities exist in the outcomes of percutaneous coronary intervention (PCI). In a recent meta-analysis including 22,628 subjects who underwent PCI, black race was associated with an adjusted 28% higher 5-year risk of major adverse cardiovascular events compared with NHW races, whereas no significant differences existed for Hispanic and Asian individuals.
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