AI Article Synopsis

  • This study examines how socioeconomic status (SES) affects patients with high risk for cardiovascular disease, particularly those with obstructive coronary artery disease (CAD) undergoing invasive procedures.
  • It compares outcomes between low SES patients (medical aid beneficiaries) and high SES patients (national health insurance beneficiaries), finding that both groups had similar rates of obstructive CAD.
  • However, low SES patients experienced significantly worse long-term cardiovascular events (20.2% vs. 16.2%) over a 3.5-year follow-up, highlighting the link between socioeconomic disadvantage and poorer cardiovascular health outcomes.

Article Abstract

This retrospective study investigated the impact of socioeconomic status (SES) on patients at high risk of cardiovascular disease, focusing on obstructive coronary artery disease (CAD) presence and long-term cardiovascular outcomes in individuals undergoing invasive coronary angiography (ICA). Analyzing data from 9530 patients categorized by health insurance type (medical aid beneficiaries (MABs) as the low SES group; national health insurance beneficiaries (NHIBs) as the high SES group), this research explores the relationship between SES and outcomes. Despite a higher prevalence of cardiovascular risk factors, the MAB group exhibited similar rates of obstructive CAD compared to the NHIB group. However, over a median 3.5-year follow-up, the MAB group experienced a higher incidence of composite cardiovascular events, including cardiac death, acute myocardial infarction, coronary revascularization, and ischemic stroke, compared with the NHIB group (20.2% vs. 16.2%, 0.001). Multivariable Cox regression analysis, adjusting for potential confounders, revealed independently worse clinical outcomes for the MAB group (adjusted odds ratio 1.28; 95% confidence interval 1.07-1.54; = 0.006). Despite comparable CAD rates, this study underscores the fact that individuals with low SES encounter an elevated risk of composite cardiovascular events, emphasizing the association between socioeconomic disadvantage and heightened susceptibility to cardiovascular disease, even among those already at high risk.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10815423PMC
http://dx.doi.org/10.3390/healthcare12020228DOI Listing

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