Low socioeconomic status is more predictive of increased hazard in women than men after angiographic diagnosis of coronary artery disease

Background Low socioeconomic status is associated with an increased risk of coronary artery disease, but few studies have investigated the potential link between living in an area with a low versus a high socioeconomic status and coronary artery calcification, a marker of subclinical coronary artery disease. Design The design of this study was a cross-sectional study. Methods We evaluated 1067 participants with no history of coronary artery disease from the pilot phase of the Swedish CArdioPulmonary bioImage Study (SCAPIS). Men and women aged 50–64 years were recruited from three high-socioeconomic status ( n = 541) and three low-socioeconomic status ( n = 526) areas in the city of Gothenburg (550,000 inhabitants). The coronary artery calcification score was assessed with the Agatston method using computed tomography, with individuals classified into either no coronary calcification ( n = 625; mean age, 57 years) or any coronary artery calcification ( n = 442; mean age, 59 years (men, 68.5%)). Results Coronary artery calcification was present in 244 (46.3%) and 198 (36.6%) individuals from the low- and high-socioeconomic status areas, respectively. Participants from the low-socioeconomic status areas had a significantly higher risk factor burden. In a multivariable logistic regression model with adjustment for age, sex and cardiovascular risk factors, the odds for coronary artery calcification were not significantly higher among persons living in low-socioeconomic status areas (odds ratio = 1.18, 95% confidence interval = 0.87–1.60). Conclusion In this relatively small cross-sectional study, we observed an association between living in a low-socioeconomic status area and coronary artery calcification. However, this was mostly explained by higher levels of cardiovascular disease risk factors, indicating that the effect of socioeconomic status on the atherosclerotic process works through an increased burden of cardiovascular disease risk factors.

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1099-91 Treatment and outcome of diabetic patients with stable angina and first angiographic diagnosis of coronary artery disease in Germany: Results of the STAR registry

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(04)91195-3 ◽

2004 ◽

Vol 43 (5) ◽

pp. A282

Author(s):

Anselm K Gitt ◽

Harm Wienbergen ◽

Christina Vogel ◽

Tobias Heer ◽

Karl Siegler ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Stable Angina ◽

Diabetic Patients ◽

Artery Disease ◽

Angiographic Diagnosis

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Anomalous origin of the right coronary artery from the left anterior descending: Angiographic diagnosis in a patient with coronary artery disease

Catheterization and Cardiovascular Diagnosis ◽

10.1002/ccd.1810080109 ◽

1982 ◽

Vol 8 (1) ◽

pp. 49-53 ◽

Cited By ~ 16

Author(s):

William L. Simkoff ◽

Edward S. Murphy ◽

Henry Demots ◽

Siavosh Khonsari ◽

Pietro Abbruzzese

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Right Coronary Artery ◽

Anomalous Origin ◽

Artery Disease ◽

The Right ◽

Angiographic Diagnosis

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Prevalence of coronary artery disease in young Indian with low socioeconomic class- Single centre experience

Indian Heart Journal ◽

10.1016/j.ihj.2018.10.021 ◽

2018 ◽

Vol 70 ◽

pp. S6-S7

Author(s):

Aken Sanjay Desai ◽

Dharmesh Ramakant Solanki ◽

Jaydeep Yatin Desai

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Single Centre ◽

Socioeconomic Class ◽

Low Socioeconomic ◽

Single Centre Experience ◽

Artery Disease

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Predictive value of lipoprotein (a) and other serum lipoproteins in the angiographic diagnosis of coronary artery disease

The American Journal of Cardiology ◽

10.1016/0002-9149(90)91094-m ◽

1990 ◽

Vol 66 (17) ◽

pp. 1176-1180 ◽

Cited By ~ 54

Author(s):

James A. Hearn ◽

Samuel J. DeMaio ◽

Gary S. Roubin ◽

Margareta Hammarstrom ◽

Demetrios Sgoutas

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Predictive Value ◽

Serum Lipoproteins ◽

Lipoprotein A ◽

Artery Disease ◽

Angiographic Diagnosis

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Clinical Characteristics, Management Strategies, and In-Hospital Outcomes of Acute Coronary Syndrome in a Low Socioeconomic Status Cohort: An Observational Study From Urban India

Clinical Medicine Insights Cardiology ◽

10.1177/1179546820918897 ◽

2020 ◽

Vol 14 ◽

pp. 117954682091889 ◽

Cited By ~ 1

Author(s):

Navdeep Singh Sidhu ◽

Sunil Kumar Kondethimmannahally Rangaiah ◽

Dwarikaprasad Ramesh ◽

Kumaraswamy Veerappa ◽

Cholenahally Nanjappa Manjunath

Keyword(s):

Socioeconomic Status ◽

Acute Coronary Syndrome ◽

Coronary Artery ◽

Low Socioeconomic Status ◽

Management Strategies ◽

Low Ses ◽

Hospital Outcomes ◽

Low Socioeconomic ◽

Coronary Syndrome ◽

St Elevation

Background: Coronary artery disease is the leading cause of mortality in India. There is scarcity of data on demographic profile and outcomes of acute coronary syndrome (ACS) in low socioeconomic status (SES) population of India. Objectives: This study was undertaken to determine the clinical presentation, management strategies, and in-hospital outcomes of ACS in low SES population. Methods: We conducted 1-year prospective observational cohort study of ACS patients admitted at Employees State Insurance Corporation unit of our tertiary care cardiac center. Clinical parameters, management strategies, and in-hospital outcomes of 621 patients enrolled during the study period from February 2015 to January 2016 were studied. Results: Mean age of patients was 56.06 ± 11.29 years. Majority (62%) of the patients had ST elevation myocardial infarction (STEMI), whereas Non-ST elevation acute coronary syndrome (NSTE-ACS) was seen in 38% of the patients. Median time from symptom onset to hospital admission was 285 min with wide range from 105 to 1765 min. Coronary angiography was performed in 81% of patient population. Single-vessel disease (SVD) was the most common pattern (seen in 43.3%) of coronary artery involvement with left anterior descending coronary artery (LAD) being the most frequently involved vessel (62.8%). Pharmaco-invasive approach was the preferred strategy. Overall percutaneous coronary intervention (PCI) rates were 59.1% (62.1% in STEMI and 54.2% in NSTE-ACS). Overall in-hospital mortality was 3.2%, being significantly higher in STEMI (4.2%) as compared with NSTE-ACS (1.7%). Conclusions: With implementation of evidence-based pharmacotherapy and interventions, outcomes comparable with developed countries can be achieved even in low SES populations of developing world.

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