Abstract 3750: Prevalence of Coronary Artery Disease in New York City Police Officers as Predicted by Coronary Artery Calcium Scoring

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Jia Lin See ◽  
Nikolas Wanahita ◽  
Nir N Somekh ◽  
Stephen E Nelson ◽  
Albert Barrette ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
New York ◽  
New York City ◽  
Coronary Artery ◽  
Police Officers ◽  
York City ◽  
Early Exposure ◽  
Gender And Age ◽  
Artery Disease ◽  
City Police

Background: Recent studies in police officers and firefighters have shown that physically taxing and psychologically stressful occupations may increase death from coronary artery disease (CAD). The aim of this study was to determine if there is an increased prevalence of CAD among members of the New York City Police Department (NYPD). Methods: A total of 2,068 NYPD police officers and detectives underwent electron beam computed tomography for quantitation of coronary artery calcium (CAC) using the Agatston scoring method. The CAC score is known to correlate with the extent and severity of CAD and is predictive of adverse cardiovascular events. The CAC scores were compared with a gender- and age-specific database developed by Hoff et al (also known as the Kondos database). Patients with CAC scores > 400 and those whose scores fall within the upper quartile for gender and age are generally considered to be at increased risk of adverse events. Results: Participants’ mean age was 42 ± 6 years and 86% were male. More than 50% of males < 65 and females < 60 years of age had scores below the 50 th percentile for their age group (Tables ). A subset of 75 individuals (mean age 41 ± 6; 88% male) with known early exposure to the World Trade Center (WTC) collapse were evaluated; they did not have increased CAC scores (data not shown). Conclusion: There is not an increased prevalence of CAD among members of the NYPD compared to the general population as assessed with CAC quantitation. Early exposure to the WTC collapse does not appear to increase the risk of premature CAD at five years.

Premature Coronary Artery Disease [CAD] in the Asian Immigrant Population: Data from a New York City Hospital

CHEST Journal ◽  
2004 ◽  
Vol 126 (4) ◽  
pp. 790S ◽  
Author(s):  
Tejwant Dhillon ◽  
S. Niranjan ◽  
A. Khanna ◽  
Sanjay Shetty ◽  
Umang Patel ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
New York ◽  
New York City ◽  
Coronary Artery ◽  
York City ◽  
Population Data ◽  
Premature Coronary Artery Disease ◽  
City Hospital ◽  
Asian Immigrant ◽  
Artery Disease

scholarly journals Sex-specificity of mortality risk factors among hospitalized COVID-19 patients in New York City: prospective cohort study

2020 ◽  
Author(s):  
Tomi Jun ◽  
Sharon Nirenberg ◽  
Patricia Kovatch ◽  
Kuan-lin Huang
Keyword(s):  
Risk Factors ◽  
Coronary Artery Disease ◽  
New York ◽  
New York City ◽  
Cohort Study ◽  
Coronary Artery ◽  
Lactate Dehydrogenase ◽  
York City ◽  
Male Sex ◽  
Artery Disease

Objective: To identify sex-specific effects of risk factors for in-hospital mortality among COVID-19 patients admitted to a hospital system in New York City. Design: Prospective observational cohort study with in-hospital mortality as the primary outcome. Setting: Five acute care hospitals within a single academic medical system in New York City. Participants: 3,086 hospital inpatients with COVID-19 admitted on or before April 13, 2020 and followed through June 2, 2020. Follow-up till discharge or death was complete for 99.3% of the cohort. Results: The majority of the cohort was male (59.6%). Men were younger (median 64 vs. 70, p<0.001) and less likely to have comorbidities such as hypertension (32.5% vs. 39.9%, p<0.001), diabetes (22.6% vs. 26%, p=0.03), and obesity (6.9% vs. 9.8%, p=0.004) compared to women. Women had lower median values of laboratory markers associated with inflammation compared to men: white blood cells (5.95 vs. 6.8 K/uL, p<0.001), procalcitonin (0.14 vs 0.21 ng/mL, p<0.001), lactate dehydrogenase (375 vs. 428 U/L, p<0.001), C-reactive protein (87.7 vs. 123.2 mg/L, p<0.001). Unadjusted mortality was similar between men and women (28.8% vs. 28.5%, p=0.84), but more men required intensive care than women (25.2% vs. 19%, p<0.001). Male sex was an independent risk factor for mortality (OR 1.26, 95% 1.04-1.51) after adjustment for demographics, comorbidities, and baseline hypoxia. There were significant interactions between sex and coronary artery disease (p=0.038), obesity (p=0.01), baseline hypoxia (p<0.001), ferritin (p=0.002), lactate dehydrogenase (p=0.003), and procalcitonin (p=0.03). Except for procalcitonin, which had the opposite association, each of these factors was associated with disproportionately higher mortality among women. Conclusions: Male sex was an independent predictor of mortality, consistent with prior studies. Notably, there were significant sex-specific interactions which indicated a disproportionate increase in mortality among women with coronary artery disease, obesity, and hypoxia. These new findings highlight patient subgroups for further study and help explain the recognized sex differences in COVID-19 outcomes.

scholarly journals Police Use Of Excessive Force: A Case Study Of Lethal (Deadly) Force

2016 ◽  
Vol 12 (1) ◽  
pp. 488
Author(s):  
Vedat Kargin
Keyword(s):  
New York ◽  
New York City ◽  
Police Officers ◽  
York City ◽  
Police Department ◽  
Excessive Force ◽  
Lethal Force ◽  
Depth Analysis ◽  
City Police

Two African-American civilians, Sean Bell and Amadou Bailo Diallo, suffered tragic deaths as a result of use of lethal force by the police. This case study presents an in-depth analysis of the determinants that affected the officers’ use of lethal force with regard to the above mentioned cases. In 1999, Amadou Bailo Diallo was killed in a 41-bullet police shooting in New York. Similarly in 2006, Sean Bell was shot to death in a 50-bullet fusillade that involved officers from The New York City Police Department. After the Bell shooting, officers of The New York City Police Department were under investigation. The case study focuses on and examines the similarities and differences of both cases, official and public reactions in the aftermath of the shootings, investigation processes, as well as the indictments of the police officers involved in both cases. Finally, this study proposes some suggestions on the use of excessive force based on the findings of the two specific cases.

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