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202. Obesity Prevalence and Risks Among Chinese Adults: Findings From the China PEACE Million Persons Project, 2014-2018.

Author

Lin Mu, Jiamin Liu, Guohai Zhou, Chaoqun Wu, Bowang Chen, Yuan Lu, Jiapeng Lu, Xiaofang Yan, Zhihong Zhu, Nasir, Khurram, Spatz, Erica S., Krumholz, Harlan M., Xin Zheng, Mu, Lin, Liu, Jiamin, Zhou, Guohai, Wu, Chaoqun, Chen, Bowang, Lu, Yuan, and Lu, Jiapeng

Subjects
OBESITY, RESEARCH, CROSS-sectional method, RESEARCH methodology, MEDICAL cooperation, EVALUATION research, COMPARATIVE studies, WAIST circumference, DISEASE prevalence, RESEARCH funding, BODY mass index
Abstract

Background: China has seen a burgeoning epidemic of obesity in recent decades, but few studies reported nationally on obesity across socio-demographic subgroups. We sought to assess the prevalence and socio-demographic associations of obesity nationwide.Methods: We assessed the prevalence of overall obesity (body mass index ≥28 kg/m2) and abdominal obesity (waist circumference ≥85/90 cm for women/men) among 2.7 million community-dwelling adults aged 35 to 75 years in the China PEACE Million Persons Project from 2014 to 2018 and quantified the socio-demographic associations of obesity using multivariable mixed models.Results: Age-standardized rates of overall and abdominal obesity were 14.4% (95% CI, 14.3%-14.4%) and 32.7% (32.6%-32.8%) in women and 16.0% (15.9%-16.1%) and 36.6% (36.5%-36.8%) in men. Obesity varied considerably across socio-demographic subgroups. Older women were at higher risk for obesity (eg, adjusted relative risk [95% CI] of women aged 65-75 versus 35-44 years: 1.29 [1.27-1.31] for overall obesity, 1.76 [1.74-1.77] for abdominal obesity) while older men were not. Higher education was associated with lower risk in women (eg, adjusted relative risk [95% CI] of those with college or university education versus below primary school: 0.47 [0.46-0.48] for overall obesity, 0.61 [0.60-0.62] for abdominal obesity) but higher risk in men (1.07 [1.05-1.10], 1.17 [1.16-1.19]).Conclusions: In China, over 1 in 7 individuals meet criteria for overall obesity, and 1 in 3 for abdominal obesity. Wide variation exists across socio-demographic subgroups. The associations of age and education with obesity are significant and differ by sex. Understanding obesity in contemporary China has broad domestic policy implications and provides a valuable international reference. [ABSTRACT FROM AUTHOR]

Published
2021
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203. Newly diagnosed diabetes and outcomes after acute myocardial infarction in young adults.

Author

Qinglan Ding, Spatz, Erica S., Lipska, Kasia J., Haiqun Lin, Spertus, John A., Dreyer, Rachel P., Whittemore, Robin, Funk, Marjorie, Bueno, Hector, Krumholz, Harlan M., Ding, Qinglan, and Lin, Haiqun

Subjects
YOUNG adults, MYOCARDIAL infarction, CORONARY artery bypass, DIABETES, MYOCARDIAL infarction complications, DIAGNOSIS of diabetes, RESEARCH, RESEARCH methodology, DISEASE incidence, MEDICAL cooperation, EVALUATION research, COMPARATIVE studies, LONGITUDINAL method
Abstract

Objective: To examine prevalence and characteristics of newly diagnosed diabetes (NDD) in younger adults hospitalised with acute myocardial infarction (AMI) and investigate whether NDD is associated with health status and clinical outcomes over 12-month post-AMI.Methods: In individuals (18-55 years) admitted with AMI, without established diabetes, we defined NDD as (1) baseline or 1-month HbA1c≥6.5%; (2) discharge diabetes diagnosis or (3) diabetes medication initiation within 1 month. We compared baseline characteristics of NDD, established diabetes and no diabetes, and their associations with baseline, 1-month and 12-month health status (angina-specific and non-disease specific), mortality and in-hospital complications.Results: Among 3501 patients in Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study, 14.5% met NDD criteria. Among 508 patients with NDD, 35 (6.9%) received discharge diagnosis, 91 (17.9%) received discharge diabetes education and 14 (2.8%) initiated pharmacological treatment within 1 month. NDD was more common in non-White (OR 1.58, 95% CI 1.23 to 2.03), obese (OR 1.72, 95% CI 1.39 to 2.12), financially stressed patients (OR 1.27, 95% CI 1.02 to 1.58). Compared with established diabetes, NDD was independently associated with better disease-specific health status and quality of life (p≤0.04). No significant differences were found in unadjusted in-hospital mortality and complications between NDD and established or no diabetes.Conclusions: NDD was common among adults≤55 years admitted with AMI and was more frequent in non-White, obese, financially stressed individuals. Under 20% of patients with NDD received discharge diagnosis or initiated discharge diabetes education or pharmacological treatment within 1 month post-AMI. NDD was not associated with increased risk of worse short-term health status compared with risk noted for established diabetes.Trial Registration Number: NCT00597922. [ABSTRACT FROM AUTHOR]

Published
2021
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208. Abstract 30: Association of Cardiovascular Risk Factor Profile with Financial Hardship from Medical Bills and Other Cost-Related Barriers to Care Among US Non-Elderly Adults: The National Health Information Survey 2013-2017

Author

Grandhi, Gowtham R, primary, Valero-Elizondo, Javier, additional, Brandt, Eric J, additional, Annapureddy, Amarnath, additional, Saxena, Anshul, additional, Desai, Nihar R, additional, Spatz, Erica S, additional, and Nasir, Khurram, additional

Published
2019
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209. Abstract 293: Effect of Cardiovascular Health and Text Messaging (CHAT) on Risk Factor Management in Patients with Coronary Heart Disease: A Randomized Clinical Trial

Author

Zheng, Xin, primary, Spatz, Erica S, additional, Bai, Xueke, additional, Huo, Xiqian, additional, Ding, Qinglan, additional, Horak, Paul, additional, Wu, Xuekun, additional, Guan, Wenchi, additional, Chow, Clara K, additional, Yan, Xiaofang, additional, Sun, Ying, additional, Wang, Xiuling, additional, Zhang, Haibo, additional, Liu, Jiamin, additional, Li, Jing, additional, Li, Xi, additional, Spertus, John A, additional, Masoudi, Frederick A, additional, and Krumholz, Harlan M, additional

Published
2019
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210. Admission diagnoses among patients with heart failure: Variation by ACO performance on a measure of risk-standardized acute admission rates

Author

Benchetrit, Liliya, primary, Zimmerman, Chloe, additional, Bao, Haikun, additional, Dharmarajan, Kumar, additional, Altaf, Faseeha, additional, Herrin, Jeph, additional, Lin, Zhenqiu, additional, Krumholz, Harlan M., additional, Drye, Elizabeth E., additional, Lipska, Kasia J., additional, and Spatz, Erica S., additional

Published
2019
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212. Financial barriers in accessing medical care for peripheral artery disease are associated with delay of presentation and adverse health status outcomes in the United States.

Author

Jelani, Qurat-ul-ain, Jhamnani, Sunny, Spatz, Erica S, Spertus, John, Smolderen, Kim G, Wang, Jingyan, Desai, Nihar R, Jones, Philip, Gosch, Kensey, Shah, Samit, Attaran, Robert, and Mena-Hurtado, Carlos

Subjects
PERIPHERAL vascular diseases, HEALTH services accessibility, QUALITY of life, MEDICAL care, MEDICAL registries
Abstract

Patient-reported difficulties in affording health care and their association with health status outcomes in peripheral artery disease (PAD) have never been studied. We sought to determine whether financial barriers affected PAD symptoms at presentation, treatment patterns, and patient-reported health status in the year following presentation. A total of 797 United States (US) patients with PAD were identified from the Patient-centered Outcomes Related to TReatment Practices in Peripheral Arterial Disease: Investigating Trajectories (PORTRAIT) study, a prospective, multicenter registry of patients presenting to vascular specialty clinics with PAD. Financial barriers were defined as a composite of no insurance and underinsurance. Disease-specific health status was measured by Peripheral Artery Questionnaire (PAQ) and general health-related quality of life was measured by EuroQol 5 (EQ5D) dimensions at presentation and at 3, 6, and 12 months of follow-up. Among 797 US patients, 21% (n = 165) of patients reported financial barriers. Patients with financial barriers presented at an earlier age (64 ± 9.5 vs 70 ± 9.4 years), with longer duration of symptoms (59% vs 49%) (all p ⩽ 0.05), were more depressed and had higher levels of perceived stress and anxiety. After multivariable adjustment, health status was worse at presentation in patients with financial barriers (PAQ: –7.0 [–10.7, –3.4]; p < 0.001 and EQ5D: –9.2 [–12.74, –5.8]; p < 0.001) as well as through 12 months of follow-up (PAQ: –8.4 [–13.0, –3.8]; p < 0.001 and EQ5D: –9.7 [–13.2, –6.2]; p < 0.001). In conclusion, financial barriers are associated with later presentation as well as poorer health status at presentation and at 12 months. ClinicalTrials.gov Identifier: NCT01419080 [ABSTRACT FROM AUTHOR]

Published
2020
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213. Heterogeneity in Trajectories of Systolic Blood Pressure among Young Adults in Qingdao Port Cardiovascular Health Study.

Author

Haiqun Lin, Meiping Cui, Spatz, Erica S., Yongfei Wang, Jiapeng Lu, Jing Li, Shuxia Li, Chenxi Huang, Xiancheng Liu, Lixin Jiang, Krumholz, Harlan M., and Xiao Xu

Abstract

Background: Although increased age is associated with higher systolic blood pressure (SBP) in general, there may be variation across individuals in how SBP changes over time. The goal of this paper is to identify heterogeneity in SBP trajectories among young adults with similar initial values and identify personal characteristics associated with different trajectory patterns. This may have important implications for prevention and prognosis. Methods: A cohort of 12,468 individuals aged 18-35 years in the Qingdao Port Cardiovascular Health Study in China was followed yearly during 2000-2011. Individuals were categorized into three strata according to their baseline SBP: ≤110 mmHg, 111-130 mmHg, and >130 mmHg. Within each stratum, group-based trajectory analyses were conducted to identify distinct SBP trajectory patterns, and their association with sociodemographic and baseline health characteristics was assessed by ordinal logistic regression. Results: Five distinct groups of individuals exhibiting divergent patterns of increasing, stable or decreasing SBP trends were identified within each stratum. This is a first report to identify a subgroup with decreasing trend in SBP. Individuals with more advanced age, having less than high school education, family history of cardiovascular diseases, greater body mass index, greater waist circumference, and hyperlipidemia at baseline were more likely to experience trajectories of higher SBP within each stratum. Conclusions: The diverging trajectories among young adults with similar initial SBP highlight the need for prevention and feasibility of effective blood pressure control, while the identified risk factors may inform targeted interventions. [ABSTRACT FROM AUTHOR]

Published
2020
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214. Phenotypes of Hypertensive Ambulatory Blood Pressure Patterns: Design and Rationale of the ECHORN Hypertension Study.

Author

Spatz, Erica S., Martinez-Brockman, Josefa L., Tessier-Sherman, Baylah, Mortazavi, Bobak, Roy, Brita, Schwartz, Jeremy I., Nazario, Cruz M., Maharaj, Rohan, Nunez, Maxine, Adams, O. Peter, Burg, Matthew, Nunez-Smith, Marcella, and ECHORN Writing Group

Subjects
AMBULATORY blood pressure monitoring, ENVIRONMENTAL exposure prevention, BLOOD pressure, SOCIAL support, PHENOTYPES, HYPERTENSION
Abstract

Objective: To describe the rationale and design of a prospective study of ambulatory blood pressure measurement (ABPM) combined with measurement of contextual factors to identify hypertensive phenotypes in a Caribbean population with high rates of HTN and cardiovascular disease.Design: Prospective, multi-center sub-study.Setting: Eastern Caribbean Health Outcomes Research Network Cohort (ECHORN) Study, with study sites in Puerto Rico, the US Virgin Islands, Trinidad and Tobago, and Barbados.Participants: Community-residing adults without a diagnosis of HTN and not taking antihypertensive medication.Intervention: Ambulatory BP patterns are assessed using 24-hour ABPM. Contextual factors are assessed with: ecological momentary assessment (7-item survey of experiences, exposures and responses associated with daytime BP measurements); actigraphy (capturing physical activity and sleep quality); and self-report surveys (assessing physical and social health, environmental and social stressors and supports).Main Outcome Measures: Phenotypes of contextual factors associated with hypertensive BP patterns (sustained HTN, masked HTN, and nocturnal non-dipping).Methods and Results: This study will enroll 500 participants; assessments of blood pressure and contextual factors will be conducted during Waves 2 and 3 of the ECHORN parent study, occurring 2 years apart. In Wave 2, we will assess the association between contextual factors and ABPM patterns. Using advanced analytic clustering methods, we will identify phenotypes of contextual factors associated with hypertensive ABPM patterns. We will then test the stability of these phenotypes and their ability to predict change in ABPM patterns between Waves 2 and 3.Conclusions: Assessment of ABPM, and the contextual factors influencing ABPM, can identify unique phenotypes of HTN, which can then be used to develop more precision-based approaches to the prevention, detection and treatment of HTN in high-risk populations. [ABSTRACT FROM AUTHOR]

Published
2019
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217. Life's Simple 7 and the risk of atrial fibrillation: The Multi-Ethnic Study of Atherosclerosis

Author

Ogunmoroti, Oluseye, primary, Michos, Erin D., additional, Aronis, Konstantinos N., additional, Salami, Joseph A., additional, Blankstein, Ron, additional, Virani, Salim S., additional, Spatz, Erica S., additional, Allen, Norrina B., additional, Rana, Jamal S., additional, Blumenthal, Roger S., additional, Veledar, Emir, additional, Szklo, Moyses, additional, Blaha, Michael J., additional, and Nasir, Khurram, additional

Published
2018
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218. Association of the US Department of Justice Investigation of Implantable Cardioverter-Defibrillators and Devices Not Meeting the Medicare National Coverage Determination, 2007-2015

Author

Desai, Nihar R., primary, Bourdillon, Paul M., additional, Parzynski, Craig S., additional, Brindis, Ralph G., additional, Spatz, Erica S., additional, Masters, Claire, additional, Minges, Karl E., additional, Peterson, Pamela, additional, Masoudi, Frederick A., additional, Oetgen, William J., additional, Buxton, Alfred, additional, Zipes, Douglas P., additional, and Curtis, Jeptha P., additional

Published
2018
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219. Presentation, Clinical Profile, and Prognosis of Young Patients With Myocardial Infarction With Nonobstructive Coronary Arteries (MINOCA): Results From the VIRGO Study

Author

Safdar, Basmah, primary, Spatz, Erica S., additional, Dreyer, Rachel P., additional, Beltrame, John F., additional, Lichtman, Judith H., additional, Spertus, John A., additional, Reynolds, Harmony R., additional, Geda, Mary, additional, Bueno, Héctor, additional, Dziura, James D., additional, Krumholz, Harlan M., additional, and D'Onofrio, Gail, additional

Published
2018
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223. Favorable Modifiable Cardiovascular Risk Profile Is Associated With Lower Healthcare Costs Among Cancer Patients: The 2012–2013 Medical Expenditure Panel Survey

Author

Singh, Jai, primary, Valero‐Elizondo, Javier, additional, Salami, Joseph A., additional, Warraich, Haider J., additional, Ogunmoroti, Oluseye, additional, Spatz, Erica S., additional, Desai, Nihar, additional, Rana, Jamal S., additional, Virani, Salim S., additional, Blankstein, Ron, additional, Blaha, Michael J., additional, and Nasir, Khurram, additional

Published
2018
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227. Defining Multiple Chronic Conditions for Quality Measurement

Author

Drye, Elizabeth E., primary, Altaf, Faseeha K., additional, Lipska, Kasia J., additional, Spatz, Erica S., additional, Montague, Julia A., additional, Bao, Haikun, additional, Parzynski, Craig S., additional, Ross, Joseph S., additional, Bernheim, Susannah M., additional, Krumholz, Harlan M., additional, and Lin, Zhenqiu, additional

Published
2018
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228. National Trends in Nonstatin Use and Expenditures Among the US Adult Population From 2002 to 2013: Insights From Medical Expenditure Panel Survey

Author

Salami, Joseph A., primary, Warraich, Haider J., additional, Valero‐Elizondo, Javier, additional, Spatz, Erica S., additional, Desai, Nihar R., additional, Rana, Jamal S., additional, Virani, Salim S., additional, Blankstein, Ron, additional, Khera, Amit, additional, Blaha, Michael J., additional, Blumenthal, Roger S., additional, Katzen, Barry T., additional, Lloyd‐Jones, Donald, additional, Krumholz, Harlan M., additional, and Nasir, Khurram, additional

Published
2018
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229. Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project)

Author

Lu, Jiapeng, primary, Lu, Yuan, additional, Wang, Xiaochen, additional, Li, Xinyue, additional, Linderman, George C, additional, Wu, Chaoqun, additional, Cheng, Xiuyuan, additional, Mu, Lin, additional, Zhang, Haibo, additional, Liu, Jiamin, additional, Su, Meng, additional, Zhao, Hongyu, additional, Spatz, Erica S, additional, Spertus, John A, additional, Masoudi, Frederick A, additional, Krumholz, Harlan M, additional, and Jiang, Lixin, additional

Published
2017
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230. Design and rationale of the Cardiovascular Health and Text Messaging (CHAT) Study and the CHAT-Diabetes Mellitus (CHAT-DM) Study: two randomised controlled trials of text messaging to improve secondary prevention for coronary heart disease and diabetes

Author

Huo, Xiqian, primary, Spatz, Erica S, additional, Ding, Qinglan, additional, Horak, Paul, additional, Zheng, Xin, additional, Masters, Claire, additional, Zhang, Haibo, additional, Irwin, Melinda L, additional, Yan, Xiaofang, additional, Guan, Wenchi, additional, Li, Jing, additional, Li, Xi, additional, Spertus, John A, additional, Masoudi, Frederick A, additional, Krumholz, Harlan M, additional, and Jiang, Lixin, additional

Published
2017
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232. Life's Simple 7 and Incident Heart Failure: The Multi‐Ethnic Study of Atherosclerosis

Author

Ogunmoroti, Oluseye, primary, Oni, Ebenezer, additional, Michos, Erin D., additional, Spatz, Erica S., additional, Allen, Norrina B., additional, Rana, Jamal S., additional, Virani, Salim S, additional, Blankstein, Ron, additional, Aronis, Konstantinos N., additional, Blumenthal, Roger S., additional, Veledar, Emir, additional, Szklo, Moyses, additional, Blaha, Michael J., additional, and Nasir, Khurram, additional

Published
2017
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233. Association Between Modifiable Risk Factors and Pharmaceutical Expenditures Among Adults With Atherosclerotic Cardiovascular Disease in the United States: 2012–2013 Medical Expenditures Panel Survey

Author

Salami, Joseph A., primary, Valero‐Elizondo, Javier, additional, Ogunmoroti, Oluseye, additional, Spatz, Erica S., additional, Rana, Jamal S., additional, Virani, Salim S., additional, Blankstein, Ron, additional, Younus, Adnan, additional, Arrieta, Alejandro, additional, Blaha, Michael J., additional, Veledar, Emir, additional, and Nasir, Khurram, additional

Published
2017
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234. Association between self-rated health and ideal cardiovascular health: The Baptist Health South Florida Employee Study

Author

Ogunmoroti, Oluseye, primary, Utuama, Ovie A, additional, Salami, Joseph A, additional, Valero-Elizondo, Javier, additional, Spatz, Erica S, additional, Rouseff, Maribeth, additional, Parris, Don, additional, Das, Sankalp, additional, Guzman, Henry, additional, Agatston, Arthur, additional, Feldman, Theodore, additional, Veledar, Emir, additional, Maziak, Wasim, additional, and Nasir, Khurram, additional

Published
2017
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235. Status of Early-Career Academic Cardiology

Author

Tong, Carl W., primary, Madhur, Meena S., additional, Rzeszut, Anne K., additional, Abdalla, Marwah, additional, Abudayyeh, Islam, additional, Alexanderson, Erick, additional, Buber, Jonathan, additional, Feldman, Dmitriy N., additional, Gopinathannair, Rakesh, additional, Hira, Ravi S., additional, Kates, Andrew M., additional, Kessler, Thorsten, additional, Leung, Steve, additional, Raj, Satish R., additional, Spatz, Erica S., additional, Turner, Melanie B., additional, Valente, Anne Marie, additional, West, Kristin, additional, Sivaram, Chittur A., additional, Hill, Joseph A., additional, Mann, Douglas L., additional, and Freeman, Andrew M., additional

Published
2017
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237. Newly diagnosed diabetes and outcomes after acute myocardial infarction in young adults

Author

Ding, Qinglan, Spatz, Erica S, Lipska, Kasia J, Lin, Haiqun, Spertus, John A, Dreyer, Rachel P, Whittemore, Robin, Funk, Marjorie, Bueno, Hector, and Krumholz, Harlan M

Abstract

ObjectiveTo examine prevalence and characteristics of newly diagnosed diabetes (NDD) in younger adults hospitalised with acute myocardial infarction (AMI) and investigate whether NDD is associated with health status and clinical outcomes over 12-month post-AMI.MethodsIn individuals (18–55 years) admitted with AMI, without established diabetes, we defined NDD as (1) baseline or 1-month HbA1c≥6.5%; (2) discharge diabetes diagnosis or (3) diabetes medication initiation within 1 month. We compared baseline characteristics of NDD, established diabetes and no diabetes, and their associations with baseline, 1-month and 12-month health status (angina-specific and non-disease specific), mortality and in-hospital complications.ResultsAmong 3501 patients in Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study, 14.5% met NDD criteria. Among 508 patients with NDD, 35 (6.9%) received discharge diagnosis, 91 (17.9%) received discharge diabetes education and 14 (2.8%) initiated pharmacological treatment within 1 month. NDD was more common in non-White (OR 1.58, 95% CI 1.23 to 2.03), obese (OR 1.72, 95% CI 1.39 to 2.12), financially stressed patients (OR 1.27, 95% CI 1.02 to 1.58). Compared with established diabetes, NDD was independently associated with better disease-specific health status and quality of life (p≤0.04). No significant differences were found in unadjusted in-hospital mortality and complications between NDD and established or no diabetes.ConclusionsNDD was common among adults≤55 years admitted with AMI and was more frequent in non-White, obese, financially stressed individuals. Under 20% of patients with NDD received discharge diagnosis or initiated discharge diabetes education or pharmacological treatment within 1 month post-AMI. NDD was not associated with increased risk of worse short-term health status compared with risk noted for established diabetes.Trial registration numberNCT00597922.

Published
2021
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239. Sex Differences in Young Patients with Acute Myocardial Infarction: A VIRGO Study Analysis

Author

Bucholz, Emily M., Strait, Kelly M., Dreyer, Rachel P., Lindau, Stacy T., D’Onofrio, Gail, Geda, Mary, Spatz, Erica S., Beltrame, John F., Lichtman, Judith H., Lorenze, Nancy P., Bueno, Hector, and Krumholz, Harlan M.

Subjects
Adult, Male, Adolescent, Myocardial Infarction, Middle Aged, Prognosis, Risk Assessment, Article, United States, Young Adult, Sex Factors, Risk Factors, Spain, Humans, Female, Prospective Studies, Sex Distribution, Follow-Up Studies
Abstract

Young women with acute myocardial infarction (AMI) have a higher risk of adverse outcomes than men. However, it is unclear how young women with AMI are different from young men across a spectrum of characteristics. We sought to compare young women and men at the time of AMI on six domains of demographic and clinical factors in order to determine whether they have distinct profiles.Using data from Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients (VIRGO), a prospective cohort study of women and men aged ⩽55 years hospitalized for AMI ( n = 3501) in the United States and Spain, we evaluated sex differences in demographics, healthcare access, cardiovascular risk and psychosocial factors, symptoms and pre-hospital delay, clinical presentation, and hospital management for AMI. The study sample included 2349 (67%) women and 1152 (33%) men with a mean age of 47 years. Young women with AMI had higher rates of cardiovascular risk factors and comorbidities than men, including diabetes, congestive heart failure, chronic obstructive pulmonary disease, renal failure, and morbid obesity. They also exhibited higher levels of depression and stress, poorer physical and mental health status, and lower quality of life at baseline. Women had more delays in presentation and presented with higher clinical risk scores on average than men; however, men presented with higher levels of cardiac biomarkers and more classic electrocardiogram findings. Women were less likely to undergo revascularization procedures during hospitalization, and women with ST segment elevation myocardial infarction were less likely to receive timely primary reperfusion.Young women with AMI represent a distinct, higher-risk population that is different from young men.

Published
2016

244. Heterogeneity in Early Responses in ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial)

Author

Dhruva, Sanket S., primary, Huang, Chenxi, additional, Spatz, Erica S., additional, Coppi, Andreas C., additional, Warner, Frederick, additional, Li, Shu-Xia, additional, Lin, Haiqun, additional, Xu, Xiao, additional, Furberg, Curt D., additional, Davis, Barry R., additional, Pressel, Sara L., additional, Coifman, Ronald R., additional, and Krumholz, Harlan M., additional

Published
2017
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246. Sexual Activity and Function in the Year After an Acute Myocardial Infarction Among Younger Women and Men in the United States and Spain

Author

Lindau, Stacy Tessler, primary, Abramsohn, Emily, additional, Bueno, Hector, additional, D’Onofrio, Gail, additional, Lichtman, Judith H., additional, Lorenze, Nancy P., additional, Sanghani, Rupa Mehta, additional, Spatz, Erica S., additional, Spertus, John A., additional, Strait, Kelly M., additional, Wroblewski, Kristen, additional, Zhou, Shengfan, additional, and Krumholz, Harlan M., additional

Published
2017
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248. Patient–Provider Communication and Health Outcomes Among Individuals With Atherosclerotic Cardiovascular Disease in the United States

Author

Okunrintemi, Victor, primary, Spatz, Erica S., additional, Di Capua, Paul, additional, Salami, Joseph A., additional, Valero-Elizondo, Javier, additional, Warraich, Haider, additional, Virani, Salim S., additional, Blaha, Michael J., additional, Blankstein, Ron, additional, Butt, Adeel A., additional, Borden, William B., additional, Dharmarajan, Kumar, additional, Ting, Henry, additional, Krumholz, Harlan M., additional, and Nasir, Khurram, additional

Published
2017
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250. Favorable cardiovascular risk factor profile is associated with lower healthcare expenditure and resource utilization among adults with diabetes mellitus free of established cardiovascular disease: 2012 Medical Expenditure Panel Survey (MEPS)

Author

Feldman, David I., primary, Valero-Elizondo, Javier, additional, Salami, Joseph A., additional, Rana, Jamal S., additional, Ogunmoroti, Oluseye, additional, Osondu, Chukwuemeka U., additional, Spatz, Erica S., additional, Virani, Salim S., additional, Blankstein, Ron, additional, Blaha, Michael J., additional, Veledar, Emir, additional, and Nasir, Khurram, additional

Published
2017
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