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Erschienen in: Wiener klinische Wochenschrift 23-24/2017

20.10.2017 | original article

Acute coronary syndrome in immigrants and non-immigrants

Results of an Austrian prospective pilot study

verfasst von: Duygu Gündüz, Anita Lesjak, Angela Wiedemann, Marion Avanzini, Walther-Benedikt Winkler, Hadice Ucar-Altenberger, Univ. Prof. Dr. Claudia Stöllberger, Franz Weidinger

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 23-24/2017

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Summary

Background

There are indications that immigrant patients with acute coronary syndrome (ACS) differ in demographic characteristics and clinical presentation from non-immigrant patients. The aim of this prospective pilot study was to gather clinical and sociodemographic data from patients with ACS and to compare immigrants with non-immigrants.

Methods

Included were consecutive patients who underwent acute coronary angiography in one cardiological department for ACS from September 2011 to September 2013. Information was gathered about age, sex, results of the coronary angiography, classical risk factors, socioeconomic characteristics as well as ethnicity. Patients who had their place of birth outside Austria were specified as immigrants.

Results

A total of 100 patients (29% female) with a mean age of 60 years (range 34–91 years) were included. Of the patients 35 (35%) were immigrants, 12 came from Serbia, 4 from Bosnia, 3 from South America, 2 from Germany, 2 from Turkey, 2 from the Czech Republic, 2 from Croatia, 2 from Macedonia, and 1 each from Bangladesh, Poland, Romania, Libya, Bulgaria and Pakistan. Immigrants tended to be younger on average (56 vs. 62 years, p = 0.04) and had a two or multivessel disease more often than the non-immigrants but this difference was not significant (51% vs. 38%, p = 0.29). There were no differences between non-immigrants and immigrants concerning the classical risk factors for ACS (hypercholesterinemia 60% vs. 69%, nicotine abuse 51% vs. 60%, hypertension 69% vs. 79%) except diabetes mellitus (15% vs. 37%, p = 0.02). Sociodemographic data showed differences in education and socioeconomic status (SES). Non-immigrants had jobs with high skill level more often than immigrants (30% vs. 4%, p = 0.02), although there was no difference between immigrants and non-immigrants in the level of high education (9% each); however, immigrants more often had low education (31% vs. 11%, p = 0.01) and a monthly income below 1000 € than non-immigrants (41% vs. 14%, p = 0.03).

Conclusions

Immigrants with ACS suffered more often from coronary two or multivessel disease and diabetes mellitus and were slightly younger than non-immigrants, although they did not differ regarding classical risk factors. Results suggest that the lower SES of immigrants compared with non-immigrants might contribute to the severity of coronary heart disease.
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Metadaten
Titel
Acute coronary syndrome in immigrants and non-immigrants
Results of an Austrian prospective pilot study
verfasst von
Duygu Gündüz
Anita Lesjak
Angela Wiedemann
Marion Avanzini
Walther-Benedikt Winkler
Hadice Ucar-Altenberger
Univ. Prof. Dr. Claudia Stöllberger
Franz Weidinger
Publikationsdatum
20.10.2017
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 23-24/2017
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-017-1279-7