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JACC April 5, 2016

Volume 67, Issue 13

Acute Coronary Syndromes

AMERICAN INDIANS WITH ACUTE CORONARY SYNDROMES PRESENT WITH HIGHER ACUITY
BUT HAVE SIMILAR SHORT AND LONG-TERM OUTCOMES AFTER ISOLATED CORONARY ARTERY
BYPASS GRAFTING
Poster Contributions
Poster Area, South Hall A1
Sunday, April 03, 2016, 9:45 a.m.-10:30 a.m.
Session Title: Clinical and Therapuetic Factors Affecting Outcome After Acute Coronary Syndromes
Abstract Category: 14. Acute Coronary Syndromes: Clinical
Presentation Number: 1169-015
Authors: Eric Anderson, Matthew Glogoza, Aaron Bettenhausen, Brandon Fisher, Jared Sander, Donald Warne, Cornelius Dyke, University
of North Dakota School of Medicine & Health Sciences, Grand Forks, ND, USA, North Dakota State University, Fargo, ND, USA

Background: American Indians (AIs) have been reported to have higher rates of short term mortality after CABG, while long-term
outcomes are unclear. Whether differences are due to ethnicity, geography, or reduced access to care is unclear. The objective of this study
was to evaluate differences in clinical presentation and outcomes between AIs and non-AIs in a high-volume tertiary care center.
Methods: A retrospective review of all patients undergoing CABG from 2008-2014 was performed. 1783 patients were identified; 108 were
identified as AIs. Clinical presentation, operative technique, and in-hospital outcomes as defined by the Society of Thoracic Surgeons
(STS) were evaluated. Long-term mortality was assessed.
Results: AIs were younger, but presented with significantly higher rates of several risk factors, as well as presented with a higher acuity
(Table). AIs had lower rates or arterial grafting. There was no significant difference in in-hospital mortality, major morbidity and mortality, or
other STS outcomes, except for short stay. AIs had similar rates of long-term mortality up to 7 years based on Kaplan-Meier estimates.

Conclusions: American Indians present with higher rates of cardiovascular risk factors and present with a higher level of acuity at the time
of cardiac revascularization. Although in-hospital mortality is numerically but not significantly higher, long-term outcomes in AIs undergoing
CABG in a high-volume center are similar to the general population.

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