{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T22:14:11Z","timestamp":1774995251425,"version":"3.50.1"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Quality and Outcomes"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>National-level differences in myocardial infarction (MI) quality of care among Asian patients in the United States are unclear. We assessed the quality of MI care in the 6 largest US Asian ethnic groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Patients aged \u226518 years with ST-segment\u2013elevation MI or non\u2013ST-segment\u2013elevation MI in the Get With The Guidelines\u2013Coronary Artery Disease registry (711 US hospitals, 2015\u20132021) were assessed. The odds of MI-related quality of care and process outcomes were evaluated in Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, and other Asian adults compared with non-Hispanic White adults. Sex-stratified logistic regression models were adjusted for age and clinical characteristics.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>There were 5691 Asian patients (1520 Asian Indian, 422 Chinese, 430 Filipino, 114 Japanese, 283 Korean, 553 Vietnamese, and 2369 other Asian) and 141\u2005271 non-Hispanic White patients, overall 30% female, and mean age of 66.5 years. Relative to non-Hispanic White adults, among patients with ST-segment\u2013elevation MI, door-to-ECG time \u226410 minutes was less likely in Asian Indian (adjusted odds ratio [aOR], 0.64 [95% CI, 0.50\u20130.82]), Chinese (aOR, 0.65 [95% CI, 0.46\u20130.93]), and Korean (aOR, 0.57 [95% CI, 0.33\u20130.97]) men and in other Asian women (aOR, 0.61 [95% CI, 0.41\u20130.90]). Door-to-balloon time \u226490 minutes was less likely in Asian Indian men (aOR, 0.71 [95% CI, 0.56\u20130.90]) and Filipina women (aOR, 0.48 [95% CI, 0.24\u20130.98]). In patients with ST-segment\u2013elevation MI or non\u2013ST-segment\u2013elevation MI, optimal medical therapy for MI was less likely in Korean men (aOR, 0.65 [95% CI, 0.47\u20130.90]) and more likely in Asian Indian men (aOR, 1.22 [95% CI, 1.06\u20131.40]) and women (aOR, 1.32 [95% CI, 1.04\u20131.67]) and Filipina women (aOR, 1.84 [95% CI, 1.27\u20132.67]).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>MI quality of care varies among US Asian patients with ST-segment\u2013elevation MI and non\u2013ST-segment\u2013elevation MI. Quality improvement programs must identify and address the factors that result in suboptimal MI quality of care among US Asian patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circoutcomes.124.011097","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T09:10:17Z","timestamp":1725959417000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Myocardial Infarction Quality of Care and Outcomes in Asian Ethnic Groups in the United States"],"prefix":"10.1161","volume":"17","author":[{"given":"Aishwarya","family":"Vijay","sequence":"first","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Internal Medicine, Washington University School of Medicine in St. Louis, MO (A.V., M.D.H.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5813-5993","authenticated-orcid":true,"given":"Xiaoning","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7412-2519","authenticated-orcid":true,"given":"Mark D.","family":"Huffman","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine (M.D.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Internal Medicine, Washington University School of Medicine in St. Louis, MO (A.V., M.D.H.)."},{"name":"The George Institute for Global Health, Sydney, NSW, Australia (M.D.H.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2570-3426","authenticated-orcid":true,"given":"Namratha R.","family":"Kandula","sequence":"additional","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Preventive Medicine (M.D.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0847-6110","authenticated-orcid":true,"given":"Donald M.","family":"Lloyd-Jones","sequence":"additional","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Preventive Medicine (M.D.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0312-109X","authenticated-orcid":true,"given":"Powell O.","family":"Jose","sequence":"additional","affiliation":[{"name":"Sutter Medical Group, Sacramento, CA (P.O.J.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3945-7529","authenticated-orcid":true,"given":"Eugene","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Washington School of Medicine, Seattle (E.Y.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6286-2349","authenticated-orcid":true,"given":"Abhinav","family":"Goyal","sequence":"additional","affiliation":[{"name":"Department of Medicine, Emory University School of Medicine, Atlanta, GA (A.G.)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0643-1859","authenticated-orcid":true,"given":"Sadiya S.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Preventive Medicine (M.D.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3519-8662","authenticated-orcid":true,"given":"Nilay S.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Medicine (A.V., X.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."},{"name":"Department of Preventive Medicine (M.D.H., N.R.K., D.M.L.-J., S.S.K., N.S.S.), Northwestern University Feinberg School of Medicine, Chicago, IL."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","unstructured":"Pew Research Center. 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