{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:06:04Z","timestamp":1779793564090,"version":"3.53.1"},"reference-count":52,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">We examined racial differences in recurrent nonfatal acute myocardial infarction (AMI) and fatal coronary heart disease (CHD) among ARIC (Atherosclerosis Risk in Communities) cohort participants who survived a first AMI (1987\u20132017) and assessed whether socioeconomic and cardiovascular risk factors contribute to observed differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">We analyzed 422 Black and 1245 White ARIC participants who survived an incident AMI during follow\u2010up. Incidence rates of recurrent AMI and fatal CHD were calculated by race. Proportional hazards models examined differences after adjustment for socioeconomic and cardiovascular risk factors, with race\u2013sex interactions tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">The mean\u00b1SD age at the time of the first incident AMI was 69.3\u00b19.0\u2009years for Black and 70.7\u00b19.5\u2009years for White participants. The incidence rate per 1000 person\u2010years was higher in Black participants than White participants both for recurrent nonfatal AMI (incidence rate, 32.4 [95% CI, 26.8\u201338.8] versus 22.8 [95% CI, 20.2\u201325.6]) and for fatal CHD (34.2 [95% CI, 28.4\u201340.7] versus 17.9 [95% CI, 15.7\u201320.4]). In age\u2010 and sex\u2010adjusted models, the hazard ratios comparing Black versus White participants were 1.70 (95% CI, 1.36\u20132.13) for recurrent nonfatal AMI and 2.10 (95% CI, 1.67\u20132.34) for fatal CHD. The racial differences were statistically not significant after adjustment for socioeconomic and cardiovascular risk factors. There were no significant race and sex interactions for outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Black participants have higher rates of recurrent nonfatal AMI and fatal CHD after an initial AMI compared with White participants. These disparities are mostly explained by socioeconomic and cardiovascular risk factors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.124.040133","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T04:13:47Z","timestamp":1766117627000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Racial Differences in Recurrent Acute Myocardial Infarction: Findings From the ARIC Cohort"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6041-2320","authenticated-orcid":false,"given":"Duygu","family":"Islek","sequence":"first","affiliation":[{"name":"Emory University","place":["Atlanta, USA"]},{"name":"Emory University","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2225-8323","authenticated-orcid":false,"given":"Alvaro","family":"Alonso","sequence":"additional","affiliation":[{"name":"Emory University","place":["Atlanta, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5271-074X","authenticated-orcid":false,"given":"Wayne","family":"Rosamond","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Gillings School of Global Public Health","place":["Chapel Hill, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9864-467X","authenticated-orcid":false,"given":"Anna","family":"Kucharska\u2010Newton","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Gillings School of Global Public Health","place":["Chapel Hill, USA"]},{"name":"University of Kentucky","place":["Lexington, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8511-604X","authenticated-orcid":false,"given":"Yejin","family":"Mok","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health","place":["Baltimore, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7179-718X","authenticated-orcid":false,"given":"Kunihiro","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health","place":["Baltimore, USA"]},{"name":"Johns Hopkins University","place":["Baltimore, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9327-7505","authenticated-orcid":false,"given":"Silvia","family":"Koton","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bloomberg School of Public Health","place":["Baltimore, USA"]},{"name":"Tel Aviv University","place":["Tel Aviv, Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5138-9683","authenticated-orcid":false,"given":"Michael Joseph","family":"Blaha","sequence":"additional","affiliation":[{"name":"Johns Hopkins University","place":["Baltimore, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9054-0654","authenticated-orcid":false,"given":"Viola","family":"Vaccarino","sequence":"additional","affiliation":[{"name":"Emory University","place":["Atlanta, USA"]},{"name":"Emory University","place":["Atlanta, 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