Prevention & lipids

Relationships between neighborhood disadvantage and cardiovascular findings at autopsy in subjects with sudden death

Am Heart JPublished Retrospective cohort study

Authors' conclusion

Neighborhood disadvantage did not associate with cause of death or coronary histopathology after adjustment for cardiovascular risk factors and race

Study context

Population
Sudden death cases in the State of Maryland, CVPath Sudden Death RegistryArea deprivation index (ADI) available
Participants
1,464 cases
Exposure
Most disadvantaged neighborhoods vs less disadvantaged neighborhoods
  • ADI ≥ 8n = 607
  • ADI ≤ 7n = 857reference
Outcome
Causes of death and gross and histopathologic findings of the heart
Methodological detailsautopsy registry
  • Autopsy registry

Main finding

As reported in the abstract

Cardiac cause of death, most vs less disadvantaged neighborhoods

61.8% vs 67.7%

P = 0.02

Plaque rupture, most vs less disadvantaged neighborhoods

18.8% vs 25.1%

P = 0.004

Observational data: associations, not effects.

Further findings

Plaque rupture

P = 0.004

Age at death

P = 0.02

  • Plaque rupture: not significant after adjustment for traditional risk factors and race

Age at death

ADI ≥ 8 more likely Black or women

Original publication

Relationships between neighborhood disadvantage and cardiovascular findings at autopsy in subjects with sudden death. Am Heart J. Published 11 November 2022. doi:10.1016/j.ahj.2022.10.086

Composed by AI from the published abstract and checked against it. How Briefs are made →

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