Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Prevalence of CHD and Stroke by Birthplace

J Am Heart Assoc; 2018 Mar 28; Fang, Yuan, et al

Foreign-born adults residing in the US had a lower prevalence of coronary heart disease (CHD) and stroke compared to US-born adults; however, considerable heterogeneity of CHD and stroke risk was found by region of birth, according to the results of a recent study. Researchers used data from the 2006 to 2014 National Health Interview Survey with birthplace categorized as US or foreign born; foreign born was grouped into 6 birthplace regions. Among the findings:

  • Age-standardized prevalence of both CHD and stroke were higher among US- than foreign-born adults (CHD: 8.2% vs 5.5% for men and 4.8% vs 4.1% for women; stroke: 2.7% vs 2.1% for men and 2.7% vs 1.9% for women).
  • CHD prevalence was lower among foreign-born adults from Asia and Mexico, Central America, or the Caribbean vs US-born adults.
  • For stroke, men from South American or Africa had the lowest prevalence; women from Europe had the lowest prevalence.
  • Years of living in the US was not related to risk of CHD or stroke after adjustment with demographic and health characteristics.

Citation:

Fang J, Yuan K, Gindi RM, Ward BW, Ayala C, Loustalot F. Association of birthplace and coronary heart disease and stroke among US adults: National Health Interview Survey, 2006 to 2014. [Published online ahead of print March 28, 2018]. J Am Heart Assoc. doi:10.1161/JAHA.117.008153.

This Week's Must Reads

Combination model predicts imminent preeclampsia, Ciobanu A et al. Am J Obstet Gynecol. 2019 Feb 7. doi. org/10.1016/j.ajog.2019.01.235

Delayed cord clamping didn’t drop maternal hemoglobin in term cesarean deliveries, Purisch S. et al. Am J Obstet Gynecol. 2019 Jan;220(1):S37-38, Abstract 47

Dental device borrowed from sports world no help in pushing, Bergh E et al. Am J Obstet Gynecol. 2019 Jan;220(1):S39, Abstract 49

Enterovirus in at-risk children associated with later celiac disease, Kahrs CR et al. BMJ. 2019 Feb 13. doi: 10.1136/bmj.l231

Must Reads in Cardiology

Possible mechanism for fluoroquinolone-induced aortopathy uncovered, Guzzardi DG et al. J Thorac Cardiovasc Surg. 2019;157:109-19.

Are Automated Office BP Readings More Accurate?, JAMA Intern Med; ePub 2019 Feb 4; Roerecke, et al

BMI Measurements and Intensive BP Management , Am J Med; ePub 2019 Feb 2; Oxlund, et al

Intensive BP Control & Risk of Dementia, JAMA; ePub 2019 Jan 28; SPRINT MIND Investigators

Aspirin for Prevention of CV Events, JAMA; 2019 Jan 22; Zheng, Roddick