Association of Race and Sex With Risk of Incident Acute Coronary Heart Disease Events

Abstract
Although mortality rates for acute myocardial infarction (MI) and coronary heart disease (CHD) have declined in the United States since the 1970s,1-4 both death certificate data and evidence from 4 US communities suggest a steeper decline in acute CHD mortality between 2000 and 2008 for whites than for blacks, widening a long-standing disparity.5,6 Furthermore, data from Kaiser Permanente suggested that hospitalizations for MI decreased between 2002 and 2007,7 but more so for whites than for blacks. Neither death certificate data nor health plan data permit examination of incident events.5,8-10