Differences in undergoing cardiac procedures within three months after first myocardial infarction by country of birth in women and men : a Swedish national cohort study.

AbstractObjective: To examine the relationship between country of birth and the utilization of coronary angiography, percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) after a first-time myocardial infarction (MI).Design, setting and patients: 117 494 MI patients of all ages who were admitted to coronary care units between 2001 and 2009 in Sweden were followed-up for three months after admission.Main outcome measures: Undergoing coronary angiography, PCI or CABG after first-time MI.Results: proportion of patients undergoing angiography and PCI increased whereas proportion of patients undergoing CABG also delay time for all three procedures decreased over the study period. The proportion of women undergoing any of the three procedures was markedly lower and delay time longer than those of men regardless of study period and migration background. Overall foreign-born first MI patients had higher rate of angiography (HR = 1.30, 95% CI: 1.27–1.33), PCI (HR = 1.27, 95% CI: 1.24–1.3...