543 Review of Frequency and Outcomes of Culturally and Linguistically Diverse Patients Presenting With Myocardial Infarction

Abstract

Culturally and linguistically diverse (CALD) patients presenting to hospital with cardiac events may experience greater morbidity and mortality. We sought to examine published reports on CALD patients with acute myocardial infarction (AMI) or coronary artery disease (CAD) to understand reasons for suboptimal outcomes. We conducted a literature search on PubMed for AMI or CAD articles containing the terms ‘culturally and linguistically diverse’, ‘non-English speaking background’ (NESB), ‘limited English proficiency’, and ‘race and ethnicity’. We reviewed the distributions of such patients and report outcomes from some of the included studies from Australia/New Zealand, the US, Canada, the UK, and Europe. The frequency of CALD patients per study varied by region but also within region in different studies (Figure 1). There were marked differences in the presentation to hospital, subsequent treatment, and outcomes of CALD patients (Figure 2). Greater attention to management of CALD patients is required for optimal outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)