Evidence mapPaperPMID 40224924Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2025

Acute myocardial infarction-related mortality among older adults (≥65 years) with malignancy in the U.S. from 1999 to 2020.

Muhammad Abdullah Naveed, Sivaram Neppala, Himaja Dutt Chigurupati, Ahila Ali, Muhammad Omer Rehan, Ayman Fath, Bazil Azeem, Rabia Iqbal, Manahil Mubeen, Hamza Naveed and 4 more

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Muhammad Abdullah NaveedDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Sivaram NeppalaDepartment of Cardiology, University of Texas Health Sciences Center, San Antonio, TX, USA.
Himaja Dutt ChigurupatiDepartment of Internal Medicine, Saint Micheal's Medical Center, Newark, NJ, USA.
Ahila AliDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad Omer RehanDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Ayman FathDepartment of Cardiology, University of Texas Health Sciences Center, San Antonio, TX, USA.
Bazil AzeemDepartment of Cardiology, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Rabia IqbalDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Manahil MubeenDepartment of Cardiology, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Hamza NaveedDepartment of Medicine, Queen Elizabeth the Queen Mother Hospital, EKHUFT, Margate, Kent, United Kingdom.
Muhammad Naveed Uz ZafarDepartment of Cardiology, Associate Professor at Liaquat University of Medical & Health Sciences, Pakistan.
Mushood AhmedDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Jamal S RanaDepartment of Cardiology, The Permanente Medical Group, Oakland, CA, USA.
Brijesh PatelIndiana University School of Medicine, Indianapolis, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute Myocardial Infarction (AMI) in malignancy is a global threat, causing significant mortality and economic burden. They share common risk factors, highlighting the urgency of addressing this critical issue. Objective: This study analyzed demographic trends and disparities in mortality rates due to AMI in malignancy among adults aged 65 and older from 1999 to 2020. Methods: We used the CDC WONDER database to analyze Age-adjusted mortality rates (AAMRs) for AMI in malignancy patients (ICD-10 I21, C00-C97) from 1999 to 2020, stratifying by sex, race, geography, and metropolitan status. We calculated Average Annual Percentage Changes (AAPCs) and Annual Percentage Changes (APCs) per 100,000 with 95 % confidence intervals (CI) using Joinpoint regression. Results: Between 1999 and 2020, AMI in malignancy accounted for 172,691 deaths among adults aged ≥65 years, with the majority of deaths occurring in medical facilities (56.9 %). The overall AAMR for AMI in malignancy-related deaths decreased from 30.2 in 1999 to 14.2 in 2020, with an AAPC of -3.90 (p < 0.000001). Men showed higher AAMRs than women (28.6 vs. 12.3), with a more pronounced decrease in men (AAPC: 4.22, p < 0.000001) compared to women (AAPC: 3.78, p < 0.000001). Black individuals have the highest AAMR (22.7), followed by Whites (19.3). Arkansas had the highest AAMR (32.3), while Nevada had the lowest (8.1), with the Northeastern region having the highest regional AAMR (20.2), and nonmetropolitan areas had higher AAMRs. Conclusion: This study reveals significant demographic disparities in mortality rates related to AMI in malignant older adults. These findings emphasize the need for targeted interventions and improved access to care.

Indexed as

Acute myocardial infarctionGenderGeographyMalignancyMortalityRace

Identifiers

PMID40224924
PMCPMC11993166

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.