In Reply We appreciate the letter by Senter and colleagues highlighting the important implications of socioeconomic deprivation on clinical outcomes. As our research highlighted, neighborhood-level socioeconomic disadvantage is associated with increasing all-cause and cardiovascular mortality in individuals 50 years and younger who experienced a first myocardial infarction over an 11-year follow-up period. Our findings were meaningful even after adjusting for a comprehensive set of clinical covariates, further demonstrating that socioeconomic factors likely combine to be independent risk factors for a host of important cardiometabolic outcomes.

中文翻译：

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提高收入的社会计划在减少因心肌梗塞和猝死而损失的生命年数中的作用——答复

作为回复，我们感谢 Senter 及其同事在信中强调社会经济剥夺对临床结果的重要影响。正如我们的研究所强调的那样，在 11 年的随访期内，社区层面的社会经济劣势与 50 岁及以下首次发生心肌梗死的个体的全因死亡率和心血管死亡率增加有关。即使在调整了一组全面的临床协变量后，我们的研究结果也很有意义，进一步证明社会经济因素可能结合起来成为许多重要心脏代谢结果的独立风险因素。