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. 1986 Apr;76(4):412–414. doi: 10.2105/ajph.76.4.412

Acute myocardial infarction among Navajo Indians, 1976-83.

J L Coulehan, G Lerner, K Helzlsouer, T K Welty, J McLaughlin
PMCID: PMC1646518  PMID: 3953918

Abstract

We found that from 1976 through 1983 the incidence of acute myocardial infarction (AMI) diagnosed among Navajo Indians remained low (0.5 per 1,000 persons age 30 years or more), although the incidence in women appears to be climbing. Navajo AMI patients are more likely to be hypertensive and diabetic than age- and sex-matched patients with gallbladder disease. Twenty-four per cent die within one month of AMI.

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Selected References

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  1. Bennett P. H., Burch T. A., Miller M. Diabetes mellitus in American (Pima) Indians. Lancet. 1971 Jul 17;2(7716):125–128. doi: 10.1016/s0140-6736(71)92303-8. [DOI] [PubMed] [Google Scholar]
  2. CLIFFORD N. J., KELLY J. J., Jr, LEO T. F., EDER H. A. CORONARY HEART DISEASE AND HYPERTENSION IN THE WHITE MOUNTAIN APACHE TRIBE. Circulation. 1963 Nov;28:926–931. doi: 10.1161/01.cir.28.5.926. [DOI] [PubMed] [Google Scholar]
  3. COHEN B. M. Arterial hypertension among Indians of the Southwestern United States. Am J Med Sci. 1953 May;225(5):505–513. doi: 10.1097/00000441-195305000-00007. [DOI] [PubMed] [Google Scholar]
  4. DeStefano F., Coulehan J. L., Wiant M. K. Blood pressure survey on the Navajo Indian reservation. Am J Epidemiol. 1979 Mar;109(3):335–345. doi: 10.1093/oxfordjournals.aje.a112686. [DOI] [PubMed] [Google Scholar]
  5. FULMER H. S., ROBERTS R. W. CORONARY HEART DISEASE AMONG THE NAVAJO INDIANS. Ann Intern Med. 1963 Nov;59:740–764. doi: 10.7326/0003-4819-59-5-740. [DOI] [PubMed] [Google Scholar]
  6. GILBERT J. Absence of coronary thrombosis in Navajo Indians. Calif Med. 1955 Feb;82(2):114–115. [PMC free article] [PubMed] [Google Scholar]
  7. GILBERT J., LEWIS L. A., PAGE I. H. Plasma lipids and proteins and their relationship to coronary disease among Navajo Indians. Circulation. 1956 May;13(5):675–679. doi: 10.1161/01.cir.13.5.675. [DOI] [PubMed] [Google Scholar]
  8. HESSE F. G. INCIDENCE OF DISEASE IN THE NAVAJO INDIAN. A NECROPSY STUDY OF CORONARY AND AORTIC ATHEROSCLEROSIS, CHOLELITHIASIS, AND NEOPLASTIC DISEASE. Arch Pathol. 1964 May;77:553–557. [PubMed] [Google Scholar]
  9. HESSE F. G. Incidence of cholecystitis and other diseases among Pima Indians of Southern Arizona. J Am Med Assoc. 1959 Aug 8;170(15):1789–1790. doi: 10.1001/jama.1959.03010150033009. [DOI] [PubMed] [Google Scholar]
  10. Howard B. V., Davis M. P., Pettitt D. J., Knowler W. C., Bennett P. H. Plasma and lipoprotein cholesterol and triglyceride concentrations in the Pima Indians: distributions differing from those of Caucasians. Circulation. 1983 Oct;68(4):714–724. doi: 10.1161/01.cir.68.4.714. [DOI] [PubMed] [Google Scholar]
  11. Ingelfinger J. A., Bennett P. H., Liebow I. M., Miller M. Coronary heart disease in the Pima Indians. Electrocardiographic findings and postmortem evidence of myocardial infarction in a population with a high prevalence of diabetes mellitus. Diabetes. 1976 Jul;25(7):561–565. doi: 10.2337/diab.25.7.561. [DOI] [PubMed] [Google Scholar]
  12. KOSITCHEK R. J., WURM M., STRAUS R. Biochemical studies in full-blooded Navajo Indians. II. Lipids and lipoproteins. Circulation. 1961 Feb;23:219–224. doi: 10.1161/01.cir.23.2.219. [DOI] [PubMed] [Google Scholar]
  13. KRAVETZ R. E. DISEASE DISTRIBUTION IN SOUTHWESTERN AMERICAN INDIANS: ANALYSIS OF 211 AUTOPSIES. Ariz Med. 1964 Sep;21:628–634. [PubMed] [Google Scholar]
  14. Knowler W. C., Pettitt D. J., Savage P. J., Bennett P. H. Diabetes incidence in Pima indians: contributions of obesity and parental diabetes. Am J Epidemiol. 1981 Feb;113(2):144–156. doi: 10.1093/oxfordjournals.aje.a113079. [DOI] [PubMed] [Google Scholar]
  15. Margolis J. R., Kannel W. S., Feinleib M., Dawber T. R., McNamara P. M. Clinical features of unrecognized myocardial infarction--silent and symptomatic. Eighteen year follow-up: the Framingham study. Am J Cardiol. 1973 Jul;32(1):1–7. doi: 10.1016/s0002-9149(73)80079-7. [DOI] [PubMed] [Google Scholar]
  16. Medalie J. H., Goldbourt U. Unrecognized myocardial infarction: five-year incidence, mortality, and risk factors. Ann Intern Med. 1976 May;84(5):526–531. doi: 10.7326/0003-4819-84-5-526. [DOI] [PubMed] [Google Scholar]
  17. Pettitt D. J., Lisse J. R., Knowler W. C., Bennett P. H. Mortality as a function of obesity and diabetes mellitus. Am J Epidemiol. 1982 Mar;115(3):359–366. doi: 10.1093/oxfordjournals.aje.a113313. [DOI] [PubMed] [Google Scholar]
  18. SIEVERS M. L., MARQUIS J. R. The Southwestern American Indian's burden: biliary disease. JAMA. 1962 Nov 3;182:570–572. doi: 10.1001/jama.1962.03050440062021. [DOI] [PubMed] [Google Scholar]
  19. SMITH R. L. Cardiovascular-renal and diabetes deaths among the Navajos. Public Health Rep. 1957 Jan;72(1):33–38. [PMC free article] [PubMed] [Google Scholar]
  20. Sampliner R. E., Bennett P. H., Comess L. J., Rose F. A., Burch T. A. Gallbladder disease in pima indians. Demonstration of high prevalence and early onset by cholecystography. N Engl J Med. 1970 Dec 17;283(25):1358–1364. doi: 10.1056/NEJM197012172832502. [DOI] [PubMed] [Google Scholar]
  21. Sherwin R. S. Limitations of the oral glucose tolerance test in diagnosis of early diabetes. Prim Care. 1977 Jun;4(2):255–266. [PubMed] [Google Scholar]
  22. Sievers M. L. Cigarette and alcohol usage by southwestern American Indians. Am J Public Health Nations Health. 1968 Jan;58(1):71–82. doi: 10.2105/ajph.58.1.71. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Sievers M. L., Fisher J. R. Increasing rate of acute myocardial infarction in southwestern American Indians. Ariz Med. 1979 Oct;36(10):739–742. [PubMed] [Google Scholar]
  24. Sievers M. L. Historical overview of hypertension among American Indians and Alaskan natives. Ariz Med. 1977 Sep;34(9):607–610. [PubMed] [Google Scholar]
  25. Sievers M. L. Myocardial infarction among southwestern American Indians. Ann Intern Med. 1967 Oct;67(4):800–807. doi: 10.7326/0003-4819-67-4-800. [DOI] [PubMed] [Google Scholar]
  26. Sievers M. L. Serum cholesterol levels in Southwestern American Indians. J Chronic Dis. 1968 May;21(2):107–115. doi: 10.1016/0021-9681(68)90099-4. [DOI] [PubMed] [Google Scholar]
  27. Strotz C. R., Shorr G. I. Hypertension in the Papago Indians. Circulation. 1973 Dec;48(6):1299–1303. doi: 10.1161/01.cir.48.6.1299. [DOI] [PubMed] [Google Scholar]
  28. West K. M. Diabetes in American Indians and other native populations of the New World. Diabetes. 1974 Oct;23(10):841–855. doi: 10.2337/diab.23.10.841. [DOI] [PubMed] [Google Scholar]

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