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. 1984 Dec;52(6):610–613. doi: 10.1136/hrt.52.6.610

Coronary artery disease in Asians in Birmingham.

P J Lowry, D R Glover, P J Mace, W A Littler
PMCID: PMC481692  PMID: 6508962

Abstract

The severity and pattern of coronary artery disease in patients referred for investigation of the disease was compared between Asian and white patients living in Birmingham, matched for age, sex, blood pressure, and duration of symptoms, to investigate the clinical impression that Asians have worse, in particular worse distal, coronary artery disease than whites. Risk factors and outcome were also examined. The coronary angiograms of 34 Asians were compared blindly and repeatedly with those of 68 whites by two independent observers. Coronary artery disease was found to be quantitatively more severe in Asians, but the distribution of the disease was the same. Some risk factors were significantly different: fewer Asians were smokers; fasting cholesterol concentrations were higher in whites; and whites were heavier, with a larger body surface area. Follow up data showed that more Asians were refused coronary artery bypass surgery because of the severity of their disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Eisenberg S., Ehrenfeld M., Friedman G., Friedlander Y. Risk factors for coronary artery disease in patients with acute myocardial infarction. Effects of age, sex and ethnicity. Isr J Med Sci. 1981 May;17(5):309–317. [PubMed] [Google Scholar]
  2. Gillum R. F. Coronary heart disease in black populations. I. Mortality and morbidity. Am Heart J. 1982 Oct;104(4 Pt 1):839–851. doi: 10.1016/0002-8703(82)90021-7. [DOI] [PubMed] [Google Scholar]
  3. Gillum R. F., Grant C. T. Coronary heart disease in black populations. II. Risk factors. Am Heart J. 1982 Oct;104(4 Pt 1):852–864. doi: 10.1016/0002-8703(82)90022-9. [DOI] [PubMed] [Google Scholar]
  4. Humphries J. O., Kuller L., Ross R. S., Friesinger G. C., Page E. E. Natural history of ischemic heart disease in relation to arteriographic findings: a twelve year study of 224 patients. Circulation. 1974 Mar;49(3):489–497. doi: 10.1161/01.cir.49.3.489. [DOI] [PubMed] [Google Scholar]
  5. Judkins M. P. Selective coronary arteriography. I. A percutaneous transfemoral technic. Radiology. 1967 Nov;89(5):815–824. doi: 10.1148/89.5.815. [DOI] [PubMed] [Google Scholar]
  6. Miller G. J., Beckles G. L., Alexis S. D., Byam N. T., Price S. G. Serum lipoproteins and susceptibility of men of Indian descent to coronary heart disease. The St James Survey, Trinidad. Lancet. 1982 Jul 24;2(8291):200–203. doi: 10.1016/s0140-6736(82)91041-8. [DOI] [PubMed] [Google Scholar]
  7. Pedoe H. T., Clayton D., Morris J. N., Brigden W., McDonald L. Coronary heart-attacks in East London. Lancet. 1975 Nov 1;2(7940):833–838. doi: 10.1016/s0140-6736(75)90233-0. [DOI] [PubMed] [Google Scholar]
  8. Rackley C. E. Quantitative evaluation of left ventricular function by radiographic techniques. Circulation. 1976 Dec;54(6):862–879. doi: 10.1161/01.cir.54.6.862. [DOI] [PubMed] [Google Scholar]
  9. Rösch J., Dotter C. T., Antonovic R., Bonchek L., Starr A. Angiographic appraisal of distal vessel suitability for aortocoronary bypass graft surgery. Circulation. 1973 Jul;48(1):202–212. doi: 10.1161/01.cir.48.1.202. [DOI] [PubMed] [Google Scholar]
  10. SHAPER A. G., JONES K. W. Serum-cholesterol, diet, and coronary heart-disease in Africans and Asians in Uganda. Lancet. 1959 Oct 10;2(7102):534–537. doi: 10.1016/s0140-6736(59)91777-5. [DOI] [PubMed] [Google Scholar]
  11. WALKER A. R. EXTREMES OF CORONARY HEART DISEASE MORTALITY IN ETHNIC GROUPS IN JOHANNESBURG, SOUTH AFRICA. Am Heart J. 1963 Sep;66:293–295. doi: 10.1016/0002-8703(63)90258-8. [DOI] [PubMed] [Google Scholar]

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