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Journal of the Royal College of Physicians of London logoLink to Journal of the Royal College of Physicians of London
. 1994 Mar-Apr;28(2):143–147.

Myocardial Infarction and Thrombolysis: A Comparison of the Indian and European Populations on a Coronary Care Unit

J T Lear 1, I G Lawrence 2, J E F Pohl 3, A C Burden 4
PMCID: PMC5400919  PMID: 8006867

Abstract

We reviewed the ward admission notes of 211 Indian and 192 European patients admitted over a period of 12 months to a coronary care unit. More Indian patients had myocardial infarctions (34% vs 27%, p < 0.05); they were more likely to have diabetes mellitus (47% vs 14%, p < 0.001), but less likely to smoke (19% vs 67%, p < 0.001). Fewer Indian patients were treated with thrombolysis (49% vs 80%, p < 0.001), late presentation being the principal reason (62% vs 40%, p < 0.05). The referral rates for exercise stress testing and cardiac catheterisation were not significantly lower for Indian patients. The Indian patient admitted into a coronary care unit is more likely to have had a myocardial infarction and yet less likely to receive care comparable to that of his European counterpart.

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Contributor Information

J T Lear, SHO in General Medicine, Leicester Royal Infirmary.

I G Lawrence, Registrar in General Medicine.

J E F Pohl, Consultant in General Medicine.

A C Burden, Consultant in General Medicine Leicester General Hospital.


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