Minority Health Archive


Onwuanyi, Anekwe E. and Abe, Oluwole and Quarshie, Alexander and Al-Mahmoud, Ahmad and Lapu-Bula, Rigobert and Francis, Charles K. and Ofili, Elizabeth (2006) COMPARATIVE FREQUENCY OF ANGIOGRAPHIC CORONARY ARTERY DISEASE IN AFRICAN AMERICANS AND HISPANICS. Ethnicity & Disease, 16 (1). pp. 58-63. ISSN 1049-510X

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Background: African Americans and Hispanics are the two largest racial minority groups in the United States. Both groups have a high prevalence of cardiovascular disease risk factors, and African Americans have the highest mortality from cardiovascular disease of any racial group in the United States. Whereas a large body of clinical data compares African Americans and Whites or Hispanics and Whites with regard to coronary artery disease (CAD), limited data are available for such comparison between African Americans and Hispanics. Methods and Results: We retrospectively reviewed the angiographic and clinical data of 480 consecutive patients who underwent coronary angiography for suspected CAD in an inner city hospital between January 1997 and December 1998 in order to ascertain the frequency of CAD. One hundred eighty-nine (189) African Americans and 163 Hispanics met the inclusion criteria. The mean ages of African-American and Hispanic patients were similar, 56.3 6 10.9 years vs 55.6 6 11.4 years, respectively, P5.59. The frequency of angiographic CAD was 56.6% for African Americans and 54.6% for Hispanics, odds ratio [OR] 0.92, 95% confidence interval [CI] 0.60– 1.41, P5.71). Coronary artery disease (CAD) involving the left anterior descending coronary artery occurred significantly more in Hispanic compared to African-American patients (44.8% vs 33.7%, OR 1.58, 95% CI 1.03– 2.44, P5.04). Coronary artery disease (CAD) risk factors occurred more in Hispanics compared to African Americans. Conclusion: The frequency of angiographic CAD was not different for African-American and Hispanic patients (56.6% vs 54.6%, OR 0.92, 95% CI 0.60–1.41, P5.71) even though differences were seen in CAD risk factors.

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Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article.
Uncontrolled Keywords: African Americans; Coronary Artery Disease; Ethnicity; Hispanics; Race
Subjects: Health > Public Health > Chronic Illness & Diseases > Cardiovascular Disease
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 11 Dec 2008
Last Modified: 01 Jun 2011 09:58
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1240

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