TY - JOUR
T1 - Coronary arteriographic findings in black patients and risk markers for coronary artery disease
AU - Peniston, Reginald L.
AU - Adams-Campbell, Lucile
AU - Fletcher, John W.
AU - Williams, Eric C.
AU - Charles, Murigande
AU - Mensah, Ernest
AU - Crittenden, Micheal D.
AU - Diggs, James A.
N1 - Funding Information:
From the Divisions of Cardiothoracic cer Control, Howard University Hospital Medicine. Supported by grant HL47208 Institute, National Institutes pbell), and grant 2G12-RR-03048 (Dr. Murigande). Received for publication Jan. 7, 1993; accepted Reprint requests: Reginald L. Peniston, MD, Surgery, Veterans Administration Medical Washington, DC 20422. Copyright ? 1994 by Mosby-Year 0002.8703/94/$3.00 + 0 4/l/51791
PY - 1994/3
Y1 - 1994/3
N2 - Coronary arteriographic results are reported in 1535 black patients: 751 men (mean age 57 ± 11) and 784 women (mean age 59 ± 11). Among the black men 19%, 15%, 21%, and 4% had single-, double-, and triple-vessel and left main disease, respectively. Among the black women there were 12%, 10%, 15%, and 3% with similar involvement. Logistic regression models showed that most of the recognized risk factors were positively correlated with significant (at least one artery with ≥50% stenosis) coronary disease, but a history of hypertension was not a significant independent predictor in either sex. ECG evidence of previous infarction increased the odds of detecting significant coronary disease by the greatest amount when controlling for other significant risk markers in women. In men both previous infarction and atypical pain (negative) were equally important. This study confirms but does not explain previous reports that have revealed less than expected angiographic evidence of significant coronary artery disease in black compared with white persons.
AB - Coronary arteriographic results are reported in 1535 black patients: 751 men (mean age 57 ± 11) and 784 women (mean age 59 ± 11). Among the black men 19%, 15%, 21%, and 4% had single-, double-, and triple-vessel and left main disease, respectively. Among the black women there were 12%, 10%, 15%, and 3% with similar involvement. Logistic regression models showed that most of the recognized risk factors were positively correlated with significant (at least one artery with ≥50% stenosis) coronary disease, but a history of hypertension was not a significant independent predictor in either sex. ECG evidence of previous infarction increased the odds of detecting significant coronary disease by the greatest amount when controlling for other significant risk markers in women. In men both previous infarction and atypical pain (negative) were equally important. This study confirms but does not explain previous reports that have revealed less than expected angiographic evidence of significant coronary artery disease in black compared with white persons.
UR - http://www.scopus.com/inward/record.url?scp=0028258207&partnerID=8YFLogxK
U2 - 10.1016/0002-8703(94)90662-9
DO - 10.1016/0002-8703(94)90662-9
M3 - Article
C2 - 8122601
AN - SCOPUS:0028258207
SN - 0002-8703
VL - 127
SP - 552
EP - 559
JO - American heart journal
JF - American heart journal
IS - 3
ER -