Coronary arteriographic findings in black patients and risk markers for coronary artery disease
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...
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Veröffentlicht in: | The American heart journal 1994-03, Vol.127 (3), p.552-559 |
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creator | Peniston, Reginald L. Adams-Campbell, Lucile Fletcher, John W. Williams, Eric C. Charles, Murigande Mensah, Ernest Crittenden, Micheal D. Diggs, James A. |
description | 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. |
doi_str_mv | 10.1016/0002-8703(94)90662-9 |
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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.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(94)90662-9</identifier><identifier>PMID: 8122601</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>African Continental Ancestry Group ; Analysis of Variance ; Biological and medical sciences ; Cardiology. Vascular system ; Coronary Angiography ; Coronary Disease - diagnostic imaging ; Coronary Disease - epidemiology ; Coronary heart disease ; Female ; Heart ; Humans ; Hypertension - complications ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Risk Factors ; Sex Factors</subject><ispartof>The American heart journal, 1994-03, Vol.127 (3), p.552-559</ispartof><rights>1994 Mosby-Year Book, Inc.</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-bc51adf7d35b059f3a6a73d6f309e96c3e952e5e802ab305e9a65e76288024e33</citedby><cites>FETCH-LOGICAL-c432t-bc51adf7d35b059f3a6a73d6f309e96c3e952e5e802ab305e9a65e76288024e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(94)90662-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64387</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3967211$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8122601$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peniston, Reginald L.</creatorcontrib><creatorcontrib>Adams-Campbell, Lucile</creatorcontrib><creatorcontrib>Fletcher, John W.</creatorcontrib><creatorcontrib>Williams, Eric C.</creatorcontrib><creatorcontrib>Charles, Murigande</creatorcontrib><creatorcontrib>Mensah, Ernest</creatorcontrib><creatorcontrib>Crittenden, Micheal D.</creatorcontrib><creatorcontrib>Diggs, James A.</creatorcontrib><title>Coronary arteriographic findings in black patients and risk markers for coronary artery disease</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>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.</description><subject>African Continental Ancestry Group</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Coronary Angiography</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - epidemiology</subject><subject>Coronary heart disease</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVJSJ20_6AFHUJJD5vqY1e7ugSKSZuAIZf2LGal2UTxetfRrAP-95FrY8ilp0Ezz7xoHsa-SHEthTQ_hBCqaGqhr2z53QpjVGE_sJkUti5MXZYnbHZEPrJzouf8NKoxZ-yskUoZIWfMzcc0DpC2HNKEKY6PCdZP0fMuDiEOj8TjwNse_JKvYYo4TMRhCDxFWvIVpCUm4t2YuH-Xs-UhEgLhJ3baQU_4-VAv2N9ft3_md8Xi4ff9_Oei8KVWU9H6SkLo6qCrVlS202Cg1sF0Wli0xmu0lcIKG6Gg1aJCC6bCOl-TOyVqfcG-7XPXaXzZIE1uFclj38OA44ZcbXQjK9VksNyDPo1ECTu3TjEfsnVSuJ1Xt5PmdtKcLd0_r87mta-H_E27wnBcOojM88vDHMhD3yUYfKQjpq2pldxhN3sMs4vXiMmRz1I9hpjQTy6M8f__eAMZ_JSm</recordid><startdate>19940301</startdate><enddate>19940301</enddate><creator>Peniston, Reginald L.</creator><creator>Adams-Campbell, Lucile</creator><creator>Fletcher, John W.</creator><creator>Williams, Eric C.</creator><creator>Charles, Murigande</creator><creator>Mensah, Ernest</creator><creator>Crittenden, Micheal D.</creator><creator>Diggs, James A.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940301</creationdate><title>Coronary arteriographic findings in black patients and risk markers for coronary artery disease</title><author>Peniston, Reginald L. ; Adams-Campbell, Lucile ; Fletcher, John W. ; Williams, Eric C. ; Charles, Murigande ; Mensah, Ernest ; Crittenden, Micheal D. ; Diggs, James A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-bc51adf7d35b059f3a6a73d6f309e96c3e952e5e802ab305e9a65e76288024e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>African Continental Ancestry Group</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Coronary Angiography</topic><topic>Coronary Disease - diagnostic imaging</topic><topic>Coronary Disease - epidemiology</topic><topic>Coronary heart disease</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peniston, Reginald L.</creatorcontrib><creatorcontrib>Adams-Campbell, Lucile</creatorcontrib><creatorcontrib>Fletcher, John W.</creatorcontrib><creatorcontrib>Williams, Eric C.</creatorcontrib><creatorcontrib>Charles, Murigande</creatorcontrib><creatorcontrib>Mensah, Ernest</creatorcontrib><creatorcontrib>Crittenden, Micheal D.</creatorcontrib><creatorcontrib>Diggs, James A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peniston, Reginald L.</au><au>Adams-Campbell, Lucile</au><au>Fletcher, John W.</au><au>Williams, Eric C.</au><au>Charles, Murigande</au><au>Mensah, Ernest</au><au>Crittenden, Micheal D.</au><au>Diggs, James A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary arteriographic findings in black patients and risk markers for coronary artery disease</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1994-03-01</date><risdate>1994</risdate><volume>127</volume><issue>3</issue><spage>552</spage><epage>559</epage><pages>552-559</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>8122601</pmid><doi>10.1016/0002-8703(94)90662-9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | African Continental Ancestry Group Analysis of Variance Biological and medical sciences Cardiology. Vascular system Coronary Angiography Coronary Disease - diagnostic imaging Coronary Disease - epidemiology Coronary heart disease Female Heart Humans Hypertension - complications Male Medical sciences Middle Aged Retrospective Studies Risk Factors Sex Factors |
title | Coronary arteriographic findings in black patients and risk markers for coronary artery disease |
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