The Asian immigrant population from India, Pakistan and Bangladesh has been identified as one with higher prevalence of CAD. The aim was to study if at time of presentation with CAD, this ethnic group had more severe CAD as compared to all other patients with CAD seen in our institution.
Data on all Asian patients who presented to the Emergency Room of Coney Island Hospital and who underwent coronary angiography from 1998 to 2002 were evaluated and compared to that from non Asian patients in year 2002 with emphasis on the severity of CAD at the time of presentation. Assessment of severity of CAD was based on the need for coronary revascularization.
338 Asian patients and 251 non Asian patients were included. Significant CAD was noted in 218/338[64%] Asian patients vs. 152/251[60%] non Asian patients [p 0.3] suggesting no selection bias in recommending angiogram. 173/218[79%] of Asian patients and 98/152[64%] of non Asian patients needed coronary revascularization [p<0.05] either by CABG or PTCA/stent. Of these 112/218[51%] of Asian patients and 48/152[31%] of non Asian patients underwent CABG [p<0.05]. 61/218[28%] of Asian patients and 50/152[31%] of non Asian patients underwent PTCA/stent [p 0.3].
The Asian immigrant population from India, Pakistan and Bangladesh have more advanced CAD at the time of their initial presentation.
This ethnic factor should be considered in risk stratification of patients with CAD.
V.A. Rupanagudi, None.