ArticleHeart (British Cardiac Society)2005
Ethnic differences in the prevalence and aetiology of left ventricular systolic dysfunction in the community: the Harrow heart failure watch.
Article in Heart (British Cardiac Society), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 42 citations in OpenAlex.
- Highlighting the South Asian Heart Failure Epidemic.Cardiac failure review · 2024Review
- Prevalence and demographic variation of cardiovascular, renal, metabolic, and mental health conditions in 12 million english primary care records.BMC medical informatics and decision making · 2023Article
- Serum NScientific reports · 2018Article
- Hyperglycemia has a greater impact on left ventricle function in South Asians than in Europeans.Diabetes care · 2014Article
- Heart failure in South Asia.Current cardiology reviews · 2013Review
- Heart failure among South Asians: a narrative review of risk, nature, outcomes and management.Heart failure reviews · 2013Review
- Multiscale modeling and data integration in the virtual physiological rat project.Annals of biomedical engineering · 2012Article
- Association of 25 bp deletion in MYBPC3 gene with left ventricle dysfunction in coronary artery disease patients.PloS one · 2011Article
- Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess ethnic differences in the prevalence and aetiology of left ventricular systolic dysfunction (LVSD) in the community.
designCommunity cohort study. All patients underwent echocardiography and those found to have LVSD underwent myocardial perfusion imaging with or without coronary angiography to diagnose underlying coronary artery disease (CAD).
settingSeven representative general practices in Harrow, UK, a community hospital, and a local district general hospital. PATIENTS: 1392 patients >or= 45 years old randomly selected from the computer records of seven general practices.
main outcome measuresThe prevalence and aetiology of LVSD in the community, assessing differences between white and non-white populations, and the proportion of patients with LVSD with undiagnosed CAD.
results734 patients (53%) attended, 518 (71%) white and 216 (29%) non-white, the majority South Asian. Thirty nine patients (5.5%) had probable LVSD and 25 (3.5%) definite LVSD. No significant differences in prevalence were seen with ethnicity. CAD underlay most cases of LVSD. Non-white patients had a higher prevalence of CAD as the underlying aetiology of significant LVSD than white patients (100% v 56%, p = 0.04) and a trend towards less alcoholic cardiomyopathy. 8% of patients with LVSD had undiagnosed CAD.
conclusionsLVSD is common. White and non-white patients have a similar overall prevalence of LVSD. Non-white patients, the majority South Asians in this study, have a higher prevalence of CAD as the underlying cause for LVSD than white patients. CAD underlies most cases of LVSD in the community, although it may be undiagnosed unless formally assessed.
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