ArticleHeart (British Cardiac Society)2007
Acute coronary syndromes and their presentation in Asian and Caucasian patients in Britain.
Article in Heart (British Cardiac Society), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 41 citations in OpenAlex.
- Trial
- Evaluating the diagnostic and triage performance of digital and online symptom checkers for the presentation of myocardial infarction; A retrospective cross-sectional study.PLOS digital health · 2024Article
- A comparison of cardiovascular risk scores in native and migrant South Asian populations.SSM - population health · 2020Article
- Evaluation of the cardiovascular symptom index for midlife women in multiethnic/racial midlife women.Health care for women international · 2020Article
- Acute coronary syndromes presentations and care outcomes in white, South Asian and Chinese patients: a cohort study.BMJ open · 2019Article
- Acute Coronary Syndrome and Suicide: A Case-Referent Study.Journal of the American Heart Association · 2016Observational
- Incidence and prognosis of angina pectoris in South Asians and Whites: 18 years of follow-up over seven phases in the Whitehall-II prospective cohort study.Journal of public health (Oxford, England) · 2011Article
- Sudden cardiac death in South India: Incidence, risk factors and pathology.Indian pacing and electrophysiology journalArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe and compare demographics and symptom presentation in Asian and Caucasian patients with acute coronary syndromes.
designLong-term prospective survey of symptom presentations in two racial groups.
settingA London hospital.
participantsA consecutive series of patients admitted to hospital with acute coronary syndromes between November 2001 and November 2005.
main outcome measureComparison of demographics and location, character, intensity and symptom distribution at presentation between Asian and Caucasian patients.
resultsAsian patients were younger than Caucasian patients (61 v 69 years, p<0.001) and more had diabetes (43% v 17%, p<0.001). Proportionally, more Asian patients had angina (51% v 37%, p<0.001), but more Caucasian patients had myocardial infarction (63% v 49%, p<0.001) and non-ST elevation infarcts (40% v 29%, p<0.001). Men reported smaller areas of discomfort than women. Asian patients more frequently reported discomfort over the rear of their upper bodies compared to Caucasian patients (46% v 25%, p<0.001) and radiation of discomfort to their arms and necks. A higher percentage of Asian than Caucasian patients demonstrated a "classical" location of symptoms (90% v 82%, p<0.001). Patients with diabetes were more likely to feel no discomfort. A higher percentage of Caucasian than Asian patients presented with "silent" events (13% v 6%, p>0.001), with age being a major determinant.
conclusionAsian patients were younger, more likely to be diabetic and tended to report a higher intensity of pain and over a greater area of their body, and more frequent discomfort over the rear of their upper thorax than Caucasian patients.
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