Ischemic heart disease mortality in Hispanics, American Indians, and non-Hispanic whites in New Mexico, 1958-1982.

Becker, Thomas M.; Wiggins, Charles L.; Key, Charles R.; Samet, Jonathan M.

doi:10.1161/01.cir.78.2.302

Cited by 74 publications

(21 citation statements)

References 42 publications

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“…Although similar observations about the rates of death from cardiovascular disease have been made in prior studies, 6 recent analyses suggest this may have been due to under-ascertainment of deaths in Hispanics 7 or failure to correct for confounding factors. 8 This, however, does not discount the possibility that the prevalence of cardiovascular disease is lower in Hispanics.…”

Section: Discussionmentioning

confidence: 52%

“…6 However, more recent reports have argued that this could be explained by under-ascertainment of deaths 7 and that when adjusted for confounders, the rates of deaths were likely equal or in certain subgroups potentially higher. 8 This does not exclude, however, the possibility that the incidence or prevalence of cardiovascular disease in Hispanics is lower.…”

Section: Introductionmentioning

confidence: 99%

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Prognostic value of the computerized ECG in Hispanics

Pérez¹,

Yaw²,

Myers³

et al. 2007

Clinical Cardiology

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SummaryBackground: The prevalence and prognostic values of electrocardiogram (ECG) abnormalities in Hispanics have not been compared to other ethnicities in a large population. Despite a worse cardiovascular risk profile, the prevalence of cardiovascular disease is lower in Hispanics compared to non-Hispanics.Hypothesis: We hypothesized that ECG abnormalities were less common in Hispanics and were not as strongly associated with cardiovascular mortality.Methods: 45,563 ECGs ordered for usual clinical indications in a Veteran's hospital were available for analysis. 1,392 patients who died within one week of the ECG were excluded. Demographic characteristics were recorded and the population was followed for an average of 7.5 years using the California Death Index. The presence of baseline ECG characteristics were recorded and analyzed using the GE/Marquette computerized ECG system. Age, sex and heart rate adjusted Cox hazard ratio analyses were performed.Results: Being Hispanic was associated with lower cardiovascular death, with a hazard ratio (HR) of 0.76

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Section: Discussionmentioning

confidence: 52%

Section: Introductionmentioning

confidence: 99%

Prognostic value of the computerized ECG in Hispanics

Pérez¹,

Yaw²,

Myers³

et al. 2007

Clinical Cardiology

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“…41 CVD is the leading cause of death among Hispanic males (28%) and females (34%). 41 Although earlier studies suggested that the age-adjusted mortality rates for major CVD among Mexican-Americans (28.8 and 26.6 per 100 000 men and women, respectively) were lower than those of AfricanAmericans (40.5 and 39.6, respectively) and whites (30.0 and 23.8 per 100 000), 42 recent data from the Corpus Christi Heart Project, reported a greater incidence of myocardial infarction (MI) in Mexican-Americans compared with non-Hispanic whites. 43 The age-adjusted MI incidence was higher by 1.25 and 1.52 among Mexican-American men and women compared with non-Hispanic whites, 44 with greater MI casefatality rate among Mexican-Americans than non-Hispanic whites.…”

Section: Hispanicsmentioning

confidence: 97%

Global Burden of Cardiovascular Diseases

Yusuf

Reddy²,

Ôunpuu³

et al. 2001

Circulation

980

353

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Abstract-This two-part article provides an overview of the global burden of atherothrombotic cardiovascular disease. Part I initially discusses the epidemiological transition which has resulted in a decrease in deaths in childhood due to infections, with a concomitant increase in cardiovascular and other chronic diseases; and then provides estimates of the burden of cardiovascular (CV) diseases with specific focus on the developing countries. Next, we summarize key information on risk factors for cardiovascular disease (CVD) and indicate that their importance may have been underestimated. Then, we describe overarching factors influencing variations in CVD by ethnicity and region and the influence of urbanization. Part II of this article describes the burden of CV disease by specific region or ethnic group, the risk factors of importance, and possible strategies for prevention. (Circulation. 2001;104:2855-2864.)

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“…N umerous studies over the past several decades, using vital statistics data, have demonstrated reduced rates of total and cardiovascular mortality in Hispanics (1)(2)(3)(4). Interestingly, epidemiological studies of cardiovascular risk factors have suggested that Hispanics are frequently more obese and insulin resistant compared with non-Hispanic whites (NHWs) and often, as a result, have higher triglyceride levels and lower HDL cholesterol levels (5)(6)(7)(8)(9)(10)(11)(12)(13).…”

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confidence: 99%

Reduced Coronary Artery and Abdominal Aortic Calcification in Hispanics With Type 2 Diabetes

Reaven¹,

Sacks²

2004

Diabetes Care

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OBJECTIVE -To compare lifestyle factors, cardiovascular risk factors, and coronary artery calcium (CAC) and abdominal aortic calcium (AAC) levels in Hispanic and non-Hispanic white (NHW) individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS -We recently demonstrated in a small group of nonreferred, healthy, nondiabetic subjects that CAC was reduced in Hispanics compared with NHWs, despite a worse cardiovascular risk factor profile. In this study, we evaluated whether this ethnic disparity in vascular calcification was present in individuals with type 2 diabetes and in several different arterial beds. Hispanic and NHW subjects (n ϭ 245) with type 2 diabetes were evaluated for cardiovascular risk factors using questionnaires and assays of plasma biomarkers. CAC and AAC were measured by electron-beam computer-assisted tomography.RESULTS -Although Hispanics were slightly younger than NHWs, other standard risk factors and novel cardiovascular risk factors, including plasminogen activator-1 and fibrinogen levels, were similar between the groups. Despite the similar risk factor profile, the prevalence of cardiovascular disease (CVD) and mean and median levels of CAC and AAC were lower in Hispanics. Furthermore, the distribution of these calcium scores differed from that of NHWs (P Ͻ 0.05), with significantly fewer Hispanic subjects having high CAC or AAC scores. These differences were not explained by differences in CVD prevalence or any measured lifestyle or risk factor.CONCLUSIONS -Hispanics with type 2 diabetes have reduced CAC and AAC levels compared with NHW subjects, suggesting a reduction in the overall burden of vascular calcification and atherosclerosis. These data are consistent with the notion that Hispanics are protected against the development of CVD. Diabetes Care 27:1115-1120, 2004N umerous studies over the past several decades, using vital statistics data, have demonstrated reduced rates of total and cardiovascular mortality in Hispanics (1-4). Interestingly, epidemiological studies of cardiovascular risk factors have suggested that Hispanics are frequently more obese and insulin resistant compared with non-Hispanic whites (NHWs) and often, as a result, have higher triglyceride levels and lower HDL cholesterol levels (5-13). This apparent decreased rate of cardiovascular disease (CVD) in Hispanics, despite evidence of increased levels of several traditional and nontraditional risk factors, has been described as the "Hispanic paradox" (14,15). However, in several recent longitudinal cohort studies, rates of CVD have appeared equal or possibly greater in Hispanics compared with their NHW counterparts (16 -20). It is important to note that in several of these studies, the comparison between ethnic groups may have been complicated by the greater prevalence and incidence of diabetes in the Hispanic population, which may greatly enhance the overall cardiovascular risk of this ethnic group in comparison with groups having reduced rates of diabetes.To further assess this potential ethnic disparity in th...

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Ischemic heart disease mortality in Hispanics, American Indians, and non-Hispanic whites in New Mexico, 1958-1982.

Cited by 74 publications

References 42 publications

Prognostic value of the computerized ECG in Hispanics

Prognostic value of the computerized ECG in Hispanics

Global Burden of Cardiovascular Diseases

Reduced Coronary Artery and Abdominal Aortic Calcification in Hispanics With Type 2 Diabetes

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