Asian patients have lower levels of cardiac revascularisation than white

Rates of coronary revascularisation among comparable patients with coronary heart disease are lower among south Asians living in England than white patients. In their cohort study based at a tertiary cardiac centre in London, Feder and colleagues (p 511) found that coronary angioplasty and coronary artery bypass grafting were significantly lower in south Asian patients. These differences were smaller after adjusting for socioeconomic status and could not be explained by physician bias. However, the differences in treatment did not result in large differences in clinical outcome as mortality and non-fatal myocardial infarction rates were similar for the two groups.

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Relevant Article

Ethnic differences in invasive management of coronary disease: prospective cohort study of patients undergoing angiography

Gene Feder, Angela M Crook, Patrick Magee, Shrilla Banerjee, Adam D Timmis, and Harry Hemingway
BMJ 2002 324: 511-516. [Abstract] [Full Text] [PDF]