Circulation, Vol 74, 64-71, Copyright © 1986 by American Heart Association
C Maynard, LD Fisher, ER Passamani and T Pullum
In this paper we examine the relationship between risk factors and
angiographically determined coronary artery disease for blacks and whites
enrolled in the Coronary Artery Surgery Study (CASS). Analysis of data from
the CASS registry indicated that blacks had a higher incidence of
hypertension and current cigarette smoking than did whites in CASS and that
chest pain was the major reason that both blacks and whites underwent
coronary angiography for suspected or proven coronary disease. The CASS
data also showed that, despite high levels of risk factors and chest pain,
blacks had minimal or absent coronary disease. The results of this study
raise several questions. First, to what extent are blacks in CASS
representative of blacks in the general population and blacks undergoing
coronary angiography? Additionally, are risk factors for coronary artery
disease different for blacks than for whites? And finally, how does the
physician effectively treat the black patient with high levels of risk
factors and minimal coronary disease?
ARTICLES
Blacks in the Coronary Artery Surgery Study: risk factors and coronary artery disease
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