Document Detail

Survival of black persons compared with white persons in the Coronary Artery Surgery Study (CASS).
MedLine Citation:
PMID:  3498357     Owner:  NLM     Status:  MEDLINE    
From July 1974 to May 1979, 573 black persons in the Coronary Artery Surgery Study (CASS) underwent coronary angiography. Compared with 23,008 white persons, larger percentages of black men and women were current smokers and reported a history of systemic hypertension. Despite the presence of chest pain, larger percentages of blacks had normal coronary arteries by angiography than did whites. The 5-year age- and sex-adjusted survival rate was 88% for whites and 82% for blacks (p less than 0.0001). Cox analysis indicated that black race was related to poorer survival in the medical group (p = 0.0006) but not in the surgical group (p = 0.28). For blacks, surgical therapy was related to a better survival rate (p = 0.009). These results raise questions concerning the effects of excess cigarette smoking and systemic hypertension and the role of coronary artery bypass surgery on survival of black persons.
C Maynard; L D Fisher; E R Passamani
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  60     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-10-19     Completed Date:  1987-10-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  513-8     Citation Subset:  AIM; IM    
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MeSH Terms
African Continental Ancestry Group*
Coronary Angiography
Coronary Artery Bypass / mortality*
Coronary Disease / complications,  ethnology*,  mortality
European Continental Ancestry Group*
Hypertension / complications,  ethnology
Statistics as Topic
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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