Detection of carotid stenosis in African Americans with ischemic heart disease.
OBJECTIVE
This study was conducted to define the frequency of internal carotid stenosis in African American patients with ischemic heart disease (IHD).


METHODS
We recruited 101 African American patients with IHD from a university medical center for carotid duplex examination.


RESULTS
The frequency of >30%, >50%, and >70% stenosis was 21%, 11%, and 5%, respectively. Age >60 years (21% vs 3%, P < .01) and diabetes mellitus (22% vs 5%, P < .01) were predictors of unilateral stenosis of >50% and remained significant on multivariate testing.


CONCLUSIONS
African American patients with established IHD have higher rates of extracranial carotid stenosis than community dwelling African American subjects and comparable rates with other populations.
Rajamani
Kumar
K
Department of Neurology, Wayne State University, Detroit, MI 48201, USA.
Sunbulli
Mohammed
M
Jacobs
Bradley S
BS
Berlow
Elizabeth
E
Marsh
James D
JD
Kronenberg
Marvin W
MW
McLaughlin
Patrick
P
Vouyouka
Angela
A
Levine
Steven R
SR
Lai
Zongshan
Z
Chaturvedi
Seemant
S
D001741:Black or African American; D000368:Aged; D016893:Carotid Stenosis / Q000208:ethnology / Q000209:etiology*; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications* / Q000208:ethnology; D012307:Risk Factors