Characteristics | Afro-Caribbean (n = 434) | European White (n = 2219) | Indian Asian (n = 2676) | P Value | |
---|---|---|---|---|---|
Demographics | Â | Â | Â | Â | |
 | Age (yrs) | 63.1 ± 12.6 | 66.8 ± 12.9 | 64 ± 11.5 | <0.001 |
 | Male gender | 196 (45.2) | 1144 (51.6) | 1395 (52.1) | 0.079 |
 | Height (cm) | 169.8 ± 8.7 | 170.4 ± 8.9 | 166.6 ± 9.8 | <0.001 |
 | Weight (kg) | 83.4 ± 16.5 | 81.4 ± 15.8 | 79 ± 14.5 | <0.001 |
 | Body mass index (kg · m2) | 29 ± 6 | 28 ± 5.2 | 28.5 ± 4.9 | <0.001 |
 | Body surface area (m2) | 1.94 ± 0.2 | 1.93 ± 0.2 | 1.87 ± 0.2 | <0.001 |
History | Â | Â | Â | Â | |
 | Hypertension | 247 (56.9) | 1228 (55.3) | 1624 (60.7) | 0.001 |
 | Diabetes mellitus | 102 (23.5) | 451 (20.3) | 880 (32.9) | <0.001 |
 | Hypercholesterolemia | 203 (46.8) | 967 (43.6) | 1441 (53.8) | <0.001 |
 | Family history of CVD | 91 (21) | 586 (26.4) | 644 (24.1) | 0.026 |
 | Prior myocardial infarction | 30 (6.9) | 204 (9.2) | 256 (9.6) | 0.204 |
 | Prior PCI | 75 (17.3) | 450 (20.3) | 732 (27.4) | 0.009 |
 | Prior CABGS | 46 (10.6) | 237 (10.7) | 359 (13.4) | 0.958 |
 | Smoking history |  |  |  | <0.001 |
 | Never smoked | 350 (80.6) | 1411 (63.6) | 2337 (87.3) |  |
 | Ex-smoker | 61 (14.1) | 553 (24) | 220 (8.2) |  |
 | Current smoker | 23 (5.3) | 255 (11.1) | 119 (4.4) |  |
Pre-test probability of coronary artery disease | Â | Â | Â | 0.415 | |
 | Low | 137 (31.6) | 616 (27.8) | 723 (27) |  |
 | Intermediate | 164 (37.8) | 872 (39.3) | 1064 (39.8) |  |
 | High | 133 (30.6) | 731 (32.9) | 889 (33.2) |  |
NYHA functional class symptom status | Â | Â | Â | <0.001 | |
 | NYHA functional class II | 411 (94.7) | 1962 (88.4) | 2317 (86.6) |  |
 | NYHA functional class III | 23 (5.3) | 257 (11.6) | 359 (13.4) |  |
Canadian Cardiovascular Society angina classification | Â | Â | Â | 0.001 | |
 | Class I | 255 (58.8) | 1096 (49.4) | 1338 (50) |  |
 | Class II | 153 (35.3) | 874 (39.4) | 1046 (39.1) |  |
 | Class III | 26 (6) | 249 (11.2) | 292 (10.9) |  |
Long term cardiac medication | Â | Â | Â | Â | |
 | ACE inhibitor | 155 (35.7) | 817 (36.8) | 959 (35.8) | 0.759 |
 | Angiotensin II receptor antagonist | 79 (18.2) | 410 (18.5) | 545 (20.4) | 0.202 |
 | Aspirin | 244 (56.2) | 1211 (54.6) | 1529 (57.1) | 0.194 |
 | Beta blockers | 187 (43.1) | 962 (43.4) | 1136 (42.5) | 0.815 |
 | Calcium antagonists | 140 (32.3) | 662 (29.8) | 847 (31.7) | 0.319 |
 | Diuretic | 104 (24) | 491 (22.1) | 605 (22.6) | 0.707 |
 | Lipid-lowering agents | 273 (62.9) | 1478 (66.6) | 1812 (67.7) | 0.139 |
 | Nitrates | 61 (14.1) | 323 (14.6) | 403 (15.1) | 0.806 |
 | Warfarin | 20 (4.6) | 157 (7.1) | 159 (5.9) | 0.085 |
 | At least 1 anti-anginal medication | 285 (65.7) | 1404 (63.3) | 1721 (64.3) | 0.563 |
Baseline Echocardiography Data | Â | Â | Â | Â | |
 | LVESD (cm) | 2.9 ± 0.7 | 3.2 ± 0.6 | 3.1 ± 0.6 | 0.009 |
 | LVEDD (cm) | 4.48 ± 0.6 | 4.5 ± 0.5 | 4.38 ± 0.4 | <0.001 |
 | LV ejection fraction (%) | 56.6 ± 8.9 | 56.2 ± 8.9 | 56.9 ± 7.9 | 0.023 |
 | Maximal LVEDD Wall Thickness (cm) | 1.19 ± 0.33 | 1.11 ± 0.21 | 1.12 ± 0.24 | <0.001 |
 | Left atrial size (mm) | 38 ± 15 | 37 ± 11 | 37 ± 17 | 0.781 |
 | Left ventricular mass (g) | 182.8 ± 35.2 | 169.7 ± 38.6 | 153.3 ± 34.8 | <0.001 |
 | Left ventricular mass index (g · m−1) | 103.8 ± 21.2 | 94.1 ± 23.5 | 89.9 ± 19.4 | <0.001 |
 | Mitral E/A | 1.21 ± 0.4 | 1.22 ± 0.3 | 1.22 ± 0.4 | 0.72 |
 | Mitral E Deceleration (ms) | 202 ± 55 | 209 ± 69 | 203 ± 63 | 0.623 |
 | Mitral E/Ea | 9.6 ± 3.9 | 9.5 ± 4.3 | 9.6 ± 4.1 | 0.875 |
 | Mitral Annular Calcification | 14 (3.2) | 73 (3.3) | 130 (4.9) | 0.014 |
 | Mitral Regurgitation | 54 (12.4) | 315 (14.2) | 384 (14.3) | 0.564 |
 | Aortic Stenosis | 15 (3.5) | 71 (3.2) | 48 (1.8) | 0.003 |
 | Aortic Regurgitation | 14 (3.2) | 66 (3) | 62 (2.3) | 0.274 |
Dobutamine stress echocardiography test | Â | Â | Â | Â | |
 | Baseline heart rate (b · min−1) | 69.6 ± 16.1 | 69.3 ± 18.8 | 71.1 ± 15.1 | 0.001 |
 | Peak heart rate (b · min−1) | 137.1 ± 21.7 | 131.8 ± 22.7 | 136.3 ± 19.1 | <0.001 |
 | Target heart rate achieved | 358 (82.5) | 1842 (83) | 2231 (83.4) | 0.943 |
 | Baseline sBP (mmHg) | 133.3 ± 24.1 | 131.2 ± 24.8 | 132.9 ± 24.5 | 0.039 |
 | Peak sBP (mmHg) | 160.3 ± 83 | 147.8 ± 31.5 | 151.1 ± 31.9 | <0.001 |
 | Baseline dBP (mmHg) | 71.7 ± 18.3 | 71.3 ± 22.9 | 70.7 ± 19.6 | 0.498 |
 | Peak dBP (mmHg) | 75.1 ± 18.7 | 72.5 ± 17.6 | 74.5 ± 18.1 | <0.001 |
 | Resting wall motion score index | 1.03 ± 0.1 | 1.05 ± 0.13 | 1.04 ± 0.11 | 0.006 |
 | Peak wall motion score index | 1.06 ± 0.13 | 1.09 ± 0.16 | 1.08 ± 0.15 | 0.001 |
 | Fixed wall motion abnormality | 55 (12.7) | 377 (17) | 427 (16) | 0.078 |
 | New wall motion abnormality | 69 (15.9) | 485 (21.9) | 620 (23.2) | 0.003 |
Number of ischaemic LV segments | Â | Â | Â | <0.001 | |
 | 0 LV segments | 365 (84.1) | 1734 (78.1) | 2056 (76.8) |  |
 | 1-3 LV segments | 61 (14.1) | 398 (17.9) | 555 (20.7) |  |
 | >3 LV segments | 8 (1.8) | 87 (3.9) | 65 (2.4) |  |
Outcome | Â | Â | Â | Â | |
 | Non-fatal cardiac event | 55 (12.7) | 363 (16.4) | 431 (16.1) | 0.149 |
 | All-cause mortality | 108 (24.9) | 564 (25.4) | 693 (25.9) | 0.870 |