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Table 1 Baseline demographic characteristics, risk factors and echocardiography measures according to ethnic group

From: The prognostic value of dobutamine stress echocardiography amongst British Indian Asian and Afro-Caribbean patients: a comparison with European white patients

Characteristics

Afro-Caribbean (n = 434)

European White (n = 2219)

Indian Asian (n = 2676)

P Value

Demographics

    
 

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

    
 

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

   

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

   

<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

   

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

    
 

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

    
 

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

    
 

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

   

<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

    
 

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

  1. Note: CVD Cardiovascular disease, PCI Percutaneous coronary intervention, CABGS Coronary artery bypass graft surgery, NYHA New York Heart Association, ACE Angiotensin converting enzyme, LVESD Left ventricular end systolic dimension, LVEDD Left ventricular end diastolic dimension, LV Left ventricle, sBP systolic blood pressure, dBP diastolic blood pressure