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Racial Disparities in Coronary Artery Disease Prevalence
- Paula A. Johnson, MD;
- Thomas H. Lee, MD; and
- Lee Goldman, MD
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IN RESPONSE:
We agree that there may be several reasons why we, like others [1, 2], found less severe coronary artery disease among African-Americans who were referred for cardiac catheterization. A higher rate of diabetes mellitus and hypertension among the African-American population may lead to a higher prevalence of angina due to small-vessel disease and left ventricular hypertrophy. Our database did not include information regarding these risk factors or left ventricular hypertrophy.
Data suggest that African-Americans may have less access to primary care services [3] and support our hypothesis that more African-Americans who present to the emergency department may be seeking primary care [4]. Clearly, the cause of these observed racial differences requires further investigation.
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
Include no more than 300 words of text, three authors, and five references
Type with double-spacing
Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
- Copyright 2004 by the American College of Physicians
