THE CHANGING SPECTRUM OF CORONARY ARTERY DISEASE AND OUTCOMES IN BLACK PATIENTS AT A TERTIARY INSTITUTION: A ONE YEAR EXPERIENCE

Sapna Shivani Dela, Datshana Prakesh Naidoo

Abstract


Coronary artery disease (CAD) is the leading cause of cardiovascular-related mortality in the developed world. Prevalence of CAD in the black population has been traditionally low due to lower risk factors and a traditional diet. With increasing westernization of developing countries, the problem of CAD among black patients is steadily increasing as shown in the 'Heart of Soweto' study. There is a paucity of data describing the spectrum of CAD in this population group and further studies are required in order to drive more aggressive screening programs among black communities for CAD. A retrospective chart review of all Black patients who presented with myocardial infarction will be performed. The study will look at the spectrum of CAD in Black patients and determine whether the outcome is the same when compared to White and Indian patients. This is a comparative, analytical study with data to be collected from registry files.