Editorials

Avoiding premature coronary deaths in Asians in Britain

Over 1.5 million people have settled in Britain from the Indian subcontinent (India, Pakistan, and Bangladesh) and east Africa.¹ Epidemiological studies have shown that, irrespective of regional, cultural, and religious differences, immigrant south Asians all share a significantly higher mortality from coronary heart disease than the indigenous white population.^{2 3 4} This increased risk also applies to second generation Asian immigrants who have adverse risk factor profiles for coronary heart disease.⁵ First recognised in Singapore,⁶ this increase is a worldwide phenomenon.^{7 8}

In 1977 a 40% excess incidence of myocardial infarction was found among Asians admitted to hospitals in Leicester,⁹ and more recently a group from Northwick Park Hospital found that Gujarati Asian men had four times the risk of a first myocardial infarction compared with north European men.¹⁰ This study also reported that the Asian men were significantly younger at the time of . . . [Full text of this article]

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Relevant Article

Premature coronary deaths in Asians

Alberto Ascherio, Eunyoung Cho, Kathleen Walsh, Frank M Sacks, Walter C Willett, and Azhar Faruqui
BMJ 1996 312: 508. [Extract] [Full Text]

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• Cruickshank, J K (1996). Benefit from controlling blood pressure was understated. BMJ 312: 376-376 [Full text]  
• Bhopal, R. (1996). Several key facts need to be considered. BMJ 312: 375a-375 [Full text]  
• Livingstone, A. E. (1996). General practitioners should identify risks opportunistically. BMJ 312: 375b-376 [Full text]  
• Enas, E. A (1996). Guidelines for pharmacological intervention are needed. BMJ 312: 376a-376 [Full text]  
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