Summary of Workshop IV: Working Group on Natural History, Prevention, and Medical and Surgical Treatment

Autor: O. Long, P. Jenkins, J. Karefa-Smart, L. Watkins, G. Berenson, T. El-Akad, C. Francis, J. Brown, E. Stone, A. Oberman, R. Sterling, A. Lee, G. Entwisle, Luther T. Clark, G. Grimmett, Karen C. Johnson, J. Haywood
Rok vydání: 1984
Předmět:
Zdroj: American Heart Journal. 108:711-715
ISSN: 0002-8703
DOI: 10.1016/0002-8703(84)90661-6
Popis: Workshop IV explored potential areas for study that would increase understanding of the natural history of coronary artery disease in blacks, particularly the impact of medical or surgical therapy. Accurate and reliable diagnosis of coronary artery disease may be carried out by a combination of clinical, electrocardiologic, angiographic, exercise stress test, and radionuclide test parameters. Natural history might be assessed through epidemiologic studies (a “black Framingham”) in which risk factors are assessed prospectively in a black population and their role in the pathogenesis of coronary artery disease in blacks assessed. Alternatively, blacks with clinical manifestations might be studied serially and their clinical and laboratory characteristics compared to that of a concurrently studied white population or to data from previous studies. Possible research initiatives include (1) determinants of outcome of acute myocardial infarction in minorities, (2) black-white differences in hypertensive patients with coronary heart disease, and (3) adverse effects of antihypertensive therapy. The relationship of social and cultural factors to clinical and laboratory findings in blacks with coronary artery disease remains an important unresolved question.
Databáze: OpenAIRE