Category: 14. Physical health, conventional health, and folk medicine

      LINT001. Linton, Druenell E. "Cardiovascular risk factors and events in the Lumbee Native Americans of North Carolina." Journal of the American College of Cardiology (JACC) 47.4 (2006): 167A. June 4, 2006.

This meeting abstract reports on research conducted by Druenell E. Linton, an internal medicine resident at Duke University Medical Center, and colleagues on the research team. The researchers analyzed patients from the Duke Databank of over 130,000 patients. They selected 920 Lumbee patients and, for comparison, 2,763 non-Lumbees. All the selected patients had undergone cardiac catheterization and had been found to have coronary artery disease.

Based on their analysis, the researchers determined that "Lumbee Native Americans have a higher burden of CVD [cardiovascular disease] risk factors, and higher rates of non-fatal MI [myocardial infarction] on follow-up, despite similar all-cause mortality and lower rates of repeat revascularization, even after adjustment for risk factors."

The following are the main results of the analysis. Lumbees in their study, in comparison with non-Lumbees,

presented with cardiovascular disease at a younger age

had a higher prevalence of hypertension

had a higher prevalence of peripheral vascular disease

had a higher prevalence of diabetes

were more likely to smoke

were more likely to have had a previous myocardial infarction

had a higher prevalence of family history of coronary artery disease

had higher body mass indices

had a higher prevalence of metabolic syndrome

had a higher prevalence of three-vessel coronary artery disease

For a more detailed account of the study, see the article, "Lumbee Native Americans have higher cardiovascular risks" at the DukeMed News Web site, http://dukemednews.duke.edu/news/article.php?id=9554

Additional subjects: Cardiovascular disease | Risk factors | Hypertension | Diabetes | Metabolic syndrome | Smoking | Myocardial infarction | Body mass index

This annotation was written on: June 4, 2006

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