Lip, G. Y. H., Barnett, A. H., Bradbury, A., Cappuccio, Francesco, Gill, Paramjit, Hughes, E., Imray, C., Jolly, K. and Patel, K. (2007) Ethnicity and cardiovascular disease prevention in the United Kingdom : a practical approach to management. Journal of Human Hypertension, Vol.21 (No.3). pp. 183-211. doi:10.1038/sj.jhh.1002126

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Abstract

The United Kingdom is a diverse society with 7.9% of the population from black and minority ethnic groups (BMEGs). The causes of the excess cardiovascular disease (CVD) and stroke morbidity and mortality in BMEGs are incompletely understood though socio-economic factors are important. However, the role of classical cardiovascular (CV) risk factors is clearly important despite the patterns of these risk factors varying significantly by ethnic group. Despite the major burden of CVD and stroke among BMEGs in the UK, the majority of the evidence on the management of such conditions has been based on predominantly white European populations. Moreover, the CV epidemiology of African Americans does not represent well the morbidity and mortality experience seen in black Africans and black Caribbeans, both in Britain and in their native African countries. In particular, atherosclerotic disease and coronary heart disease are still relatively rare in the latter groups. This is unlike the South Asian diaspora, who have prevalence rates of CVD in epidemic proportions both in the diaspora and on the subcontinent. As the BMEGs have been under-represented in research, a multitude of guidelines exists for the 'general population.' However, specific reference and recommendation on primary and secondary prevention guidelines in relation to ethnic groups is extremely limited. This document provides an overview of ethnicity and CVD in the United Kingdom, with management recommendations based on a roundtable discussion of a multidisciplinary ethnicity and CVD consensus group, all of whom have an academic interest and clinical practice in a multiethnic community.

Item Type:	Journal Article
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title:	Journal of Human Hypertension
Publisher:	Nature Publishing Group
ISSN:	0950-9240
Official Date:	2007
Dates:	Date Event 2007 Published
Volume:	Vol.21
Number:	No.3
Page Range:	pp. 183-211
DOI:	10.1038/sj.jhh.1002126
Status:	Peer Reviewed
Publication Status:	Published

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