Peripheral Artery Disease and Non-Coronary Atherosclerosis in Hispanics: Another Paradox?

• Published in: Progress in cardiovascular diseases Vol. 57; no. 3; pp. 237 - 243
• Main Authors: Forbang, Nketi I, Hughes-Austin, Jan M, Allison, Matthew A, Criqui, Michael H
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2014
• Subjects: Adult; Aged; Aged, 80 and over; Cardiovascular; Carotid artery atherosclerosis; Carotid Stenosis - ethnology; Female; Hispanic or Latino - statistics & numerical data; Hispanic paradox; Humans; Male; Middle Aged; Peripheral Arterial Disease - ethnology; Peripheral artery disease; Prevalence; Risk Factors; Subclavian Steal Syndrome - ethnology; United States - epidemiology; United States; CLI; carotid artery plaque and intima-media thickness; systolic blood pressure; DSA; IC; TBI; EA; AA; blood pressure; body mass index; AI; intermittent claudication; MAC; CVD; AS; diastolic intraluminal common carotid artery diameter; Toe Brachial Index; MICPT; dyslipidemia; African American; T2DM; cIMT; HTN; LDL-C; ABI; diabetes mellitus; Asian American; BP; Hispanic American; critical limb ischemia; European American; medial artery calcification; maximal internal carotid artery plaque thickness; subclavian stenosis; BMI; DYS; SBP; SS; cardiovascular disease; peripheral artery disease; digital subtraction angiography; DDIAM; Hispanic paradox; PAD; Carotid artery atherosclerosis; HA; coronary heart disease; American Indian; ankle-brachial index; hypertension; CHD; low density lipoprotein cholesterol; Peripheral artery disease
• ISSN: 0033-0620; 1532-8643; 1873-1740
• DOI: 10.1016/j.pcad.2014.07.008

Abstract Hispanic Americans (HA) are a significant and increasing segment of the population who must be considered in future health planning. HA, compared to European Americans (EA), have a lower prevalence of coronary artery disease, but higher burden of cardiovascular disease risk factors. It remains unclear if this observation termed the ‘Hispanic Paradox’ also exists for vascular beds outside the heart. We present a review of the literature which suggests that this paradox may also exist for arteries in the extremities and neck.