Objective: To compare the characteristics on debut in coronary artery disease (CAD) between native and immigrant patients. Materials and methods: A cross-sectional retrospective study was performed through the review of computerized medical records. We included 129 patients diagnosed of CAD, from 30 to 74 years, natives and immigrants, with cardiovascular risk factors (CVRF) reported in their medical records. The main variables were age at time of diagnosis of CAD, sex, type of CAD, CVRF present at diagnosis. We also calculated coronary risk using the REGICOR scale and recorded the number of coronary arteries significantly injured on angiography and treatment received. Results: A total of 40.3% of the patients were immigrants, 73.1% of them from South Asia. Mean age at the debut of CAD was 60.1 years in natives (95% CI; 58.2 to 61.9) and 48.9 years in immigrants (95% CI; 46.5 to 51.3, P<.001). The immigrants had lower values of HDL-cholesterol (P= .001), higher levels of triglycerides (P= .031) and lower coronary risk estimated on the REGICOR scale (P<.001). Three-vessel or left main coronary artery disease (P= .012) was more frequent among immigrants. Conclusions: Debut of CAD in immigrants appeared 10 years early than in natives with more severe coronary lesions. The risk calculated by REGICOR function could be underestimated in the immigrant group. It is important to know these differences to bring better primary prevention strategies in the immigrant population. © 2013 SEHLELHA.

Immigrant Coronary artery disease Cardiopatía isquémica Factores de riesgo risk factors Inmigrante

medical record review major clinical study ischemic heart disease immigrant Aged adult cardiovascular risk cross-sectional study left coronary artery angiocardiography Article human South Asia