OBJECTIVE--To compare outcome after infarction in South Asian patients, comprising Indians, Pakistanis, Bangladeshis and individuals of East African origin, in Birmingham with that in white patients in the same city. DESIGN--A prospective case-control study. SETTING--Three large district general hospitals. PATIENTS--102 South Asian patients discharged from hospital after an acute myocardial infarction were matched for age, sex, time and season of infarct, and hospital of admission with white patients. MAIN OUTCOME MEASURES--Survival and complication. RESULTS--There was no significant difference in survival or complications during the four years after an acute myocardial infarction in South Asian and white patients. CONCLUSION--The survival and clinical course of South Asian and white patients discharged after an acute myocardial infarction were similar over a four year period.