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Race and Ethnicity in HeartFailure: JACC Focus Seminar 8/9.
Race and Ethnicity in HeartFailure: JACC Focus Seminar 8/9. Journal of the American College of Cardiology Pina, I. L., Jimenez, S., Lewis, E. F., Morris, A. A., Onwuanyi, A., Tam, E., Ventura, H. O. 2021Abstract
Heart failure (HF) affects >6 million Americans, with variations in incidence, prevalence, and clinical outcomes by race/ethnicity. Black adults have the highest risk for HF, with earlier age of onset and the highest risk of death and hospitalizations. The risk of hospitalizations for Hispanic patients is higher than White patients. Data on HF in Asian individuals are more limited. However, the higher burden of traditional cardiovascular risk factors, particularly among South Asian adults, is associated with increased risk of HF. The role of environmental, socioeconomic, and other social determinants of health, more likely for Black and Hispanic patients, are increasingly recognized as independent risk factors for HF and worse outcomes. Structural racism and implicit bias are drivers of health care disparities in the United States. This paper will review the clinical, physiological, and social determinants of HF risk, unique for race/ethnic minorities, and offer solutions to address systems of inequality that need to be recognized and dismantled/eradicated.
View details for DOI 10.1016/j.jacc.2021.06.058
View details for PubMedID 34887145