Racial, Ethnic, and Gender Disparities in Valvular Heart Failure Management

被引:8
|
作者
Ilonze, Onyedika [1 ]
Free, Kendall [2 ]
Shinnerl, Alexander [3 ]
Lewsey, Sabra [4 ]
Breathett, Khadijah [1 ]
机构
[1] Indiana Univ, Krannert Cardiovasc Res Ctr, Div Cardiovasc Med, 1800 North Capitol Ave, Indianapolis, IN 46202 USA
[2] Tokyo Med & Dent Univ, Dept Biofunct Res, 2 Chome-3-10 Kanda Surugadai, Chiyoda City, Tokyo 1010062, Japan
[3] Indiana Univ, Coll Med, 340 West 10th St, Indianapolis, IN 46202 USA
[4] Johns Hopkins Univ, Dept Med, Div Cardiol, Sch Med, 601 North Caroline St,7th Floor, Baltimore, MD 21287 USA
关键词
Valvular heart disease; Heart failure; Mitral regurgitation; Aortic stenosis; Disparities; Social determinants of health; Women's health; Racial disparities; AORTIC-VALVE-REPLACEMENT; CORONARY-REVASCULARIZATION PROCEDURES; MITRAL REGURGITATION; MEDICAID EXPANSION; AFRICAN-AMERICANS; CLINICAL-TRIALS; SEX-DIFFERENCES; UNITED-STATES; TRANSCATHETER; OUTCOMES;
D O I
10.1016/j.hfc.2023.02.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Disparities in the prevalence and treatment of HF and VHD persist for Black, Hispanic, American Indian, and female patients. Black patients experi-ence the highest burden of HF. Women experience heightened burdens of VHD. Various factors contribute to the higher burden of HF and VHD in minoritized racial and ethnic groups and women that must be addressed by facing systemic racism and bias. Approaches necessary to reduce health disparities in HF and VHD should include consider-ations for universal health coverage, increased access to subspecialist care and screening, increased diverse trial participation, and antiracist evaluation of institutional policies.
引用
收藏
页码:379 / 390
页数:12
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