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Race and Ethnicity Considerations in Patients With Coronary Artery Disease and Stroke: JACC Focus Seminar 3/9. | LitMetric

Race and Ethnicity Considerations in Patients With Coronary Artery Disease and Stroke: JACC Focus Seminar 3/9.

J Am Coll Cardiol

Center for the Study of Adversity and Cardiovascular Disease (NURTURE Center), Division of Cardiology, Department of Medicine, University of California-San Francisco, San Francisco, California, USA. Electronic address:

Published: December 2021

AI Article Synopsis

  • There are significant racial and ethnic differences in the prevalence and outcomes of coronary artery disease (CAD) and stroke, even with advances in medical understanding and treatments.
  • Minority groups are often underrepresented in data and clinical trials, leading to an incomplete picture of these health disparities.
  • Various factors contribute to these disparities, including traditional cardiovascular risks, social determinants of health, and the need for better communication and culturally competent care in health settings.

Article Abstract

Notable racial and ethnic differences and disparities exist in coronary artery disease (CAD) and stroke epidemiology and outcomes despite substantial advances in these fields. Racial and ethnic minority subgroups remain underrepresented in population data and clinical trials contributing to incomplete understanding of these disparities. Differences in traditional cardiovascular risk factors such as hypertension and diabetes play a role; however, disparities in care provision and process, social determinants of health including socioeconomic position, neighborhood environment, sociocultural factors, and racial discrimination within and outside of the health care system also drive racial and ethnic CAD and stroke disparities. Improved culturally congruent and competent communication about risk factors and symptoms is also needed. Opportunities to achieve improved and equitable outcomes in CAD and stroke must be identified and pursued.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jacc.2021.05.051DOI Listing

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