Cardiovascular Disease in Hispanic Women: JACC Review Topic of the Week.
Autor: | Quesada O; Women's Heart Center, The Christ Hospital Heart and Vascular Institute, Cincinnati, Ohio, USA; The Carl and Edyth Lindner Center for Research and Education, The Christ Hospital, Cincinnati, Ohio, USA. Electronic address: Odayme.Quesada@thechristhospital.com., Crousillat D; Division of Cardiovascular Sciences, Department of Medicine, Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida, USA., Rodriguez F; Division of Cardiovascular Medicine and the Cardiovascular Institute, Stanford University School of Medicine, Stanford, California, USA., Bravo-Jaimes K; Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, Florida, USA., Briller J; Division of Cardiology, Department of Medicine, University of Illinois Chicago, Chicago, Illinois, USA; Department of Obstetrics and Gynecology, University of Illinois Chicago, Chicago, Illinois, USA., Ogunniyi MO; Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA; Grady Health System, Atlanta, Georgia, USA., Mattina DJ; Department of Cardiovascular Medicine, Cleveland Clinic, Beachwood, Ohio, USA., Aggarwal NR; Department of Cardiovascular Disease, Mayo Clinic, Rochester, Minnesota, USA., Rodriguez CJ; Albert Einstein College of Medicine, Bronx, New York, USA., De Oliveira GMM; Univiersidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil., Velarde G; Division of Cardiology, Department of Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA. |
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Jazyk: | angličtina |
Zdroj: | Journal of the American College of Cardiology [J Am Coll Cardiol] 2024 Apr 30; Vol. 83 (17), pp. 1702-1712. |
DOI: | 10.1016/j.jacc.2024.02.039 |
Abstrakt: | Cardiovascular disease affects 37% of Hispanic women and is the leading cause of death among Hispanic women in the United States. Hispanic women have a higher burden of cardiovascular risk factors, are disproportionally affected by social determinants of health, and face additional barriers related to immigration, such as discrimination, language proficiency, and acculturation. Despite this, Hispanic women show lower rates of cardiovascular disease and mortality compared with non-Hispanic White women. However, this "Hispanic paradox" is challenged by recent studies that account for the diversity in culture, race, genetic background, country of origin, and social determinants of health within Hispanic subpopulations. This review provides a comprehensive overview of the cardiovascular risk factors in Hispanic women, emphasizing the role of social determinants, and proposes a multipronged approach for equitable care. Competing Interests: Funding Support and Author Disclosures Dr Quesada has received funding from the National Institutes of Health (NIH) National Heart, Lung, and Blood Institute (K23 23HL151867). Dr Rodriguez was funded by grants from the NIH National Heart, Lung, and Blood Institute (1K01HL144607), the American Heart Association/Harold Amos Faculty Development program, and the Doris Duke Charitable Foundation (Grant #2022051). Dr Briller has received funding for the REBIRTH trial PTE Federal Award to University of Pittsburgh 1UG3HL153847-01A1 Subaward: UIC AWD00004314 (137168-1) Steering Committee. Dr Ogunniyi has received institutional research grant support from AstraZeneca, Boehringer Ingelheim, LabCorp Drug Development, and Pfizer. Dr Briller is an unpaid consultant for the Illinois Maternal Mortality Committee and is on the steering committee and site investigator for the NIH funded REBIRTH trial of bromocriptine in peripartum cardiomyopathy. Dr Mattina has been a paid consultant for Zoll Medical. Dr Rodriguez has consulting relationships with Healthpals, Novartis, Novo Nordisk, and AstraZeneca outside the submitted work. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. (Copyright © 2024 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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