Racial and Ethnic Differences in the Clinical Diagnosis of Aortic Stenosis

Autor: Daniela R. Crousillat, Daniel K. Amponsah, Alexander Camacho, Ritvik R. Kandanelly, Devavrat Bapat, Chen Chen, Alexandra Selberg, Ayman Shaqdan, Varsha K. Tanguturi, Michael H. Picard, Judy W. Hung, Sammy Elmariah
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 11, Iss 24 (2022)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.122.025692
Popis: Background Racial and ethnic minority groups are underrepresented among patients undergoing aortic valve replacement in the United States. We evaluated the impact of race and ethnicity on the diagnosis of aortic stenosis (AS). Methods and Results In patients with transthoracic echocardiography (TTE)‐confirmed AS, we assessed rates of AS diagnosis as defined by assignment of an International Classification of Diseases, Ninth Revision (ICD‐9) and Tenth Revision (ICD‐10) code for AS within a large multicenter electronic health record. Multivariable Cox proportional hazard and competing risk regression models were used to evaluate the 1‐year rate of AS diagnosis by race and ethnicity. Among 14 800 patients with AS, the 1‐year diagnosis rate for AS following TTE was 37.4%. Increasing AS severity was associated with an increased likelihood of receiving an AS diagnosis (moderate: hazard ratio [HR], 3.05 [95% CI, 2.86–3.25]; P
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