Racial and Ethnic Differences in the Management of Atrial Fibrillation

被引：25
|
作者：
Tamirisa, Kamala P. [1 ]
Al-Khatib, Sana M. [2 ]
Mohanty, Sanghamitra [1 ]
Han, Janet K. [3 ,4 ]
Natale, Andrea [1 ,6 ]
Gupta, Dhiraj [5 ]
Russo, Andrea M.
Al-Ahmad, Amin [1 ]
Gillis, Anne M. [7 ]
Thomas, Kevin L. [2 ]
机构：
[1] Texas Cardiac Arrhythmia Inst, Dallas, TX USA
[2] Duke Univ, Div Cardiol, Med Ctr, Durham, NC USA
[3] Vet Affairs VA Greater Angeles Healthcare Syst, Div Cardiol, Los Angeles, CA USA
[4] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA
[5] Univ Liverpool, Dept Cardiol, London, England
[6] Cooper Univ Hosp, Div Cardiol, Camden, NJ USA
[7] Univ Calgary, Dept Cardiac Sci, Calgary, AB, Canada
来源：
CJC OPEN | 2021年 / 3卷 / 12期
关键词：
D O I：
10.1016/j.cjco.2021.09.004
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Atrial fibrillation (AF) is the most common clinical arrhythmia, and it results in adverse outcomes and increased healthcare costs. Racial and ethnic differences in AF management, although recognized, are poorly understood. This review summarizes racial differences in AF epidemiology, genetics, clinical presentation, and management. In addition, it highlights the underrepresentation of racial and ethnic populations in AF clinical trials, especially trials focused on stroke prevention. Specific strategies are proposed for future research and initiatives that have potential to eliminate racial and ethnic differences in the care of patients with AF. Addressing racial and ethnic disparities in healthcare access, enrollment in clinical trials, resource allocation, prevention, and management will likely narrow the gaps in the care and outcomes of racial and ethnic minorities suffering from AF.
引用
收藏
页码：S137 / S148
页数：12
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