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Published on: June 16, 2014
Endothelial dysfunction in African-Americans
Pawan D Patel1, Jose L Velazquez, Rohit R Arora
1Department of Medicine, The Chicago Medical School, Chicago, IL 60064, United States.
Insights
Vascular endothelial dysfunction is a key factor in the high rates of cardiovascular disease among African Americans. Early detection and intervention in individuals, even those who appear healthy, may prevent future cardiac events.
Area of Science:
- Cardiovascular Science
- Public Health
Background:
- Atherosclerosis, a leading cause of death, starts with endothelial dysfunction.
- African Americans experience disproportionately high rates of cardiovascular disease (CVD) morbidity and mortality.
Purpose of the Study:
- To review the role of vascular endothelial dysfunction in the excess CVD burden among African Americans.
- To highlight the potential of early detection of endothelial dysfunction for preventing adverse cardiovascular outcomes.
Main Methods:
- Literature review focusing on endothelial dysfunction and cardiovascular disease in African Americans.
Main Results:
- Endothelial dysfunction is a critical determinant of future atherosclerotic outcomes.
- This dysfunction contributes significantly to the elevated CVD burden in the African American population.
Conclusions:
- Vascular endothelial dysfunction serves as a crucial indicator for future atherosclerotic events in African Americans.
- Early detection and therapeutic interventions in at-risk individuals, including those appearing healthy, are vital for preventing subsequent cardiac events and reducing mortality.
Abstract:
The journey of atherosclerosis begins with endothelial dysfunction and culminates into its most fearful destination producing ischemia, myocardial infarction and death. The excess cardiovascular disease morbidity and mortality in African-Americans is one of the major public health problems. In this review, we discuss vascular endothelial dysfunction as a key element for excess cardiovascular disease burden in this target population. It can be logical window of future atherosclerotic outcomes, and further efforts should be made to detect it at the earliest in African American individuals even if they are appearing healthy as the therapeutic interventions if instituted early, might prevent the subsequent cardiac events.
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