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Aortic Stenosis in African Americans: Focus On Disparities in Treatment and Outcomes
Viswanatha R Chinta1, Srikanth R Maddika2, Peter Abader3
1Arkansas Methodist Medical Center, Paragould, AR, USA.
Insights
African-Americans with aortic stenosis (AS) face racial disparities in healthcare, impacting treatment acceptance and outcomes. Understanding these disparities is crucial for equitable cardiovascular disease management.
Area of Science:
- Cardiology
- Health Disparities Research
- Public Health
Background:
- Aortic stenosis (AS) is a prevalent cardiovascular disease with high mortality if untreated.
- Risk factors for AS include male sex, hypertension, and advanced age.
- While less common in African-Americans, disparities in care may exist.
Purpose of the Study:
- To examine racial disparities in healthcare utilization for African-Americans with AS.
- To investigate differences in referral for valve replacement, therapy acceptance, and treatment outcomes.
Main Methods:
- This paper analyzes existing research on racial disparities in AS care.
- Focuses on healthcare utilization, treatment acceptance, and outcomes among African-Americans.
Main Results:
- African-Americans may experience differential care compared to Caucasian patients.
- Disparities can affect healthcare access, treatment recommendations, and patient acceptance of therapy.
- These factors contribute to varied treatment outcomes.
Conclusions:
- Racial disparities significantly impact the management and outcomes of aortic stenosis in African-Americans.
- Addressing these disparities is essential for achieving equitable cardiovascular care.
- Further research is needed to elucidate and mitigate these healthcare inequities.
Abstract:
Aortic stenosis (AS) is the third most common type of cardiovascular disease after hypertension and coronary artery disease, and it carries a high mortality rate when left untreated. Risk factors include male sex, hypertension, tobacco use, advanced age, elevated LDL cholesterol, and coronary atherosclerosis. Definitive treatment for AS includes valve repair, either percutaneously or surgically; however, in aging populations corrective surgery carries increased risk. While research suggests that patients of some non-White ethnic groups, including African-Americans, are less likely than their Caucasian counterparts to have AS, these minority patients may experience may experience differences in the way they receive and accept care. This paper seeks to explicate the mechanisms of racial disparities among the African-Americans affected by aortic stenosis as they pertain to healthcare utilization, referral for valve replacement, acceptance of therapy, and overall treatment outcomes.
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