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Updated: Nov 11, 2025

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
Disparities in acute decompensated heart failure.
Tamari Miller1, Spencer V Carter, Bryan A Smith
1Department of Medicine, Division of Cardiology, The University of Chicago Medicine, Chicago, IL, USA.
Racial and sex disparities significantly impact acute decompensated heart failure (ADHF) management and outcomes. Adhering to treatment guidelines can minimize these disparities for better patient survival.
Area of Science:
- Cardiology
- Health Disparities
- Clinical Outcomes
Background:
- Acute decompensated heart failure (ADHF) affects diverse patient populations.
- Significant disparities in care and outcomes exist based on race and sex.
Purpose of the Study:
- To review racial and sex disparities in ADHF management and outcomes.
- To highlight the impact of these disparities on patient care and survival.
Main Methods:
- Review of existing literature on race, sex, and ADHF.
- Analysis of in-hospital admissions, interventions, and survival rates.
- Examination of bias in advanced heart failure therapy evaluations.
Main Results:
- Black patients face higher ADHF incidence and worse survival.
- Women receive fewer interventions for cardiogenic shock.
- Racial and sex biases affect advanced heart failure therapy referrals.
- Care by cardiologists in ICUs is linked to improved survival.
Conclusions:
- Racial and sex disparities significantly influence ADHF patient outcomes.
- Implicit biases impact treatment decisions and therapy referrals.
- Guideline-adherent care can mitigate these disparities.
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