Related Experiment Video
Updated: Jan 18, 2026
05:16
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
535
Disparities in Heart Failure Epidemiology, Diagnosis, Management, and Outcomes
Amy R Yan1, Pratyaksh K Srivastava2, Darko Vucicevic2
1Cardiology, The Bishop's School, La Jolla, USA.
Cureus
|September 11, 2025
Summary
Minority groups face significant heart failure (HF) disparities in treatment and outcomes. Addressing social determinants of health and tailoring care programs are crucial for improving HF outcomes in these populations.
Area of Science:
- Cardiology
- Public Health
- Health Disparities
Background:
- Heart failure (HF) disproportionately affects minority populations in the U.S.
- Disparities in HF treatment, advanced therapy access (LVADs, transplantation), and outcomes are evident among minorities.
- Factors contributing to these disparities include cardiovascular risk factors and social determinants of health (housing, healthcare access, socioeconomic status).
Purpose of the Study:
- To highlight the significant impact of heart failure on minority groups.
- To identify the multifaceted reasons behind observed disparities in HF care and outcomes.
- To emphasize the need for tailored interventions to address HF inequities.
Main Methods:
- Review of existing literature on heart failure disparities in minority populations.
- Analysis of factors contributing to inequities, including clinical and social determinants.
- Evaluation of current clinical practice guidelines and trial representation.
Main Results:
- Minority populations experience disproportionate burdens of heart failure.
- Significant disparities exist in access to advanced therapies and overall outcomes.
- Current guidelines and clinical trials often fail to adequately address these inequities.
Conclusions:
- Existing clinical practice guidelines are insufficient to resolve HF disparities.
- Clinical trials frequently underrepresent minority populations, limiting generalizability.
- Development of custom, targeted programs is essential to improve heart failure care and outcomes for minority groups.
Related Concept Videos
01:30Heart Failure IV: Classification and Diagnostic Evaluation
323
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
323
01:17Pathophysiology of Heart Failure
3.0K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
3.0K
01:27Heart Failure I: Introduction
711
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
711
01:30Heart Failure V: Medical Management
223
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
223
01:30Heart Failure VII: Nursing Interventions
425
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
425
01:26Heart Failure III: Clinical Manifestations
512
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
512