Cardiovascular Disease in Racial and Ethnic Minorities by K. C. Ferdinand MD, A. Armani MD (auth.), Keith C. Ferdinand

By K. C. Ferdinand MD, A. Armani MD (auth.), Keith C. Ferdinand MD, Annemarie Armani MD (eds.)

Cardiovascular center disorder mortality in African american citizens is the top of all significant racial/ethnic subpopulations within the usa. reading race and ethnicity, heart problems in Racial and Ethnic Minorities will display that there are unacceptable healthcare disparities in probability issue incidence, illness states, and cardiovascular results within the usa. Written through a staff of specialists, heart problems in Racial and Ethnic Minorities examines to what measure biomedical and clinical literature can make clear the influence of genetic version as opposed to surroundings as regarding heart problems. Chapters illustrate the importance of cardiovascular and metabolic disparities and the impact of surroundings on diseases.

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Chapter 2/Epidemiology of Cardiovascular Diseases and Risk Factors 41 Hospitalizations, especially for chronic heart failure, acute myocardial infarction, and stroke, constitute an important cause of morbidity from cardiovascular diseases. Among Medicare enrollees aged 65 years and older, whites had the highest prevalence of hospitalization for acute myocardial infarction (53,54).

39. Steinberg HO, Paradisi G, Cronin J Type II diabetes abrogates sex differences in endothelial function in premenopausal women. Circulation 2000; 101(17):2040–2046. 40. Koh KK, Kang MH, Jin DK, et al. Vascular effects of estrogen in type II diabetic postmenopausal women. J Am Coll Cardiol 2001; 38(5):1409–1415. 41. Shekelle PG, Rich MW, Morton SC, et al. Efficacy of angiotensin-converting enzyme inhibitors and beta-blockers in the management of left ventricular systolic dysfunction according to race, gender, and diabetic status: a meta-analysis of major clinical trials.

Therefore, language and cultural barriers in conjunction with low socioeconomic status and decreased literacy are important determinants affecting healthcare outcomes. Additionally, clinicians must recognize adverse dietary patterns and other lifestyles. Integrated, multidisciplinary teams are beneficial in the elimination of disparities; these partnerships may include nurse practitioners, physician assistants, and community health advocates, along with physicians. One multidisciplinary approach in an inner city African American male cohort effectively controlled blood pressure and improved LVH (27).

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