Aortic Stenosis in African Americans

Focus On Disparities in Treatment and Outcomes

Viswanatha R. Chinta, Srikanth R. Maddika, Peter Abader, Rafik Elbeblawy, Pooja S. Jagadish, Uzair Ashraf, Srikanth Vallurupalli, Uzoma Ibebuogu, Rami Khouzam

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Pages (from-to)328-333
Number of pages6
JournalJournal of the National Medical Association
Volume111
Issue number3
DOIs
StatePublished - Jun 1 2019

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Aortic Valve Stenosis
African Americans
Coronary Artery Disease
Hypertension
Tobacco Use
Hypercholesterolemia
Ethnic Groups
LDL Cholesterol
Cardiovascular Diseases
Referral and Consultation
Delivery of Health Care
Mortality
Therapeutics
Research
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Aortic Stenosis in African Americans : Focus On Disparities in Treatment and Outcomes. / Chinta, Viswanatha R.; Maddika, Srikanth R.; Abader, Peter; Elbeblawy, Rafik; Jagadish, Pooja S.; Ashraf, Uzair; Vallurupalli, Srikanth; Ibebuogu, Uzoma; Khouzam, Rami.

In: Journal of the National Medical Association, Vol. 111, No. 3, 01.06.2019, p. 328-333.

Research output: Contribution to journalReview article

Chinta, VR, Maddika, SR, Abader, P, Elbeblawy, R, Jagadish, PS, Ashraf, U, Vallurupalli, S, Ibebuogu, U & Khouzam, R 2019, 'Aortic Stenosis in African Americans: Focus On Disparities in Treatment and Outcomes', Journal of the National Medical Association, vol. 111, no. 3, pp. 328-333. https://doi.org/10.1016/j.jnma.2018.11.004
Chinta, Viswanatha R. ; Maddika, Srikanth R. ; Abader, Peter ; Elbeblawy, Rafik ; Jagadish, Pooja S. ; Ashraf, Uzair ; Vallurupalli, Srikanth ; Ibebuogu, Uzoma ; Khouzam, Rami. / Aortic Stenosis in African Americans : Focus On Disparities in Treatment and Outcomes. In: Journal of the National Medical Association. 2019 ; Vol. 111, No. 3. pp. 328-333.
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