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Addressing Disparities in Health Care

Heart failure in African Americans: Disparities can be overcome

Alok Sharma, MD, Monica Colvin-Adams, MD, MS and Clyde W. Yancy, MD, MSc
Cleveland Clinic Journal of Medicine May 2014, 81 (5) 301-311; DOI: https://doi.org/10.3949/ccjm.81a.13045
Alok Sharma
Fellow, Cardiovascular Division, University of Minnesota, Minneapolis
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Monica Colvin-Adams
Associate Professor of Medicine; Medical Director, Cardiac Transplantation; Scientific Registry of Transplant Recipients; Member HFSA Guidelines Writing Group, Cardiovascular Division, University of Minnesota, Minneapolis
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Clyde W. Yancy
Magerstadt Professor of Medicine, Chief, Division of Cardiology, Northwestern University, Feinberg School of Medicine; Associate Director, Bluhm Cardiovascular Institute, Northwestern Memorial Hospital, Chicago, IL; Chair, Writing Committee, 2013 ACCF/AHA Guideline for the Management of Heart Failure; Investigator, African American Heart Failure Trial
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ABSTRACT

African Americans are disproportionately affected by heart failure, with a high prevalence at an early age. Hypertension, diabetes, obesity, and chronic kidney disease are all common in African Americans and all predispose to heart failure. Neurohormonal imbalances, endothelial dysfunction, genetic polymorphisms, and socioeconomic factors also contribute. In general, the same evidence-based treatment guidelines that apply to white patients with heart failure also apply to African Americans. However, the combination of hydralazine and isosorbide dinitrate is advised specifically for African Americans.

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Cleveland Clinic Journal of Medicine: 81 (5)
Cleveland Clinic Journal of Medicine
Vol. 81, Issue 5
1 May 2014
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Heart failure in African Americans: Disparities can be overcome
Alok Sharma, Monica Colvin-Adams, Clyde W. Yancy
Cleveland Clinic Journal of Medicine May 2014, 81 (5) 301-311; DOI: 10.3949/ccjm.81a.13045

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Heart failure in African Americans: Disparities can be overcome
Alok Sharma, Monica Colvin-Adams, Clyde W. Yancy
Cleveland Clinic Journal of Medicine May 2014, 81 (5) 301-311; DOI: 10.3949/ccjm.81a.13045
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  • Progression to Stage D Heart Failure Among Outpatients With Stage C Heart Failure and Reduced Ejection Fraction
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