PT  - JOURNAL ARTICLE
AU  - Sharma, Alok
AU  - Colvin-Adams, Monica
AU  - Yancy, Clyde W.
TI  - Heart failure in African Americans: Disparities can be overcome
AID  - 10.3949/ccjm.81a.13045
DP  - 2014 May 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 301--311
VI  - 81
IP  - 5
4099  - http://www.ccjm.org/content/81/5/301.short
4100  - http://www.ccjm.org/content/81/5/301.full
SO  - Cleve Clin J Med2014 May 01; 81
AB  - 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.