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Unique Aspects of Vascular and Cardiac Ultrasound in Racial/Ethnic Groups

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Cardiovascular Disease in Racial and Ethnic Minorities

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Cardiac ultrasound is a portable, relatively inexpensive primary tool which assists the clinician with evaluation of several conditions found disproportionately in minority populations. Left ventricular hypertrophy (LVH) is more prevalent in African-Americans and this is a precursor to increased cardiovascular morbidity and mortality in this population. Left ventricular systolic and diastolic dysfunction are also power predictors of morbidity and mortality, often presenting with clinical features and etiologies that are different than non African-American populations. Abnormalities of diastolic function also develop from infiltrative processes found in specific minority populations, including amyloidosis and sarcoidosis.

Other cardiomyopathies including hypertrophic cardiomyopathy in athletes and left ventricular noncompaction are important areas of clinical research in the application of cardiac ultrasound. Obesity, a well-described potent risk factor for cardiovascular disease, is increased in certain racial/ethnic populations and has certain echocardiographic features that can be identified. Kawasaki disease is seen predominantly in children, with a high incidence in Asians, and along with certain constitutional symptoms, demonstrates unique echocardiographic findings.

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Gillespie, R.L., Fergus, I.V. (2009). Unique Aspects of Vascular and Cardiac Ultrasound in Racial/Ethnic Groups. In: Ferdinand, K.C., Armani, A. (eds) Cardiovascular Disease in Racial and Ethnic Minorities. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-410-0_13

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  • DOI: https://doi.org/10.1007/978-1-59745-410-0_13

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