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Health Care Disparities in Cardio-Oncology

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Abstract

Disparities between blacks and whites with respect to comorbidities, health outcomes and access to care have all been well documented. Black populations have higher prevalence of risk factors for cardiovascular disease, specifically hypertension and diabetes, and bear a disproportionate burden of cardiovascular disease [1, 2]. Differences in the incidence of disease and disease outcomes also exist in the arena of oncology where blacks continue to have worse outcomes with the highest death rates and lowest survival from most cancers of any racial or ethnic group [3,4,5]. Given that hypertension, diabetes and cardiovascular disease all increase the risk of cardiac complications from many forms of oncologic care, the question of whether this population also experiences disparate rates of cardiac complications from oncologic care and whether any such differences could contribute to the gap in cancer outcomes requires investigation.

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Correspondence to Michelle N. Johnson .

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29.1 Electronic supplementary material

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Video 29.1

Transthoracic echocardiogram (TEE) two and four chamber views showing severely reduced LV function with an ejection fraction of 17% (PPTX 5969 kb)

Video 29.2

TEE two and four chamber views showing mildly reduced EF (EF 50%), concentric LVH (PPTX 3481 kb)

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Johnson, M.N. (2021). Health Care Disparities in Cardio-Oncology. In: Steingart, R.M., Liu, J.E. (eds) Atlas of Imaging in Cardio-Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-70998-3_29

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  • DOI: https://doi.org/10.1007/978-3-030-70998-3_29

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