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Health Disparities Across the Continuum of ASCVD Risk

  • Global Cardiovascular Health (L Sperling and D Gaita, Section Editors)
  • Published:
Current Cardiology Reports Aims and scope Submit manuscript

Abstract

Purpose of the Review

Despite marked progress in cardiovascular disease management in the last several decades, there remain significant, persistent disparities in cardiovascular health in historically marginalized racial and ethnic groups. Here, we outline current state of health disparities in cardiovascular disease, discuss the interplay between social determinants of health, structural racism, and cardiovascular outcomes, and highlight strategies to address these issues.

Recent Findings

Across the continuum of atherosclerotic cardiovascular disease (ASCVD) prevention, there remain significant disparities in outcomes including morbidity and mortality by race, ethnicity, and socioeconomic status (SES). These disparities begin early in childhood (primordial prevention) and continue with a higher prevalence of cardiovascular risk factors (primary prevention), and in the uptake of evidence-based therapies (secondary prevention). These disparities are driven by social determinants of health and structural racism that disproportionately disadvantage historically marginalized populations.

Summary

Structural racism and social determinants of health contribute to significant disparities in cardiovascular morbidity and mortality.

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Funding

AS received research support from the American Heart Association (20SFRN35360178). FR received support from the National Heart, Lung, and Blood Institute, National Institutes of Health (1K01HL144607) and the American Heart Association/Robert Wood Johnson Harold Amos Medical Faculty Development Program.

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Authors and Affiliations

  1. Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA

    Ankita Devareddy

  2. Division of Cardiovascular Medicine and the Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA

    Ashish Sarraju & Fatima Rodriguez

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  1. Ankita Devareddy
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  2. Ashish Sarraju
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  3. Fatima Rodriguez
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Correspondence to Fatima Rodriguez.

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Devareddy, A., Sarraju, A. & Rodriguez, F. Health Disparities Across the Continuum of ASCVD Risk. Curr Cardiol Rep 24, 1129–1137 (2022). https://doi.org/10.1007/s11886-022-01736-y

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