TY - JOUR
T1 - Racial and Ethnic Considerations in Patients With Atrial Fibrillation
T2 - JACC Focus Seminar 5/9
AU - Norby, Faye L.
AU - Benjamin, Emelia J.
AU - Alonso, Alvaro
AU - Chugh, Sumeet S.
N1 - Publisher Copyright:
© 2021 American College of Cardiology Foundation
PY - 2021/12/21
Y1 - 2021/12/21
N2 - Atrial fibrillation (AF) affects at least 60 million individuals globally and is associated with substantial impacts on morbidity, mortality, and health care expenditures. This review focuses on how race and ethnicity influence AF epidemiology, risk prediction, treatment, and outcomes; knowledge gaps in these areas are identified. Most AF studies have predominantly included White populations, with an underrepresentation of racial and ethnic groups, including but not limited to Black, Hispanic, and Indigenous individuals. Enhancement and implementation of AF risk prediction, prevention, and management call for studies that will gather accurate race-based epidemiologic data and evaluate social determinants and genetic factors in the context of multiple races and ethnicities. Available studies highlight inequities in access to treatment as well as outcomes between White individuals and persons of other races/ethnicities. These inequities will need to be addressed by a renewed emphasis on structural and social determinants of health that contribute to AF.
AB - Atrial fibrillation (AF) affects at least 60 million individuals globally and is associated with substantial impacts on morbidity, mortality, and health care expenditures. This review focuses on how race and ethnicity influence AF epidemiology, risk prediction, treatment, and outcomes; knowledge gaps in these areas are identified. Most AF studies have predominantly included White populations, with an underrepresentation of racial and ethnic groups, including but not limited to Black, Hispanic, and Indigenous individuals. Enhancement and implementation of AF risk prediction, prevention, and management call for studies that will gather accurate race-based epidemiologic data and evaluate social determinants and genetic factors in the context of multiple races and ethnicities. Available studies highlight inequities in access to treatment as well as outcomes between White individuals and persons of other races/ethnicities. These inequities will need to be addressed by a renewed emphasis on structural and social determinants of health that contribute to AF.
KW - atrial fibrillation
KW - ethnicity
KW - race
UR - http://www.scopus.com/inward/record.url?scp=85119910983&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85119910983&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2021.04.110
DO - 10.1016/j.jacc.2021.04.110
M3 - Review article
C2 - 34887142
AN - SCOPUS:85119910983
SN - 0735-1097
VL - 78
SP - 2563
EP - 2572
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 25
ER -