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Racial Disparities in Sports Cardiology: A Review.
Krishnan, Sheela; Guseh, James Sawalla; Chukumerije, Merije; Grant, Aubrey J; Dean, Peter N; Hsu, Jeffrey J; Husaini, Mustafa; Phelan, Dermot M; Shah, Ankit B; Stewart, Katie; Wasfy, Meagan M; Capers, Quinn; Essien, Utibe R; Johnson, Amber E; Levine, Benjamin D; Kim, Jonathan H.
Afiliación
  • Krishnan S; Cardiovascular Services, Division of Cardiology, Maine Medical Center, Portland.
  • Guseh JS; Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston.
  • Chukumerije M; Sports and Exercise Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Cedars-Sinai Medical Group, Los Angeles, California.
  • Grant AJ; MedStar Heart & Vascular Institute, Baltimore, Maryland.
  • Dean PN; Division of Pediatric Cardiology, Department of Pediatrics, University of Virginia, Charlottesville.
  • Hsu JJ; Department of Medicine (Cardiology), David Geffen School of Medicine, University of California, Los Angeles.
  • Husaini M; Division of Cardiovascular Medicine, Department of Medicine, Washington University in St Louis, St Louis, Missouri.
  • Phelan DM; The Gragg Center for Cardiovascular Performance, Atrium Health Sanger Heart & Vascular Institute, Charlotte, North Carolina.
  • Shah AB; Sports & Performance Cardiology, Georgetown University School of Medicine, Chevy Chase, Maryland.
  • Stewart K; Cardiovascular Performance Program, Division of Cardiology, Massachusetts General Hospital, Boston.
  • Wasfy MM; Division of Cardiology, Massachusetts General Hospital, Boston.
  • Capers Q; Department of Medicine, The University of Texas Southwestern Medical Center, Dallas.
  • Essien UR; Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles.
  • Johnson AE; Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California.
  • Levine BD; Division of Cardiology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
  • Kim JH; Institute for Exercise and Environmental Medicine, Texas Health Presbyterian, Dallas.
JAMA Cardiol ; 2024 Jul 17.
Article en En | MEDLINE | ID: mdl-39018059
ABSTRACT
Importance Racial disparities in cardiovascular health, including sudden cardiac death (SCD), exist among both the general and athlete populations. Among competitive athletes, disparities in health outcomes potentially influenced by social determinants of health (SDOH) and structural racism remain inadequately understood. This narrative review centers on race in sports cardiology, addressing racial disparities in SCD risk, false-positive cardiac screening rates among athletes, and the prevalence of left ventricular hypertrophy, and encourages a reexamination of race-based practices in sports cardiology, such as the interpretation of screening 12-lead electrocardiogram findings. Observations Drawing from an array of sources, including epidemiological data and broader medical literature, this narrative review discusses racial disparities in sports cardiology and calls for a paradigm shift in approach that encompasses 3 key principles race-conscious awareness, clinical inclusivity, and research-driven refinement of clinical practice. These proposed principles call for a shift away from race-based assumptions towards individualized, health-focused care in sports cardiology. This shift would include fostering awareness of sociopolitical constructs, diversifying the medical team workforce, and conducting diverse, evidence-based research to better understand disparities and address inequities in sports cardiology care. Conclusions and Relevance In sports cardiology, inadequate consideration of the impact of structural racism and SDOH on racial disparities in health outcomes among athletes has resulted in potential biases in current normative standards and in the clinical approach to the cardiovascular care of athletes. An evidence-based approach to successfully address disparities requires pivoting from outdated race-based practices to a race-conscious framework to better understand and improve health care outcomes for diverse athletic populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAMA Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JAMA Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos