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African American-Caucasian American differences in aortic valve replacement in patients with severe aortic stenosis: Racial differences in AVR

American Heart Journal Jan 19, 2021

Yankey GS, Jackson LR, Marts C, et al. - Researchers used the Duke Echocardiography Laboratory Database to determine aortic valve replacement (AVR), causes for non-receipt and mortality by race among patients suffering from severe aortic stenosis (AS). Data were studied for 110,711 patients who had echocardiography at Duke University Medical Center between 1999-2013. Severe AS cases that fulfilled ≥ 1 of 3 criteria for AVR [ejection fraction ≤ 50%, diagnosis of heart failure, or requirement for coronary artery bypass surgery] were identified (n = 1,111). Among these, AA were more frequently women, suffered more diabetes, renal insufficiency, aortic regurgitation and left ventricular hypertrophy. More often, CA were smokers, and more ischemic heart disease, hyperlipidemia and higher median income levels were noted in CA. Findings showed a less probability of receiving AVR in AA patients, among patients with severe AS eligible for AVR. Although racial disparities in AVR existed, experts found no significant disparities in mortality within 1-year or reasons for AVR non-receipt.

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