Ideal Cardiovascular Health, Cardiovascular Remodeling, and Heart Failure in Blacks

نویسندگان

  • Aferdita Spahillari
  • Sameera Talegawkar
  • Adolfo Correa
  • J. Jeffrey Carr
  • James G. Terry
  • João Lima
  • E. Freedman
  • Saumya Das
  • Robb Kociol
  • Sarah de Ferranti
  • Donya Mohebali
  • Stanford Mwasongwe
  • Katherine L. Tucker
  • Venkatesh L. Murthy
  • Ravi V. Shah
چکیده

Blacks have a disproportionately higher risk and earlier onset of heart failure (HF) and cardiovascular mortality, relative to the overall American population. A prime contributor to this racial disparity is a higher prevalence and earlier onset of cardiometabolic disease, including obesity, hypertension, diabetes mellitus, and physical inactivity. Professional guidelines reinforcing ideal cardiovascular health target improvements in cardiometabolic health to prevent disease (“Life’s Simple 7”). However, recent data in over 5000 blacks from the JHS (Jackson Heart Study) indicate a low prevalence of ideal cardiovascular health characteristics (specifically diet, body mass index [BMI], and physical activity) with only modest improvements over time. In largely non-black populations, achievement of fewer Life’s Simple 7 components is associated with more adverse left ventricular (LV) remodeling and greater cardiovascular disease (CVD) and non-CVD mortality. Nevertheless, most prior work examining Simple 7 metrics has not focused on blacks to define axes of cardiometabolic health that most impact cardiovascular disease progression in this population. Original Article

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Ideal Cardiovascular Health, Cardiovascular Remodeling, and Heart Failure in Blacks: The Jackson Heart Study.

BACKGROUND The lifetime risk of heart failure (HF) is higher in the black population than in other racial groups in the United States. METHODS AND RESULTS We measured the Life's Simple 7 ideal cardiovascular health metrics in 4195 blacks in the JHS (Jackson Heart Study; 2000-2004). We evaluated the association of Simple 7 metrics with incident HF and left ventricular structure and function by...

متن کامل

Race and Ethnic Differences in the Associations between Cardiovascular Diseases, Anxiety, and Depression in the United States

Introduction: Although cardiovascular diseases and psychiatric disorders are linked, it is not yet known if such links are independent of comorbid medical diseases and if these associations depend on race and ethnicity. This study aimed to determine if the associations between cardiovascular diseases with general anxiety disorder (GAD) and major depressive episode (MDE) are ind...

متن کامل

Ideal cardiovascular health predicts lower risks of myocardial infarction, stroke, and vascular death across whites, blacks, and hispanics: the northern Manhattan study.

BACKGROUND Evidence of the relationship of cardiovascular health (CVH), defined by the American Heart Association, and specific cardiovascular outcomes is lacking, particularly among Hispanics. This study sought to evaluate the relationship between the number of ideal CVH metrics and cardiovascular risk, overall and by event subtype, in a multiethnic community-based prospective cohort. METHOD...

متن کامل

Epidemiology and Prevention Ideal Cardiovascular Health Predicts Lower Risks of Myocardial Infarction, Stroke, and Vascular Death Across Whites, Blacks, and Hispanics The Northern Manhattan Study

Background—Evidence of the relationship of cardiovascular health (CVH), defined by the American Heart Association, and specific cardiovascular outcomes is lacking, particularly among Hispanics. This study sought to evaluate the relationship between the number of ideal CVH metrics and cardiovascular risk, overall and by event subtype, in a multiethnic community-based prospective cohort. Methods ...

متن کامل

The American Heart Association Ideal Cardiovascular Health and Incident Type 2 Diabetes Mellitus Among Blacks: The Jackson Heart Study

BACKGROUND The concept of ideal cardiovascular health (CVH), defined by the American Heart Association primarily for coronary heart disease and stroke prevention, may apply to diabetes mellitus prevention among blacks. METHODS AND RESULTS Our sample included 2668 adults in the Jackson Heart Study with complete baseline data on 6 of 7 American Heart Association CVH metrics (body mass index, he...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2017