Racial and Ethnic Disparities in the Treatment of Aortic Stenosis: Current Challenges and Future Strategies for Achieving Equity in Care

Purpose of review Aortic stenosis (AS) is associated with high morbidity and mortality. Despite the growing prevalence of AS among an aging and increasingly diverse population, racial minorities remain underrepresented in the treatment of severe AS. This review highlights racial and ethnic dispariti...

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Bibliographic Details
Published in:Current treatment options in cardiovascular medicine 2022-06, Vol.24 (6), p.109-121
Main Authors: Amponsah, Daniel K., Crousillat, Daniela R., Elmariah, Sammy
Format: Article
Language:English
Subjects:
Aortic stenosis
Atherosclerosis
Cardiology
Cultural differences
Ethnicity
Health care access
Hispanic Americans
Hospitals
Medicare
Medicine
Medicine & Public Health
Minority & ethnic groups
Mortality
Race
Section Editor
Surgeons
Topical Collection on Valvular Heart Disease
Valvular Heart Disease (J Dal-Bianco
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Summary:Purpose of review Aortic stenosis (AS) is associated with high morbidity and mortality. Despite the growing prevalence of AS among an aging and increasingly diverse population, racial minorities remain underrepresented in the treatment of severe AS. This review highlights racial and ethnic disparities in the management of AS, associated barriers limiting access to care, and proposed solutions to combat these findings. Recent findings Aortic stenosis appears to be less prevalent among racial and ethnic minorities. Despite these findings, they experience significant disparities in the management of AS. Minorities are less likely to have specialist referral and appropriate surveillance, and undergo aortic valve replacement (AVR). Summary Racial and ethnic disparities have been demonstrated within the management of AS from diagnosis to definitive treatment. Proposed strategies include expanding access to care, increasing disparities awareness and implicit bias, improving inclusion of minorities in research trials, cultural competency training, and the diversification of the healthcare workforce.
ISSN:1092-8464
1534-3189
DOI:10.1007/s11936-022-00963-4