Circulation

Fatima Rodriguez, Nicole Solomon, James A. de Lemos, Sandeep R. Das, David A. Morrow, Steven M. Bradley, Mitchell S.V. Elkind, Joseph H. Williams, DaJuanicia Holmes, Roland A. Matsouaka, Divya Gupta, Ty J. Gluckman, Marwah Abdalla, Michelle A. Albert, Clyde W. Yancy, Tracy Y. Wang

doi : 10.1161/CIRCULATIONAHA.120.052278

Circulation. 2021;143:2332–2342

The coronavirus disease 2019 (COVID-19) pandemic has exposed longstanding racial and ethnic inequities in health risks and outcomes in the United States. We aimed to identify racial and ethnic differences in presentation and outcomes for patients hospitalized with COVID-19.

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To Solve Racial and Ethnic Disparities in COVID-19 Outcomes, Look Upstream for Solutions

Yvonne Commodore-Mensah, Deidra C. Crews

doi : 10.1161/CIRCULATIONAHA.120.052713

Circulation. 2021;143:2343–2345

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Racial and Ethnic Disparities in Heart and Cerebrovascular Disease Deaths During the COVID-19 Pandemic in the United States

Rishi K. Wadhera, Jose F. Figueroa, Fatima Rodriguez, Michael Liu, Wei Tian, Dhruv S. Kazi, Yang Song, Robert W. Yeh, Karen E. Joynt Maddox

doi : 10.1161/CIRCULATIONAHA.121.054378

Circulation. 2021;143:2346–2354

Cardiovascular deaths increased during the early phase of the COVID-19 pandemic in the United States. However, it is unclear whether diverse racial/ethnic populations have experienced a disproportionate rise in heart disease and cerebrovascular disease deaths.

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Association of Serum Aldosterone and Plasma Renin Activity With Ambulatory Blood Pressure in African Americans: The Jackson Heart Study

Joshua J. Joseph, Neal K. Pohlman, Songzhu Zhao, David Kline, Guy Brock, Justin B. Echouffo-Tcheugui, Mario Sims, Valery S. Effoe, Wen-Chih Wu, Rita R. Kalyani, Gary S. Wand, Bjorn Kluwe, Willa A. Hsueh, Marwah Abdalla, Daichi Shimbo, Sherita H. Golden

doi : 10.1161/CIRCULATIONAHA.120.050896

Circulation. 2021;143:2355–2366

The renin-angiotensin-aldosterone system (RAAS) is an important driver of blood pressure (BP), but the association of the RAAS with ambulatory BP (ABP) and ABP monitoring phenotypes among African Americans has not been assessed.

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Physiological Treatment of Hypertension in Black Patients: Time for Action

Brian L. Rayner, J. David Spence

doi : 10.1161/CIRCULATIONAHA.121.053880

Circulation. 2021;143:2367–2369

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Development and Validation of Machine Learning–Based Race-Specific Models to Predict 10-Year Risk of Heart Failure: A Multicohort Analysis

Matthew W. Segar, Byron C. Jaeger, Kershaw V. Patel, Vijay Nambi, Chiadi E. Ndumele, Adolfo Correa, Javed Butler, Alvin Chandra, Colby Ayers, Shreya Rao, Alana A. Lewis, Laura M. Raffield, Carlos J. Rodriguez, Erin D. Michos, Christie M. Ballantyne, Michael E. Hall, Robert J. Mentz, James A. de Lemos, Ambarish Pandey

doi : 10.1161/CIRCULATIONAHA.120.053134

Circulation. 2021;143:2370–2383

Heart failure (HF) risk and the underlying risk factors vary by race. Traditional models for HF risk prediction treat race as a covariate in risk prediction and do not account for significant parameters such as cardiac biomarkers. Machine learning (ML) may offer advantages over traditional modeling techniques to develop race-specific HF risk prediction models and to elucidate important contributors of HF development across races.

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Cost-Effectiveness of Hypertension Treatment by Pharmacists in Black Barbershops

Kelsey B. Bryant, Andrew E. Moran, Dhruv S. Kazi, Yiyi Zhang, Joanne Penko, Natalia Ruiz-Negr?n, Pamela Coxson, Ciantel A. Blyler, Kathleen Lynch, Laura P. Cohen, Gabriel S. Tajeu, Valy Fontil, Norma B. Moy, Joseph E. Ebinger, Florian Rader, Kirsten Bibbins-Domingo, Brandon K. Bellows

doi : 10.1161/CIRCULATIONAHA.120.051683

Circulation. 2021;143:2384–2394

In LABBPS (Los Angeles Barbershop Blood Pressure Study), pharmacist-led hypertension care in Los Angeles County Black-owned barbershops significantly improved blood pressure control in non-Hispanic Black men with uncontrolled hypertension at baseline. In this analysis, 10-year health outcomes and health care costs of 1 year of the LABBPS intervention versus control are projected.

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Racial Diversity Among American Cardiologists: Implications for the Past, Present, and Future

Amber E. Johnson, Mehret Birru Talabi, Eliana Bonifacino, Alison J. Culyba, Esa M. Davis, Paula K. Davis, Laura M. De Castro, Utibe R. Essien, Alda Maria Gonzaga, MaCalus V. Hogan, Alaina J. James, Charles R. Jonassaint, Naudia L. Jonassaint, Loreta Matheo, Melonie A. Nance, G. Sarah Napoé, Oladipupo Olafiranye, Sylvia Owusu-Ansah, Tomar N. Pierson-Brown, A.J. Conrad Smith, Tomeka L. Suber, Orquidia Torres, Rickquel Tripp, Eloho Ufomata, J. Deanna Wilson, Jeannette E. South-Paul

doi : 10.1161/CIRCULATIONAHA.121.053566

Circulation. 2021;143:2395–2405

In the United States, race-based disparities in cardiovascular disease care have proven to be pervasive, deadly, and expensive. African American/Black, Hispanic/Latinx, and Native/Indigenous American individuals are at an increased risk of cardiovascular disease and are less likely to receive high-quality, evidence-based medical care as compared with their White American counterparts. Although the United States population is diverse, the cardiovascular workforce that provides its much-needed care lacks diversity. The available data show that care provided by physicians from racially diverse backgrounds is associated with better quality, both for minoritized patients and for majority patients. Not only is cardiovascular workforce diversity associated with improvements in health care quality, but racial diversity among academic teams and research scientists is linked with research quality. We outline documented barriers to achieving workforce diversity and suggest evidence-based strategies to overcome these barriers. Key strategies to enhance racial diversity in cardiology include improving recruitment and retention of racially diverse members of the cardiology workforce and focusing on cardiovascular health equity for patients. This review draws attention to academic institutions, but the implications should be considered relevant for nonacademic and community settings as well.

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Scaling Up Pharmacist-Led Blood Pressure Control Programs in Black Barbershops: Projected Population Health Impact and Value

Dhruv S. Kazi, Pengxiao C. Wei, Joanne Penko, Brandon K. Bellows, Pamela Coxson, Kelsey B. Bryant, Valy Fontil, Ciantel A. Blyler, Courtney Lyles, Kathleen Lynch, Joseph Ebinger, Yiyi Zhang, Gabriel S. Tajeu, Ross Boylan, Mark J. Pletcher, Florian Rader, Andrew E. Moran, Kirsten Bibbins-Domingo

doi : 10.1161/CIRCULATIONAHA.120.051782

Circulation. 2021;143:2406–2408

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Diverse Racial/Ethnic Group Underreporting and Underrepresentation in High-Impact Cholesterol Treatment Trials

Ashish Sarraju, Areli Valencia, Joshua W. Knowles, David J. Maron, Fatima Rodriguez

doi : 10.1161/CIRCULATIONAHA.120.050034

Circulation. 2021;143:2409–2411

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Imbalance in Heart Transplant to Heart Failure Mortality Ratio Among African American, Hispanic, and White Patients

Khadijah Breathett, Shannon M. Knapp, Molly Carnes, Elizabeth Calhoun, Nancy K. Sweitzer

doi : 10.1161/CIRCULATIONAHA.120.052254

Circulation. 2021;143:2412–2414

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