Abstract 11159: Prevalence and Prognostic Relevance of Heart Failure Stages Among Black Americans in the Community: The Jackson Heart Study
| العنوان: | Abstract 11159: Prevalence and Prognostic Relevance of Heart Failure Stages Among Black Americans in the Community: The Jackson Heart Study |
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| المؤلفون: | Katja Vu, Rani Zierath, Brian Claggett, Michael E Hall, Donald Clark, Kenneth R Butler, Adolfo Correa, Amil M Shah |
| المصدر: | Circulation. 144 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Physiology (medical), Cardiology and Cardiovascular Medicine |
| الوصف: | Introduction: Black Americans experience a heightened risk of heart failure (HF) and develop HF at earlier ages than other racial/ethnic groups. Limited data exist regarding the prevalence and prognostic relevance of ACC/AHA HF stages among Black Americans. We aimed to quantify the distribution and prognostic relevance of ACC/AHA HF stages among Black Americans in mid- and late-life. Methods: We classified 4,763 Black participants in the community-based Jackson Heart Study who underwent echocardiography at study Exam 1 (2000-2004) by HF stage as follows: Stage A: presence of clinical HF risk factors (prevalent cardiovascular disease, hypertension, diabetes, obesity, metabolic syndrome, or chronic kidney disease) in the absence of structural heart disease; Stage B: structural heart disease (LVEF Results: Mean age was 55.3 ± 12.7 years and 64% were women. No clinical risk factors or cardiac structural or functional abnormalities (Stage 0) were present in 13% of participants. Stage A was present in 59%, Stage B was present in 26%, and prevalent HF (Stage C) was present in 3%. Over a median of 12.8 [IQR 11.8-13.5] years follow up, 332 participants developed HF and 1,060 participants died. Compared to those free of risk factors or structural remodeling (Stage 0), a more advanced HF stage was associated with greater risk of incident HF, and the composite of HF or death (Figure). Conclusions: In this large community-based cohort of Black Americans, HF risk factors (Stage A) and/or asymptomatic structural heart disease (Stage B) was present in 85% of participants. Stage A and Stage B were each associated with heightened risk of HF hospitalization. |
| تدمد: | 1524-4539 0009-7322 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::6d8cd84ef77277e2c0b0ddebc6987f1d https://doi.org/10.1161/circ.144.suppl_1.11159 |
| رقم الأكسشن: | edsair.doi...........6d8cd84ef77277e2c0b0ddebc6987f1d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15244539 00097322 |
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