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- Title
Acute coronary syndromes in black Americans: is treatment different? Should it be?
- Authors
Clark, Luther T; Lingegowda, Umesh
- Abstract
Black Americans with acute coronary syndromes (ACS) are at greater risk and have poorer outcomes than white Americans. The reasons for this appears, at least in part, to be due to a greater burden of baseline risk factors, longer delays prior to seeking medical care, and underutilization of aggressive treatment strategies in high-risk individuals. A guiding principle of treatment of ACS is that patients at highest risk should receive the most immediate and aggressive therapy. However, compared with whites, blacks with ACS paradoxically receive less aggressive medical therapy, and are less often referred for cardiac catheterization, percutaneous coronary interventions, and bypass surgery. Treatment is--but should not be--different in black Americans. Changing this and improving care for ACS in blacks requires better strategies for decreasing patient delays, earlier recognition and diagnosis of ACS, and more effective implementation of evidence-based treatment guidelines.
- Publication
Current cardiology reports, 2005, Vol 7, Issue 4, p249
- ISSN
1523-3782
- Publication type
Journal Article
- DOI
10.1007/s11886-005-0045-z