Department of Medicine, Stanford University, 300 Pasteur Drive, L154, Stanford, CA 94305-5133, USA.
Division of Cardiovascular Medicine and Cardiovascular Institute, Department of Medicine, Center for Academic Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Med Clin North Am. 2024 May;108(3):595-607. doi: 10.1016/j.mcna.2023.11.008. Epub 2023 Dec 19.
Chronic coronary disease (CCD) comprises a continuum of conditions that include obstructive and non-obstructive coronary artery disease with or without prior acute coronary syndrome. Racial and ethnic representation disparities are pervasive in CCD guideline-informing clinical trials and evidence-based management. These disparities manifest across the entire spectrum of CCD management, spanning from non-pharmacological lifestyle changes to guideline-directed medical therapy, and cardiac rehabilitation to invasive procedures. Recognizing and addressing the historical factors underlying these disparities is crucial for enhancing the quality and equity of CCD management within an increasingly diverse population.
慢性冠状动脉疾病（CCD）包括一系列病症，包括有或无先前急性冠状动脉综合征的阻塞性和非阻塞性冠状动脉疾病。在指导 CCD 临床实践和循证管理的指南制定相关临床试验中，存在着普遍的种族和民族代表性差异。这些差异贯穿于 CCD 管理的整个范围，从非药物生活方式改变到指南指导的药物治疗，以及心脏康复到有创性操作。认识和解决这些差异背后的历史因素对于提高在日益多样化的人群中 CCD 管理的质量和公平性至关重要。
