Department of Medicine, East Carolina University Brody School of Medicine, Greenville, NC, USA.
Department of Medicine, University of Connecticut School of Medicine, Farmington, CT, USA.
Crit Care Clin. 2024 Oct;40(4):685-707. doi: 10.1016/j.ccc.2024.05.005. Epub 2024 Jun 6.
Cardiovascular disease continues to be the leading cause of morbidity and mortality in the United States. Despite advancements in medical care, there remain persistent racial, ethnic, and gender disparity in the diagnosis, treatment, and prognosis of individuals with cardiovascular disease. In this review we seek to discuss differences in pathophysiology, clinical course, and risk profiles in the management and outcomes of acute myocardial infarction and related high-risk states. We also seek to highlight the demographic and psychosocial inequities that cause disparities in acute cardiovascular care.
心血管疾病仍然是美国发病率和死亡率的主要原因。尽管医疗保健取得了进步，但在心血管疾病患者的诊断、治疗和预后方面，仍然存在持续的种族、民族和性别差异。在这篇综述中，我们试图讨论急性心肌梗死和相关高危状态的病理生理学、临床过程和风险特征管理和结果方面的差异。我们还试图强调导致急性心血管护理差异的人口统计学和社会心理不平等。
