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亚裔美国人心血管疾病的现状:一刀切并不适用。

Current Status of Cardiovascular Disease in Asian Americans: One Size Does Not Fit All.

作者信息

Mei Pristine, Levitzky Yamini S, Parashar Susmita, Rao Roopa A, Kondapalli Lavanya, Le D Elizabeth

机构信息

Department of Internal Medicine, Oregon Health & Science University, Portland, OR, USA.

Mass General Brigham at Newton-Wellesley Hospital, Newton, MA, USA.

出版信息

Curr Cardiol Rep. 2025 Jun 17;27(1):94. doi: 10.1007/s11886-025-02245-4.

Abstract

PURPOSE OF REVIEW

To provide an updated summary of knowledge about cardiovascular disease in Asian Americans living in the United States.

RECENT FINDINGS

Asian Americans living in the United States are a heterogenous and diverse group of individuals with variable coronary artery disease, heart failure, and stroke prevalence and risks and mortality rates. Compared to other Asian American subgroups, East Asians tend to have lower coronary artery disease risks, South Asians have high prevalence of traditional cardiovascular risks, particularly diabetes, and Southeast Asians have high rates of hypertension and age-adjusted stroke mortality death rate. Multiple studies have demonstrated disparities among various Asian Americans subgroups in cardiovascular disease, heart failure, and stroke risk. Valvular heart disease, arrhythmia, pharmacotherapy treatment, and procedural outcome data are limited. It is important to report disaggregated and sex-specific data in future clinical trials not only for racial groups but also for Asian American ethnic subgroups.

摘要

综述目的

提供关于居住在美国的亚裔美国人心血管疾病知识的最新总结。

最新发现

居住在美国的亚裔美国人是一个异质性且多样化的群体,其冠状动脉疾病、心力衰竭、中风患病率、风险及死亡率各不相同。与其他亚裔美国亚组相比,东亚人往往冠状动脉疾病风险较低,南亚人传统心血管风险(尤其是糖尿病)患病率较高,而东南亚人高血压和年龄调整后中风死亡率较高。多项研究表明,不同亚裔美国亚组在心血管疾病、心力衰竭和中风风险方面存在差异。瓣膜性心脏病、心律失常、药物治疗和手术结果数据有限。在未来的临床试验中,不仅要报告不同种族群体的分类数据,还要报告亚裔美国族裔亚组的分类数据和按性别分类的数据,这很重要。

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