Francis C K
Department of Medicine, Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York, NY 10037, USA.
J Health Care Poor Underserved. 1997 Aug;8(3):250-69. doi: 10.1353/hpu.2010.0632.
Research on coronary heart disease (CHD) has contributed to the decline in cardiovascular disease morbidity and mortality during the past three decades. However, life expectancy and rates of illness and death from CHD have not improved for blacks as for whites. Blacks have not experienced the full benefit of research advancements for a variety of reasons, including insufficient scientific data, lack of research focused on minority populations, and limited access to health care resources and technology. In order to address these disparities in prevention, diagnosis, treatment, and outcomes of CHD in blacks, the National Heart, Lung, and Blood Institute converted a Working Group on Research in Coronary Heart Disease in Blacks. In its deliberations, the working group identified 10 priority research areas, which are treatment, epidemiology (data collection and analysis), evaluation of chest pain and diagnosis of CHD, prevention and behavior, risk factors, genetics, vascular biology, left ventricular hypertrophy, coronary microvasculature, and sudden cardiac death.
在过去三十年里，对冠心病（CHD）的研究促使心血管疾病的发病率和死亡率有所下降。然而，与白人相比，黑人的预期寿命以及冠心病的患病和死亡率并未得到改善。由于多种原因，黑人未能充分受益于研究进展，这些原因包括科学数据不足、缺乏针对少数族裔人群的研究、获得医疗保健资源和技术的机会有限。为了解决黑人在冠心病预防、诊断、治疗及治疗结果方面的这些差异，美国国立心肺血液研究所成立了一个黑人冠心病研究工作组。在审议过程中，该工作组确定了10个优先研究领域，分别是治疗、流行病学（数据收集与分析）、胸痛评估与冠心病诊断、预防与行为、危险因素、遗传学、血管生物学、左心室肥厚、冠状动脉微血管以及心脏性猝死。
