Heart Failure with Reduced Ejection Fraction and COVID-19, when the Sick Get Sicker : Unmasking Racial and Ethnic Inequities During a Pandemic - 22/09/23

Doi : 10.1016/j.ccl.2023.06.006

Johanna Contreras, MD ^a, Elizabeth O. Tinuoye, MSc ^a, Alejandro Folch, MD ^a, Jose Aguilar, MD ^a, Kendall Free, BS ^b, Onyedika Ilonze, MD, MS ^c, Sula Mazimba, MD, MPH ^d, Roopa Rao, MD ^c, Khadijah Breathett, MD, MS ^c,^⁎
^a Division of Cardiovascular Medicine, The Mount Sinai Health System, 1190 5th Avenue, 1st Floor, New York, NY 10029, USA
^b Department of Biofunction Research, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
^c Division of Cardiovascular Medicine, Indiana University, 1800 North Capitol Avenue, Indianapolis, IN 46202, USA
^d Division of Cardiovascular Medicine, University of Virginia, 1215 Lee Street, Charlottesville, VA 22908-0158, USA

^∗Corresponding author.

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Résumé

Minoritized racial and ethnic groups have the highest incidence, prevalence, and hospitalization rate for heart failure. Despite improvement in medical therapies and overall survival, the morbidity and mortality of these groups remain elevated. The reasons for this disparity are multifactorial, including social determinant of health (SDOH) such as access to care, bias, and structural racism. These same factors contributed to higher rates of COVID-19 infection among minoritized racial and ethnic groups. In this review, we aim to explore the lessons learned from the COVID-19 pandemic and its interconnection between heart failure and SDOH. The pandemic presents a window of opportunity for achieving greater equity in the health care of all vulnerable populations.

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Keywords : COVID-19, Heart failure, Racial disparities, Ethnic disparities