Racial Gap in Heart Failure Outcomes Identified

Black patients experience a greater decline in daily functioning than whites after being hospitalized for heart failure, study findings suggest. While socioeconomic factors and access to medical care were worse for African-American patients, these differences did not explain their worse outcome, according to the report published in the June issue of the American Heart Journal.

The researchers suggest that future studies investigate differences in the way blacks and whites develop heart disease and respond to therapies. Blacks, for instance, do not seem to respond as well as whites to treatment with beta-blockers and angiotensin converting enzyme inhibitors.

“These differences in response to treatment, if related to the outcome of heart failure, have therapeutic implications,” study author Dr. Viola Vaccarino, from Emory University in Atlanta, and colleagues write.

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