| 000 | 03294nam a22003977a 4500 | ||
|---|---|---|---|
| 008 | 240807s20242024 xxu||||| |||| 00| 0 eng d | ||
| 024 | _a2820717 [pii] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a39018059 | ||
| 245 | _aRacial Disparities in Sports Cardiology: A Review. | ||
| 251 | _aJAMA Cardiology. 2024 Jul 17 | ||
| 252 | _aJAMA Cardiol. 2024 Jul 17 | ||
| 253 | _aJAMA cardiology | ||
| 260 | _c2024 | ||
| 260 | _fFY2025 | ||
| 260 | _p2024 Jul 17 | ||
| 265 | _saheadofprint | ||
| 265 | _tPublisher | ||
| 266 | _d2024-08-07 | ||
| 266 | _z2024/07/17 11:34 | ||
| 520 | _aConclusions and Relevance: In sports cardiology, inadequate consideration of the impact of structural racism and SDOH on racial disparities in health outcomes among athletes has resulted in potential biases in current normative standards and in the clinical approach to the cardiovascular care of athletes. An evidence-based approach to successfully address disparities requires pivoting from outdated race-based practices to a race-conscious framework to better understand and improve health care outcomes for diverse athletic populations. | ||
| 520 | _aImportance: Racial disparities in cardiovascular health, including sudden cardiac death (SCD), exist among both the general and athlete populations. Among competitive athletes, disparities in health outcomes potentially influenced by social determinants of health (SDOH) and structural racism remain inadequately understood. This narrative review centers on race in sports cardiology, addressing racial disparities in SCD risk, false-positive cardiac screening rates among athletes, and the prevalence of left ventricular hypertrophy, and encourages a reexamination of race-based practices in sports cardiology, such as the interpretation of screening 12-lead electrocardiogram findings. | ||
| 520 | _aObservations: Drawing from an array of sources, including epidemiological data and broader medical literature, this narrative review discusses racial disparities in sports cardiology and calls for a paradigm shift in approach that encompasses 3 key principles: race-conscious awareness, clinical inclusivity, and research-driven refinement of clinical practice. These proposed principles call for a shift away from race-based assumptions towards individualized, health-focused care in sports cardiology. This shift would include fostering awareness of sociopolitical constructs, diversifying the medical team workforce, and conducting diverse, evidence-based research to better understand disparities and address inequities in sports cardiology care. | ||
| 546 | _aEnglish | ||
| 650 | _aIN PROCESS -- NOT YET INDEXED | ||
| 650 | _zAutomated | ||
| 651 | _aMedStar Heart & Vascular Institute, Baltimore | ||
| 651 | _aMedStar Union Memorial Hospital | ||
| 656 | _aSports & Performance Cardiology Program | ||
| 657 | _aJournal Article | ||
| 700 |
_aGrant, Aubrey J _bMHVI |
||
| 700 |
_aShah, Ankit B _bMUMH |
||
| 790 | _aKrishnan S, Guseh JS, Chukumerije M, Grant AJ, Dean PN, Hsu JJ, Husaini M, Phelan DM, Shah AB, Stewart K, Wasfy MM, Capers Q 4th, Essien UR, Johnson AE, Levine BD, Kim JH | ||
| 856 |
_uhttps://dx.doi.org/10.1001/jamacardio.2024.1899 _zhttps://dx.doi.org/10.1001/jamacardio.2024.1899 |
||
| 942 |
_cART _dArticle |
||
| 999 |
_c14346 _d14346 |
||