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Racial and Ethnic Differences in Presentation and Outcomes for Patients Hospitalized with COVID-19: Findings from the American Heart Association's COVID-19 Cardiovascular Disease Registry.
Conclusions: Although in-hospital mortality and MACE did not differ by race/ethnicity after adjustment, Black and Hispanic patients bore a greater burden of mortality and morbidity due to their disproportionate representation among COVID-19 hospitalizations. PMID: 33200953 [PubMed - as supplied by publisher]
Source: Circulation - November 17, 2020 Category: Cardiology Authors: Rodriguez F, Solomon N, de Lemos JA, Das SR, Morrow DA, Bradley SM, Elkind MSV, Williams Iv JH, Holmes D, Matsouaka RA, Gupta D, Gluckman TJ, Abdalla M, Albert MA, Yancy CW, Wang TY Tags: Circulation Source Type: research

Burden of Catastrophic Health Expenditures for Acute Myocardial Infarction and Stroke Among Uninsured in the United States.
Abstract Acute myocardial infarction (AMI) and stroke are unanticipated major healthcare events that require emergent and expensive care. Given the potential financial implications of AMI and stroke among uninsured patients, we sought to evaluate rates of catastrophic healthcare expenditures (CHEs), defined as expenses beyond financial means, in a period before the implementation of insurance expansion and protections in the Affordable Care Act.(1). PMID: 29133601 [PubMed - as supplied by publisher]
Source: Circulation - November 13, 2017 Category: Cardiology Authors: Khera R, Hong JC, Saxena A, Arrieta A, Virani SS, Blankstein R, de Lemos JA, Krumholz HM, Nasir K Tags: Circulation Source Type: research

Abstract 043: Health Insurance and the Risk of Incident Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis Session Title: Poster Session I
Conclusions: The association of health insurance with CVD incidence varied by insurance group, and private insurance was associated with a lower risk of incident CVD. Further exploration of the features of health insurance coverage that impact CVD incidence may facilitate improvements in the primary prevention of CVD.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Crim, M. T., Xie, J. X., Ko, Y.-A., Blumenthal, R. S., Blaha, M. J., Nasir, K., Budoff, M. J., Shaw, L. J. Tags: Session Title: Poster Session I Source Type: research

Insurance, self-reported medication adherence and LDL cholesterol: The REasons for Geographic and Racial Differences in Stroke study
Despite efforts to increase health insurance coverage in the US, in 2015 29 million American adults were uninsured [1]. A majority of these individuals are under 64years old, racial minorities or have lower socioeconomic status [1]. Lack of health insurance is associated with greater barriers to preventive services [2] and treatment of both acute and chronic illnesses [3] resulting in worse reported health status [4]. Being uninsured also adversely impacts medication adherence [5] and the control of cardiovascular risk factors [6].
Source: International Journal of Cardiology - February 22, 2017 Category: Cardiology Authors: Matt Mefford, Monika M Safford, Paul Muntner, Raegan W Durant, Todd M Brown, Emily B Levitan Tags: Correspondence Source Type: research

Impact of Insurance Status on Outcomes and Use of Rehabilitation Services in Acute Ischemic Stroke: Findings From Get With The Guidelines-Stroke Health Services and Outcomes Research
The objective was to determine whether patients without insurance or with government‐sponsored insurance had worse quality of care or in‐hospital outcomes in acute ischemic stroke.Methods and ResultsMultivariable logistic regressions with generalized estimating equations stratified by age under or at least 65 years were adjusted for patient demographics and comorbidities, presenting factors, and hospital characteristics to determine differences in in‐hospital mortality and postdischarge destination. We included 589 320 ischemic stroke patients treated at 1604 US hospitals participating in the Get With The Guideline...
Source: JAHA:Journal of the American Heart Association - November 13, 2016 Category: Cardiology Authors: Medford-Davis, L. N., Fonarow, G. C., Bhatt, D. L., Xu, H., Smith, E. E., Suter, R., Peterson, E. D., Xian, Y., Matsouaka, R. A., Schwamm, L. H. Tags: Ischemic Stroke Original Research Source Type: research

Association of health insurance status and receipt of health care among US adults with self-reported hypertension
Hypertension is a major risk factor for heart disease and stroke; yet only half of the 70 million US adults with hypertension have it under control. Previous studies have shown that adults with hypertension and health insurance were more likely to have controlled blood pressure than those without health insurance. However, less is known about hypertension management among those classified as underinsured (i.e., those with health insurance, but with financial difficulty in paying for health care).
Source: Journal of the American Society of Hypertension - March 31, 2016 Category: Cardiology Authors: Jing Fang, Guixiang Zhao, Guijing Wang, Carma Ayala, Fleetwood Loustalot Source Type: research

Abstract 206: Impact of Inpatient Evaluation of Health Literacy on Outcomes in Post-MI Patients Session Title: Abstract Poster Session II
Conclusion: Routine hospital health literacy screening did not improve risk of MACE. Selective health literacy screening was associated with lower 1-year readmission risk compared with hospitals that never screened. Studies are needed to elicit how inpatient health literacy screening can improve patient transition of care.
Source: Circulation: Cardiovascular Quality and Outcomes - February 26, 2016 Category: Cardiology Authors: Rymer, J., McCoy, L., Anstrom, K., Fonarow, G., Peterson, E., Wang, T. Tags: Session Title: Abstract Poster Session II Source Type: research

Abstract 140: Women of Color: Where Race/Ethnicity, Sex/Gender, Culture and History Affect Cardiovascular Health and Disparities Session Title: Poster Session I
The United States is in the midst of a historic demographic shift in its population that will have multiple societal impacts including healthcare issues. In 2043 it is predicted that the majority of the US population will be persons of color ("racial and ethnic minorities"). This new majority will be 53.4% of the nation by 2050. Of the 49 million uninsured in the US in 2011, 55% were persons of color who were only 33% of the population. Women of color are projected to increase in number from 57 million in 2010 to 107 million in 2050, from 36 percent to 53 percent of the total US female population. The Women of Color Health...
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Brooks, C. E., Mistretta, A., Brewinski-Isaacs, M., Miller, L., Cornelison, T. L., Clayton, J. A. Tags: Session Title: Poster Session I Source Type: research

Abstract 304: Developing a Patient Registry for Atrial Fibrillation to Improve The Quality of Stroke Prevention in a Safety Net Institution Session Title: Poster Session III
Conclusions: A baseline assessment of stroke prophylaxis among atrial fibrillation patients in a safety net health system demonstrates nonguideline-concordant anticoagulation use among low-risk patients and suboptimal anticoagulation use among high-risk patients, patterns that could not be explained by HAS-BLED score.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Oronce, C. I., Valdez, C., Anderson, S. L., Vlasimsky, T. B., Marrs, J. C., Richesin, S. D., Hanratty, R. Tags: Session Title: Poster Session III Source Type: research

The Growing Gap in Hypertension Control Between Insured and Uninsured Adults: National Health and Nutrition Examination Survey 1988 to 2010 Epidemiology/Population
Hypertension awareness, treatment, and control are lower among uninsured than insured adults. Time trends in differences and underlying modifiable factors are important for informing strategies to improve health equity. National Health and Nutrition Examination Surveys 1988 to 1994, 1999 to 2004, and 2005 to 2010 data in adults aged 18 to 64 years were analyzed to explore this opportunity. The proportion of adults with hypertension who were uninsured increased from 12.3% in 1988 to 1994 to 17.4% in 2005 to 2010. In 1988 to 1994, hypertension awareness, treatment, and control to <140/<90 mm Hg (30.1% versus 26.5%; P=0...
Source: Hypertension - October 8, 2014 Category: Cardiology Authors: Egan, B. M., Li, J., Small, J., Nietert, P. J., Sinopoli, A. Tags: Cerebrovascular disease/stroke Epidemiology/Population Source Type: research