Racism, not race, is a major driver of differential health outcomes in the United States. Data from recent studies reveal the destructive impact of structural racism and discrimination on cardiovascular (CV) health in underserved racial and ethnic communities. For example, there is compelling evidence showing increased hypertension in communities of color, including younger patients; suboptimal prescription of direct oral anticoagulants (DOACs) for stroke prophylaxis in Black patients with atrial fibrillation; and a deficit in the use of guideline-directed medical therapy (GDMT) for type 2 diabetes, obesity, dyslipidemia, and heart failure in marginalized communities.
In this CME Outfitters Snack, Drs. Utibe Essien and Monica Peek engage in a frank and candid discussion on the real-world impact of racism and disparities on cardiovascular care. In addition to identifying the problems, they offer sound advice and pathways for improvement, including how to invite shared decision making with patients, how to inquire about social determinants of health, and how to move from “awareness” of disparities in cardiovascular care, to “implementation” of strategies to improve the situation.
Supported by educational grant from CVS Health.
Physicians, nurses, pharmacists, pharmacy technicians, physician associates (PAs), nurse practitioners (NPs), and other health care clinicians within the CVS, Aetna, and CareMark networks.
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Dr. Peek reports no financial relationships to disclose.
Dr. Essien reports no financial relationships to disclose.
Disclosures were obtained from the CME Outfitters, LLC staff; no disclosures to report:
Faculty of this CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices.
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