Ethnic Variations in Quality of Life and Depressive Symptoms Among Black Americans With Acute Decompensated Heart Failure

Sharma, Vaibhav; Zehtabchi, Shahriar; Rojas, N. Condori; Birkhahn, Robert

doi:10.1016/s0027-9684(15)31064-6

Cited by 9 publications

(5 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…105 In blacks with advanced, decompensated heart failure, ethnicity was not associated with HRQL, but depressive symptoms were associated with functional impairment. 106 Interestingly, Hispanic patients with heart failure were found to have better health status outcomes than both blacks and whites, which suggests cultural differences may be at play. 107 An important consideration is the validation of the health status tool in that population and the impact of language barriers.…”

Section: Health Status and Race/ethnicity And Socioeconomic Statusmentioning

confidence: 99%

Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status

Rumsfeld¹,

Alexander²,

Goff³

et al. 2013

Circulation

463

406

View full text Add to dashboard Cite

Section: Health Status and Race/ethnicity And Socioeconomic Statusmentioning

confidence: 99%

Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status

Rumsfeld¹,

Alexander²,

Goff³

et al. 2013

Circulation

463

406

View full text Add to dashboard Cite

“…In 2008, this condition was estimated to affected 5.3 million adults and was associated with a total spending of 34.8 billion dollars. 1,2 Approximately 50% of the patients were reported to have diastolic HF. 1,2 Diastolic dysfunction is an increasingly recognized component of a variety of diseases of the myocardium, 3,4 and its recognition is necessary for patient management.…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Volumetric Assessment of Diastolic Function by Cardiac Magnetic Resonance Imaging: The Multi-Ethnic Study of Atherosclerosis (MESA)

Nacif¹,

Almeida²,

Young³

et al. 2017

Arquivos Brasileiros De Cardiologia

View full text Add to dashboard Cite

Background:Cardiac Magnetic Resonance is in need of a simple and robust method for diastolic function assessment that can be done with routine protocol sequences.Objective:To develop and validate a three-dimensional (3D) model-based volumetric assessment of diastolic function using cardiac magnetic resonance (CMR) imaging and compare the results obtained with the model with those obtained by echocardiography.Methods:The study participants provided written informed consent and were included if having undergone both echocardiography and cine steady-state free precession (SSFP) CMR on the same day. Guide points at the septal and lateral mitral annulus were used to define the early longitudinal relaxation rate (E'), while a time-volume curve from the 3D model was used to assess diastolic filling parameters. We determined the correlation between 3D CMR and echocardiography and the accuracy of CMR in classifying the diastolic function grade.Results:The study included 102 subjects. The E/A ratio by CMR was positively associated with the E/A ratio by echocardiography (r = 0.71, p < 0.0001). The early diastolic relaxation velocity by tissue Doppler and longitudinal relaxation rate for the lateral mitral annulus displacement were positively associated (p = 0.007), as were the ratio between Doppler E/e' and CMR E/E' (p = 0.01). CMR-determined normalized peak E (NE) and deceleration time (DT) were able to predict diastolic dysfunction (areas under the curve [AUCs] = 0.70 and 0.72, respectively). In addition, the lateral E/E' ratio showed good utility in identifying diastolic dysfunction (AUC = 0.80). Overall, echocardiography and CMR interobserver and intraobserver agreements were excellent (intraclass correlation coefficient range 0.72 - 0.97).Conclusion:3D modeling of standard cine CMR images was able to identify study subjects with reduced diastolic function and showed good reproducibility, suggesting a potential for a routine diastolic function assessment by CMR.

show abstract

“…[ 69 ] Furthermore, depressive symptoms and reduced quality of life are prevalent in B/As, and about 60% of these individuals were found to be functionally impaired in a study examining ethnic variations of life quality and symptoms in decompensated HF. [ 70 ] In a study of B/As and White adults with HF, B/As were found to have a higher risk (Odds Ratio, 1.19) of readmission for chest pain than White adults. [ 71 ] Hospital readmission rates for B/As with HF are higher than White adults; ethnic variability must be considered in research to ensure more knowledge is available in how to best care for this population and reduce readmissions.…”

Section: Discussionmentioning

confidence: 99%

“…[ 71 ] Hospital readmission rates for B/As with HF are higher than White adults; ethnic variability must be considered in research to ensure more knowledge is available in how to best care for this population and reduce readmissions. [ 70 ]…”

Section: Discussionmentioning

confidence: 99%

Heart failure symptom burden, dietary intake, and inflammation: An integrative review of the literature

Davis,

Dunbar,

Higgins

et al. 2023

J Integr Nurs

View full text Add to dashboard Cite

Heart failure (HF) is characterized by high symptom burden including, but not limited to fatigue, dyspnea, and edema. Up to 21.5% of HF patients experience significant depressive symptoms, much higher than 7.1% in adults without HF. Diet, metabolites, and other inflammatory mechanisms have gained notable attention in recent studies for contributions to symptoms in HF. Symptoms for black adults (B/As) with HF are often influenced by lifestyle factors, which may influence their higher mortality rates; few studies address these factors. Distinguishing the links between key elements with diet, inflammation, and symptoms may bring clarity for new dietary strategies in HF clinical care. The purpose of this integrative review is to examine the existing literature regarding relationships among physiologic pathways in HF along with physical and emotional symptoms in the context of inflammation, dietary intake, tumor necrosis factor-alpha (TNF-α), a biomarker of inflammation, and trimethylamine-N-Oxide (TMAO). Based on available evidence, inflammation may be a key link between physical symptoms, diet, depression, TMAO, and TNF-α in persons with HF and warrants further examination to clarify pathological links to solidify evidence for better guidance with dietary modifications. The literature reviewed in this study demonstrates that more work is needed to examine dietary planning, social support, and differences between men and women in the B/A community. Results of this literature review call attention to the essential, personalized care needs related to symptom monitoring and dietary planning which is expected to decrease symptom burden in the HF population.

show abstract

Ethnic Variations in Quality of Life and Depressive Symptoms Among Black Americans With Acute Decompensated Heart Failure

Cited by 9 publications

References 36 publications

Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status

Cardiovascular Health: The Importance of Measuring Patient-Reported Health Status

Three-Dimensional Volumetric Assessment of Diastolic Function by Cardiac Magnetic Resonance Imaging: The Multi-Ethnic Study of Atherosclerosis (MESA)

Heart failure symptom burden, dietary intake, and inflammation: An integrative review of the literature

Contact Info

Product

Resources

About