Racial and Ethnic Disparities in Stroke Prevention for Atrial Fibrillation

Am J Med. 2023 Mar;136(3):225-233. doi: 10.1016/j.amjmed.2022.11.009. Epub 2022 Dec 8.

Abstract

Racial and ethnic disparities in health care are well documented, although often underappreciated. In the setting of atrial fibrillation, stroke risk and severity may be higher in underrepresented ethnic populations. Additionally, the risk of bleeding is not uniform, and pharmacogenetics play an important role in anticoagulant therapy. In this narrative review, we discuss the complex issues surrounding stroke prevention in underrepresented ethnic groups with atrial fibrillation.

Keywords: ABC pathway; Atrial fibrillation; Racial and ethnic disparities; Stroke.

Publication types

  • Review

MeSH terms

  • Anticoagulants / therapeutic use
  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / drug therapy
  • Healthcare Disparities
  • Hemorrhage
  • Humans
  • Racial Groups
  • Stroke* / etiology
  • Stroke* / prevention & control

Substances

  • Anticoagulants