Racial Differences in Trends and Prognosis of Guideline-Directed Medical Therapy for Heart Failure with Reduced Ejection Fraction: the Atherosclerosis Risk in Communities (ARIC) Surveillance Study.
Lena MathewsNing DingYingying SangLaura R LoehrJung-Im ShinNaresh M PunjabiAlain G BertoniDeidra C CrewsWayne D RosamondJosef CoreshChiadi E NdumeleKunihiro MatsushitaPatricia P ChangPublished in: Journal of racial and ethnic health disparities (2022)
Optimal GDMT was prescribed in only ~ 10% of HFrEF patients at discharge but was more so in Black than White individuals. ACEI/ARB use declined in Whites while H-N use increased in both races. GDMT utilization, particularly ACEI/ARB, should be improved in Black and Whites individuals with HFrEF.