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Pediatric cardiologists uncover possible reason behind racial disparity affecting congenital cardiovascular disease

Pediatric cardiologists uncover possible cause of racial disparity affecting congenital heart disease
John Costello, M.D. (left) and Stephanie Santana, M.D. (right) are pediatric cardiologists at the Medical University of SC. Credit: Medical University of SC, Sarah Pack

Race had been recognized to matter when it found health outcomes for infants with congenital cardiovascular disease (CHD), the most typical birth defect, affecting 1 in 100 live births. In the initial year of life, African Americans are 1.4 times much more likely and Hispanics are 1.7 times much more likely to die because of CHD than Whites. However, nobody knew why race affected those outcomes.

“We’ve known for a couple of decades given that outcomes are worse in , weighed against their White counterparts,” said John Costello, M.D., pediatric cardiologist and director of research for the MUSC Children’s Health Pediatric & Congenital Heart Center at MUSC Shawn Jenkins Children’s Hospital. “But it surely hasn’t been understood why these differences in outcomes exist.”

There’s now a partial response to that question, because of a joint effort between Costello; MUSC Children’s Health fellow Stephanie Santana, M.D.; and their colleagues at the University of California SAN FRANCISCO BAY AREA (UCSF) and Northwestern University. They report in the Journal of Pediatrics that hawaii of the mother’s health during pregnancy can partially explain the in outcomes of CHD patients.

As a first-generation Hispanic physician, Santana is definitely passionate about health disparities. At MUSC, she became thinking about why CHD outcomes are worse in infants of color. After discussing these interests with Costello, both reached out to collaborators at UCSF and Northwestern. Together, they tapped right into a large California administrative dataset that allowed them to create connections between and outcomes for infants with CHD. A youthful conference presentation concerning this work resulted in Santana receiving the 2021 American Heart Association’s Outstanding Research Award in Pediatric Cardiology.

The recently published study is exclusive for the reason that it not merely assessed the fitness of infants with CHD but additionally that of these mothers. This maternal component was vital that you include, as CHD begins during development once the baby and mother are interconnected in the wombs.

“The journey of a kid or adolescent or patient with doesn’t start at birth,” said Santana. “It starts for the reason that mother-baby unit and all of the influences and factors that negatively or positively impact that environment.”

This investigation assessed the records of over 8,000 infants and their mothers from diverse populations. It discovered that placental and metabolic syndromes in mom during pregnancy explained 25% of the disparity in CHD outcomes in Blacks and 18% in Hispanics. On the list of conditions connected with these syndromes are , obesity, diabetes and .

The findings are exciting, in accordance with Santana, because these conditions could be treated.

Armed with the data out of this study, she believes doctors can modify treatment plans for at-risk mothers. For instance, they are able to provide education or preventive medications. Since there is still quite a distance to visit address the racial disparities in CHD, Santana thinks identifying among the factors accounting for them gives expect improved outcomes later on.

“Among the first steps is naming these factors and showing that there surely is an improvement,” said Santana. “Whether we change that factor by detatching it, by educating mothers about any of it or by treating them with different medications, I believe it opens the entranceway.”



More info: Stephanie Santana et al, Adverse Maternal Fetal Environment Partially Mediates Disparate Outcomes in Non-White Neonates with Major Congenital CARDIOVASCULAR DISEASE, The Journal of Pediatrics (2022). DOI: 10.1016/j.jpeds.2022.06.036

Citation: Pediatric cardiologists uncover possible reason behind racial disparity affecting congenital cardiovascular disease (2022, August 27) retrieved 27 August 2022 from https://medicalxpress.com/news/2022-08-pediatric-cardiologists-uncover-racial-disparity.html

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