See Article by Wayda et al Heart failure disproportionately affects African-Americans and individuals of lower socioeconomic status (SES).1,2 African-Americans have 2× to 3× higher prevalence of heart failure than Caucasians before the age of 75.1 African-Americans have more hospitalizations for heart failure1 and receive fewer advanced therapies for heart failure than expected.3 Similarly, individuals of lower SES have a 30% to 50% higher risk of developing heart failure2 and lower likelihood of receiving heart transplant compared with individuals of higher SES.4 Furthermore, as illustrated in this issue of Circulation: Heart Failure in the article by Wayda et al,5 African-Americans and individuals of lower SES have worse outcomes post heart transplant. Using the United Network for Organ Sharing database, Wayda et al5 studied the impact of race and SES on risk of composite death or retransplant after initial heart transplant. SES was measured by patient insurance, education, and neighborhood-level SES index. Results were adjusted for donor and graft characteristics. They found that African-Americans and individuals of lower SES have higher risk of composite death or retransplant after initial …

中文翻译：

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同一个故事，不同的疾病

请参阅Wayda等人的文章。心力衰竭对非裔美国人和社会经济地位较低的人（SES）的影响不成比例。1,2在75.1岁之前，非裔美国人的心力衰竭患病率比高加索人高2到3倍患有心力衰竭的患者住院次数更多，并且接受的心力衰竭治疗方法少于预期。3同样，与SES较高的个体相比，SES较低的个体发生心力衰竭的风险高30％至50％2，接受心脏移植的可能性也较低.4此外，如Wayda等[5]在本期《循环：心力衰竭》中所述，5非洲裔美国人和较低SES的个体在心脏移植后的预后较差。使用联合器官共享网络数据库，Wayda等[5]研究了种族和SES对初次心脏移植后复合材料死亡或再次移植的风险的影响。SES通过患者保险，教育和社区级SES指数进行衡量。根据供体和移植物的特性对结果进行了调整。他们发现，非裔美国人和SES较低的个体在最初的……治疗后，复合死亡或再次移植的风险较高。