作者: Clyde W. Yancy
DOI: 10.1007/S11906-008-0052-8
关键词: Special populations 、 Medicine 、 Guideline 、 Gerontology 、 Natural history 、 Ethnic group 、 Disease 、 Race and health 、 Race (biology) 、 African american population
摘要: The issue of race in medicine is problematic. Race not a physiologic grouping, and all persons given do necessarily share the same clinical phenotype or genetic substrate. Despite clear signals that certain risk factors diseases vary as function race, translating those differences into race-based therapeutics has been awkward done little to change natural history cardiovascular disease it affects special populations. Among varied populations, African American population appears have most significant adverse variances for well worrisome drug responsiveness varies. Recent guideline statements now acknowledged treatment options are appropriate Americans with disease, especially hypertension heart failure. As more markers become available, need racial designations may lessen, therapies can be optimized patients without regard ethnicity.