key: cord-0809216-vo0a7mdi
authors: Moody, William E.; Steeds, Richard P.
title: Delivering Ethnic and Racial Diversity in Cardiac Imaging Studies of COVID-19 Patients
date: 2021-04-06
journal: J Am Coll Cardiol
DOI: 10.1016/j.jacc.2020.12.069
sha: d4b6152a544f8819e983c64f0ce97676e13856cb
doc_id: 809216
cord_uid: vo0a7mdi

nan

Delivering Ethnic and Racial Diversity in Cardiac Imaging Studies of COVID-19 Patients Kim et al. (1) should be commended for undertaking the largest detailed echocardiographic study to date of patients hospitalized with COVID-19. In only a short period, the authors assimilated data on 510 patients, confirming the independent prognostic use of adverse right-ventricular (RV) remodeling. It was disappointing, however, not to see information provided on ethnicity; a potential opportunity to assess the effect of race on the observed echocardiographic abnormalities was missed.

The approximately 2-fold increased mortality risk associated with RV dysfunction mirrors findings from our own report (2) . In a UK multicenter study of 164 patients hospitalized with COVID-19, we found no differences between Black and South Asian people compared with White patients in measures of adverse RV remodeling, serum biomarkers of myocardial injury, and fibrin turnover or mortality. The study was limited, however, by its modest size, and the "negative" result may reflect selection bias; the White group was older, more often male, and more likely to smoke than the minority group. Letters A P R I L 6 , 2 0 2 1 : 1 6 9 7 -7 0 2

Prognostic utility of right ventricular remodeling over conventional risk stratification in patients with COVID-19

Impact of right ventricular dysfunction on mortality in patients hospitalized with COVID-19, according to race

Similarities and differences in LV size and function among races and nationalities: results of the World Alliance Societies of Echocardiography Normal Values study

Factors associated with COVID-19-related hospital death in the linked electronic health records of 17 million adult NHS patients

The authors have reported that they have no relationships relevant to the contents of this paper to disclose. Tasneem Z. Naqvi, MBBS, served as Guest Associate Editor for this paper. Javed Butler, MD, MPH, MBA, served as Guest Editor-in-Chief for this paper. The authors attest they are in compliance with human studies committees and animal welfare regulations of the authors' institutions and Food and Drug Administration guidelines, including patient consent where appropriate. For more information, visit the Author Center.