Preprint / Version 1

Cardiovascular Risk Management in the South Asian Patient: A Review

Authors

  • Kevin Shah aUniversity of Utah Health, United States of America
  • Jaideep Patel bJohns Hopkins University, United States of America
  • Mahmoud Rifai cHouston Methodist DeBakey Heart & Vascular Center
  • Anandita Agarwala dBaylor Scott & White Health Heart Hospital Plano, United States of America
  • Ami Bhatt eMassachusetts General Brigham Hospital, United States of America
  • Yamini Levitzky eMassachusetts General Brigham Hospital, United States of America
  • Latha Palaniappan fStanford Health Care, United States of America

Keywords:

South Asian, Asian, Cardiovascular disease, Risk prediction

Abstract

South Asians represent a growing percentage of the diverse population in the U.S. and are disproportionately impacted by a greater burden of aggressive and premature cardiovascular disease. There are multiple potential explanations for these findings including a high prevalence of traditional risk factors (particularly diabetes, dyslipidemia, and obesity), a genetic predisposition, and unique lifestyle factors. In this review, we discuss the cardiovascular risk stratification and disease management goals for South Asian adults. We review the pharmacologic and non-pharmacologic interventions studied in this population and discuss the role of specialized clinics and digital outreach to improve care for this vulnerable group of patients. Keywords: South Asian, Asian, Cardiovascular disease, Risk prediction