Peripheral Artery Disease and Non-Coronary Atherosclerosis in Hispanics: Another Paradox?
Open accessAbstract
Hispanic Americans (HA) are a significant and increasing segment of the population who must be considered in future health planning. HA, compared to European Americans (EA), have a lower prevalence of coronary artery disease, but higher burden of cardiovascular disease risk factors. It remains unclear if this observation termed the ‘Hispanic Paradox’ also exists for vascular beds outside the heart. We present a review of the literature which suggests that this paradox may also exist for arteries in the extremities and neck.
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The Hispanic paradox is the phenomenon where Hispanic Americans have a lower prevalence of PAD but a higher prevalence of risk factors that lead to PAD, particularly diabetes.
“This phenomenon is coined the Hispanic paradox as they have a lower prevalence of PAD, but a higher prevalence of risk factors that lead to PAD, particularly diabetes.22”
From Racial and Ethnic Disparities in Peripheral Artery Disease (2021) · cites this paper as [22]
Hispanic Americans may have a lower prevalence of PAD than non-Hispanic White Americans and substantially less than Black Americans.
“Interestingly, Hispanic Americans may have a lower prevalence than non-Hispanic White Americans and substantially less than Black Americans.”
From Racial and Ethnic Disparities in Peripheral Artery Disease (2021) · cites this paper as [22]
Hispanic Americans also have higher prevalence of these risk factors compared with NHW but do not have higher rates of PAD.
“Hispanic Americans also have higher prevalence of these risk factors compared with NHW but do not have higher rates of PAD.22”
From Racial and Ethnic Disparities in Peripheral Artery Disease (2021) · cites this paper as [22]
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- Authors
- Forbang, N. I., Hughes-Austin, J. M., Allison, M. A., & Criqui, M. H.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Forbang, Nketi I.
- Venue
- Progress in Cardiovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2014-11
- Volume
- 57
- Issue
- 3
- Pages
- 237-243
- ISSN
- 0033-0620 (ISSN-L)
- PMC
- PMC4254403
- OpenAlex
- W1984755413
- Semantic Scholar
- 0404bdaecf90a69468066e0d3859db6aa1b3e9d2
- Cited by
- 13
- References
- 48
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 5 · 2019: 2 · 2016: 1
- FWCI
- 0.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Progress in Cardiovascular Diseases (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (n01hc95160-18-0-1, N01‐HC‐95160)
- University of California, San Diego
- National Heart, Lung, and Blood Institute (N01-HC-95160, N01-HC-095160, HL079891, T32HL079891)
- Topics
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Keywords
- peripheral arterial disease, Hispanic Americans, Hispanic paradox, cardiovascular risk factors, extremity arteries, carotid artery, coronary artery disease, ethnic differences in cardiovascular disease
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Hispanic or Latino, Humans, Male, Middle Aged, Risk Factors, Subclavian Steal Syndrome, United States, Prevalence, Carotid Stenosis, Peripheral Arterial Disease
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