key: cord-0784270-p0k9z7r0
authors: Kim, Jiwon; Mitlak, Hannah W.; Weinsaft, Jonathan W.
title: Reply: 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.2021.02.015
sha: 120ad9fb24049c6ab7b79384ac619d85715ed2de
doc_id: 784270
cord_uid: p0k9z7r0

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. 

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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.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.