Cardiovascular disease in patients with limited English proficiency: A narrative review

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Problems in Cardiology Pub Date : 2025-06-13 DOI:10.1016/j.cpcardiol.2025.103107

Zara Latif MD , Maha Inam MBBS , Aditya Tummala , Beier Nelson , Tracy T. Makuvire MD, MPH , Haider J. Warraich MD

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Abstract

Patients with Limited English Proficiency (LEP) form a large proportion of the population and experience significant differences in care. A multitude of studies have explored care differences in patients with LEP and cardiovascular disease (CVD). This review covers several key areas in CVD care including coronary artery disease, acute coronary syndrome, heart failure, and several CVD risk factors. While there are no significant differences seen in door to balloon time between LEP and English speakers, important differences exist in coronary artery disease awareness and symptom recognition among LEP patients. Additionally, LEP patients with heart failure experienced higher rates of hospital readmissions and emergency department visits. Mixed evidence exists regarding CVD risk factors control such as diabetes, hypertension, and hyperlipidemia based on language preference. Employing key interventions that target multiple domains in health care delivery can address some of the care disparities seen among LEP patients with CVD.

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英语水平有限的心血管疾病患者：述评

英语水平有限（LEP）的患者占人口的很大比例，并且在护理方面存在显著差异。大量的研究探讨了LEP和心血管疾病（CVD）患者的护理差异。本文综述了心血管疾病护理的几个关键领域，包括冠状动脉疾病、急性冠状动脉综合征、心力衰竭和一些心血管疾病的危险因素。虽然LEP患者与英语患者在进门到球囊时间上没有显著差异，但LEP患者在冠状动脉疾病意识和症状识别上存在显著差异。此外，LEP患者合并心力衰竭的再入院率和急诊就诊率更高。关于心血管疾病危险因素的控制，如糖尿病、高血压和高脂血症，存在基于语言偏好的混合证据。在卫生保健服务中采用针对多个领域的关键干预措施可以解决LEP合并CVD患者中出现的一些护理差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.