Abstract Details

Title Cardiovascular Events in LGBT (Lesbian, Gay, Bisexual, Transgender) : An Overlooked Disparity and a Call to Action

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P3 - Poster Session 3 (12:00 PM-1:00 PM)

Poster/Presentation
Number 4-013

Objective To review the literature on cardiovascular events in LGBT community and to understand their healthcare disparities.

Background Nine million adults are identified as LGBT in the United States. However, they are underrepresented in many research trials. This could be due to lack of acknowledgement by the health care provider and or stigma in the community. The data on the incidence of cardiovascular events (CVE) including myocardial infarction, atrial fibrillation,congestive heart failure,stroke,venous thromboembolism in LGBT is poorly understood. This calls for an action to decrease the health care disparity in these population.

Design/Methods Systematic search on healthcare disparities and CVE in LGBT population obtained from electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Scopus).

Results The increased risk of CVE in transgender women using estrogen therapy is attributed to the hypercoagulable effects of the hormone. Similarly, transgender men undergoing testosterone therapy have increased rates of hyperlipidemia leading to CVE. In a survey to evaluate health care provider’s attitudes towards this population, 79% never considered that individuals could be LGBT. The lack of acknowledgement of sexual preferences by the health care providers have shown limited rehabilitative education leading to a decline in follow-up visits. In 2009 survey, 29% of LGB individuals and 73% of transgender individuals were hesitant to share their sexual orientation with their physician for the fear of discrimination.

Conclusions Overall, there could be an increased risk of CVE in LBGT population. This further warrants equal attention of this population in research to develop a holistic approach to address the unmet health care needs of this community.

Authors/Disclosures
Shivani Naik, MD (Cedar Sinai Medical Center) PRESENTER	Dr. Naik has nothing to disclose.
Sahil Naik, MD (Einstein Medical Center)	Dr. Naik has nothing to disclose.
	No disclosure on file
Tamour Khan Tareen, MD, MBBS (Atrium Health - Wake Forest Medical School)	Dr. Tareen has nothing to disclose.
Murali K. Kolikonda, MD (Baptist of Lexington)	No disclosure on file
Kerri S. Remmel, MD, PhD (Regional Brain Institute)	Dr. Remmel has nothing to disclose.
Wei Liu, MD	Dr. Liu has nothing to disclose.

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