||Several important cohort studies
over the past decade have shed considerable light on the risk factors for the development
of CHD. In most of these studies, however, black women were either not included as study
subjects or the results of studies were not stratified to specifically examine racial
differences. The under representation of black women in large scale cohort studies in the
United States that have focused on cardiac factors may prove to be an important omission.
The consistent reporting of higher prevalence of risk factors in African American women
and the cumulative effect of co-morbity coupled with a disadvantageous socioeconomic
profile may eventually prove that the magnitude of disease in this cohort has been
significantly understudied and hence under reported. Given the emergence of intriguing
racial/gender comparison disparities, insights in to the complex interplay of
biological and environmental determinants of CHD in African American Women may prove very
helpful in promoting our understanding of heart disease.