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April 23, 2026Journal of the American College of Cardiology510 citationsOpen Access

The ARIC (Atherosclerosis Risk In Communities) Study

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JWJacqueline D. WrightAFAaron R. FolsomJCJosef Coresh

Key Result

The ARIC prospective cohort of 15,792 Black and White adults has produced over 2,300 publications identifying determinants of subclinical atherosclerosis and coronary heart disease.

Key Points

  • The study aims to analyze the decline in coronary heart disease mortality and the factors influencing subclinical atherosclerosis in middle-aged adults.
  • Initiated in 1987, involving 15,792 Black and White adults aged 45 to 64 years.
  • Conducted community-based surveillance for myocardial infarction and coronary heart disease.
  • Examined various factors including health disparities, genomics, and heart failure.
  • Identified critical determinants of subclinical atherosclerosis and coronary heart disease.
  • Produced over 2,300 publications impacting clinical understanding of atherosclerosis.
  • Highlighted significant health disparities affecting different racial groups.

Study Design

Type

Cohort (n=15,792)

Multicenter

Yes

Structured PICO

P
Population
15,792 Black and White adults ages 45 to 64 years in a community-based prospective cohort
O
Outcome
Myocardial infarction and coronary heart disease (CHD) incidence and mortality, and determinants of subclinical atherosclerosis and CHDhard clinical

The ARIC study is a landmark prospective cohort that has significantly advanced the understanding of cardiovascular disease determinants, health disparities, and prevention over several decades.

Abstract

ARIC (Atherosclerosis Risk In Communities) initiated community-based surveillance in 1987 for myocardial infarction and coronary heart disease (CHD) incidence and mortality and created a prospective cohort of 15,792 Black and White adults ages 45 to 64 years. The primary aims were to improve understanding of the decline in CHD mortality and identify determinants of subclinical atherosclerosis and CHD in Black and White middle-age adults. ARIC has examined areas including health disparities, genomics, heart failure, and prevention, producing more than 2,300 publications. Results have had strong clinical impact and demonstrate the importance of population-based research in the spectrum of biomedical research to improve health.

Expert Takes3 quotes

1/3

“You can't really understand risk factors for long-term outcomes unless you follow people for 20 or 30 years, so it's really an extraordinary study.”

Elizabeth Selvin, Epidemiology professor, Johns Hopkins Universityauto_pipelineSupportiveView source
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Cite This Study

Wright et al. (2021) conducted a cohort in Coronary heart disease and subclinical atherosclerosis (n=15,792). The ARIC prospective cohort of 15,792 Black and White adults has produced over 2,300 publications identifying determinants of subclinical atherosclerosis and coronary heart disease.

synapsesocial.com/papers/69e9e409f7325a04e8c2e041https://doi.org/10.1016/j.jacc.2021.04.035
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