Black adults are disproportionately affected by cardiovascular disease but underrepresented in cardiovascular disease clinical research trials in the United States. The National Institutes of Health (NIH) recommends that studies should define goals for the recruitment of underrepresented clinical trial participants. However, few studies have evaluated whether newer recruitment strategies, such as the use of electronic medical record-based recruitment, are effective tools for recruiting Black participants, and no review to date has characterized the use of these methods among cardiovascular clinical trials.