"Sex and race disparities in emergency department patients with chest p" by Lucas M Boyer, Anna C Snavely et al.
 

Sex and race disparities in emergency department patients with chest pain and a detectable or mildly elevated troponin.

Document Type

Article

Publication Date

12-20-2025

Publication Title

American heart journal plus : cardiology research and practice

Abstract

BACKGROUND: Identifying and eliminating health disparities is a public health priority. The goal of this analysis is to determine whether cardiac testing or outcome disparities exist by race or sex in patients with detectable to mildly elevated serum troponin.

METHODS: We conducted a secondary analysis of the CMR-IMPACT trial that randomized patients with symptoms suggestive of acute coronary syndrome and a detectable or mildly elevated troponin measure from 4 US hospitals to an early invasive angiography or cardiac MRI strategy. The primary endpoint was the composite of all-cause mortality, myocardial infarction, cardiac hospital readmission, and repeat cardiac ED. Secondary outcomes were components of the composite and revascularization.

RESULTS: Participants (

CONCLUSION: Non-white patients had higher rates of ACS following discharge despite lower rates of obstructive CAD following standardization of index cardiac testing. Future disparity works should explore care following the index encounter.

Volume

49

First Page

100495

DOI

10.1016/j.ahjo.2024.100495

ISSN

2666-6022

PubMed ID

39866671

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