Racial Disparities Persist in Revascularization for CHD
FRIDAY, April 5, 2019 -- Compared with white women, black women with acute coronary syndrome (ACS) and coronary heart disease (CHD) have lower rates of revascularization, according to a study presented at the American Heart Association Quality of Care and Outcomes Research 2019 Scientific Sessions, held from April 5 to 6 in Arlington, Virginia.
Tarryn Tertulien, from The Warren Alpert Medical School at Brown University in Providence, Rhode Island, and colleagues examined revascularization disparities by sex and socioeconomic status (SES) for 20,262 postmenopausal women in 2005, considering the 2002 American College of Cardiology/American Heart Association guidelines.
The researchers found that during the two decades studied, revascularization rates increased but there was no narrowing of racial disparities. Before and after 2005, black women with ACS or CHD had significantly lower rates of revascularization. Hispanic women had significantly lower rates of revascularization before 2005 and a trend toward lower rates after 2005. Compared with their white counterparts, black women with ST-segment elevation myocardial infarction had trends toward lower rates of revascularization before and after 2005; Hispanic women had similar rates before 2005 and a trend toward lower rates after 2005. For women with low SES with ACS or CHD, no difference was seen in the rate of revascularization before 2005, while significantly lower revascularization was seen after 2005.
"Increasing public campaigns targeted at racial minorities regarding patient education and developing a trusting relationship with the health care system should be instituted to improve this disparity in care," Tertulien said in a statement.
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Posted: April 2019