ArticleHeart & lung : the journal of critical care
Disparities in patients presenting to the emergency department with potential acute coronary syndrome: it matters if you are Black or White.
Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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Who cites it
25 citing papers in PubMed, 58 citations in OpenAlex.
- Feasibility and preliminary efficacy of acupuncture for angina in an underserved diverse population.Acupuncture in medicine : journal of the British Medical Acupuncture Society · 2022Trial
- Adversarial Debiasing for Equitable and Fair Detection of Acute Coronary Syndrome Using 12-Lead ECG.IEEE transactions on bio-medical engineering · 2026Article
- Race- and Ethnicity-Specific Hospital Arrival and Emergency Medicine Service Activation Times by US State for Ischemic Stroke.Journal of the American Heart Association · 2026Article
- Article
- Deep learning on electrocardiogram waveforms to stratify risk of obstructive stable coronary artery disease.European heart journal. Digital health · 2025Article
- Sex and race disparities in emergency department patients with chest pain and a detectable or mildly elevated troponin.American heart journal plus : cardiology research and practice · 2025Article
- Ethnic minorities treated with new-generation drug-eluting coronary stents in two European randomised clinical trials.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2024Article
- Racial Implicit Bias and Communication Among Physicians in a Simulated Environment.JAMA network open · 2024Article
- Identifying Patient Subpopulations with Significant Race-Sex Differences in Emergency Department Disposition Decisions.Health services insights · 2024Article
- Remote Patient Monitoring for Patients with Heart Failure: Sex- and Race-based Disparities and Opportunities.Cardiac failure review · 2023Review
- Patient characteristics and outcomes of acute myocardial infarction presenting without ischemic pain: Insights from the Atherosclerosis Risk in Communities Study.American heart journal plus : cardiology research and practice · 2023Article
- Racial Disparities in Cardiovascular Risk and Cardiovascular Care in Women.Current cardiology reports · 2022Review
- There is little association between prehospital delay, persistent symptoms, and post-discharge healthcare utilization in patients evaluated for acute coronary syndrome.Applied nursing research : ANR · 2022Article
- Racial Variations in Emergency Department Management of Chest Pain in a Community-based Setting.Spartan medical research journal · 2022Article
- A Retrospective Study of Disparities in an Academic Ophthalmic Emergency Department.Journal of academic ophthalmology (2017) · 2021Article
- Unusual Fatigue and Failure to Utilize EMS Are Associated With Prolonged Prehospital Delay for Suspected Acute Coronary Syndrome.Critical pathways in cardiology · 2020Article
- Emergency Department Utilization for Patients Living With Sickle Cell Disease: Psychosocial Predictors of Health Care Behaviors.Annals of emergency medicine · 2020Article
- Exploring the complex interactions of baseline patient factors to improve nursing triage of acute coronary syndrome.Research in nursing & health · 2020Article
- Racial and Ethnic Differences in Acute Coronary Syndrome and Myocardial Infarction Within the United States: From Demographics to Outcomes.Clinical cardiology · 2016Review
- Ethnic Minorities and Coronary Heart Disease: an Update and Future Directions.Current atherosclerosis reports · 2016Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo explore disparities between non-Hispanic Blacks and non-Hispanic Whites presenting to the emergency department (ED) with potential acute coronary syndrome (ACS).
backgroundIndividuals with fewer resources have worse health outcomes and these individuals are disproportionately those of color.
methodsThis prospective study enrolled 663 patients in four EDs. Clinical presentation, treatment, and patient-reported outcome variables were measured at baseline, 1, and 6 months.
resultsBlacks with confirmed ACS were younger; had lower income; less education; more risk factors; more symptoms, and longer prehospital delay at presentation compared to Whites. Blacks experiencing palpitations, unusual fatigue, and chest pain were more than 3 times as likely as Whites to have ACS confirmed. Blacks with ACS had more clinic visits and more symptoms 1 month following discharge.
conclusionsSignificant racial disparities remain in clinical presentation and outcomes for Blacks compared to Whites presenting to the ED with symptoms suggestive of ACS.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.