{"id":4585,"date":"2018-09-25T12:13:43","date_gmt":"2018-09-25T16:13:43","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/cardiology-researchers-find-racial-disparities-in-treatment-for-heart-attack-patients\/"},"modified":"2023-06-06T17:23:10","modified_gmt":"2023-06-06T21:23:10","slug":"cardiology-researchers-find-racial-disparities-in-treatment-for-heart-attack-patients","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/cardiology-researchers-find-racial-disparities-in-treatment-for-heart-attack-patients\/","title":{"rendered":"Cardiology Researchers Find Racial Disparities in Treatment for Heart Attack Patients"},"content":{"rendered":"<p><!-- description --><\/p>\n<div class=\"image-section\">\n<figure class=\"thumbnail wp-caption alignright\">\n<figure class=\"thumbnail wp-caption alignright\" style=\"width: 310px\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/cardiology-researchers-find-racial-disparities-in-treatment-for-heart-attack-patients-image2.jpeg\" alt=\"image2\" width=\"300\" height=\"200\" \/><figcaption class=\"caption wp-caption-text\">Dr. Sameer Arora<\/figcaption><\/figure><\/figure>\n<\/div>\n<div>\n<p><em>(Republished from the UNC Health Care and UNC School of Medicine Newsroom)<\/em><\/p>\n<p>A <a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.118.010203\">new study<\/a> published in the <i>Journal of the American Heart Association<\/i> shows disparities between the care given to black and white patients seeking treatment for a type of heart attack called NSTEMI (Non-ST-elevation myocardial infarction). Researchers found that black patients were less likely than white patients to receive aggressive treatment, or to be given certain types of medications commonly prescribed under current treatment guidelines. Racial differences in NSTEMI management have previously been reported, but researchers wanted to learn whether these disparities have been improved over time. They found there has been no substantial improvement in the disparities over the past 15 years.<\/p>\n<p>Cardiology fellow Sameer Arora, MD, at the UNC School of Medicine and colleagues looked at data collected by the Atherosclerosis Risk in Community (ARIC) study, which included medical treatment records of nearly 18,000 weighted hospitalizations between 2000 and 2014. The researchers found that black patients were 29 percent less likely to get an angiogram, and 45 percent less likely to undergo more aggressive procedures like bypass surgery or angioplasty.<\/p>\n<p>\u201cIt\u2019s worrisome that we have differences in treatment in this day and age, and it\u2019s even more concerning that we really have not seen a narrowing of these disparities over time,\u201d said Arora.<\/p>\n<p>Arora says one factor that may contribute to the difference in treatment is that black patients were more likely to have comorbidities \u2014 chronic illnesses such as diabetes or kidney disease \u2014 that made them higher-risk patients. The presence of comorbidities reduces the likelihood that a physician would want to pursue an aggressive treatment that could put the patient at further risk. However, Arora says that factor does not explain why black patients were less likely to be put on medications like aspirin, which are low-risk and part of treatment guidelines for heart attack patients.<\/p>\n<p>\u201cThere are obviously more factors leading to these disparities, and possible inherent bias by physicians can\u2019t be ruled out,\u201d Arora said. \u201cThis study shows that a multi-faceted approach is needed to begin changing the way black patients receive treatment.\u201d<\/p>\n<p>Arora also says more focused efforts are needed on prevention to reduce comorbidities for black patients. The study, co-authored by UNC\u2019s George Stouffer, MD, chief of the division of cardiology, and cardiovascular epidemiologist Melissa Caughey, PhD, suggests the need for population-based strategies including more outreach within communities to improve physical activity, diet, and smoking habits.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p><!-- description --> <\/p>\n<p class='lead'>Sameer Arora, MD, a UNC School of Medicine cardiology fellow, led a study reviewing hospitalizations for a certain type of heart attack that occurred over a 15-year period and found consistent differences in the treatment of black and white patients.<\/p>\n","protected":false},"author":69419,"featured_media":4586,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[86,2],"tags":[22],"class_list":["post-4585","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology","category-news","tag-22","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cardiology Researchers Find Racial Disparities in Treatment for Heart Attack Patients | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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