Sociodemographic Disparities in Obtaining Cardiac MRI: Black, White, and Shades of Gray.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2025-02-27 DOI:10.1007/s11886-025-02219-6

Ololade Akingbade, Elizabeth Cabrera, Varun Subashchandran, Ryan Yang, Neal Shah, Hena Patel, Jeremy A Slivnick

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Abstract

Purpose of review: Despite growing recommendations for CMR utilization in heart disease evaluation, access remains limited by geography and socioeconomic status. In this review we discuss the role of CMR in addressing health disparities, review barriers to CMR access, and finally propose solutions to increasing CMR testing globally and in the U.S.

Recent findings: CMR testing is higher prevalence in academic and urban centers in the Northeast and Midwest and remains sparser in Southern and rural areas which face a high burden of cardiovascular mortality. Globally, CMR is also limited in low- and middle-income countries. Barriers to CMR access include bias in physician referrals based on race, patient income, insurance status, language barriers, health literacy, and disparities in the multimodal cardiovascular imaging workforce. A multimodal approach involving policy makers, hospital systems, cardiologists, and health care personnel is essential to improving national and global barriers to accessing CMR.

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获得心脏MRI的社会人口差异：黑色，白色和灰色阴影。

综述目的：尽管越来越多的建议将CMR应用于心脏病评估，但其获取仍然受到地理和社会经济地位的限制。在这篇综述中，我们讨论了CMR在解决健康差异方面的作用，回顾了CMR获取的障碍，并最终提出了在全球和美国增加CMR检测的解决方案。最近的研究结果：CMR检测在东北和中西部的学术和城市中心较高流行，而在面临心血管死亡率高负担的南部和农村地区仍然较少。在全球范围内，CMR在低收入和中等收入国家也很有限。CMR获取的障碍包括基于种族、患者收入、保险状况、语言障碍、健康素养和多模式心血管成像工作人员差异的医生转诊偏见。涉及决策者、医院系统、心脏病专家和卫生保健人员的多模式方法对于改善国家和全球获取CMR的障碍至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.