Ololade Akingbade, Elizabeth Cabrera, Varun Subashchandran, Ryan Yang, Neal Shah, Hena Patel, Jeremy A Slivnick
{"title":"Sociodemographic Disparities in Obtaining Cardiac MRI: Black, White, and Shades of Gray.","authors":"Ololade Akingbade, Elizabeth Cabrera, Varun Subashchandran, Ryan Yang, Neal Shah, Hena Patel, Jeremy A Slivnick","doi":"10.1007/s11886-025-02219-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>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.</p><p><strong>Recent findings: </strong>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.</p>","PeriodicalId":10829,"journal":{"name":"Current Cardiology Reports","volume":"27 1","pages":"62"},"PeriodicalIF":3.1000,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Cardiology Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11886-025-02219-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
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.
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.