Evidence map›Paper›PMID 39866671›Full record

ArticleAmerican heart journal plus : cardiology research and practice2025

Sex and race disparities in emergency department patients with chest pain and a detectable or mildly elevated troponin.

Lucas M Boyer, Anna C Snavely, Jason P Stopyra, Subha V Raman, Jeffrey M Caterino, Carol L Clark, Alan E Jones, Michael E Hall, Carolyn J Park, Brian C Hiestand and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American heart journal plus : cardiology research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lucas M BoyerDepartment of Emergency Medicine, University of Cincinnati School of Medicine, Cincinnati, OH, USA.
Anna C SnavelyDepartment of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Jason P StopyraDepartment of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Subha V RamanDivision of Cardiovascular Medicine, The Ohio State University, Columbus, OH, USA.
Jeffrey M CaterinoDepartment of Emergency Medicine, The Ohio State University, Columbus, OH, USA.
Carol L ClarkDepartment of Emergency Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.
Alan E JonesDepartment of Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Michael E HallDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Carolyn J ParkDepartment of Internal Medicine, Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Brian C HiestandDepartment of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Sujethra VasuDepartment of Internal Medicine, Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Michael A KutcherDepartment of Internal Medicine, Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
W Gregory HundleyDepartment of Internal Medicine, Cardiology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Simon A MahlerDepartment of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Chadwick D MillerDepartment of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

CMR-IMPACTR01HL118263 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, CHADWICK DAVID · 2013 to 2018
$3.7M
AHRQ HHS R01 HS029017NHLBI NIH HHS R01 HL118263
6 · The paper itself

Abstract

Background: Identifying and eliminating health disparities is a public health priority. The goal of this analysis is to determine whether cardiac testing or outcome disparities exist by race or sex in patients with detectable to mildly elevated serum troponin. Methods: We conducted a secondary analysis of the CMR-IMPACT trial that randomized patients with symptoms suggestive of acute coronary syndrome and a detectable or mildly elevated troponin measure from 4 US hospitals to an early invasive angiography or cardiac MRI strategy. The primary endpoint was the composite of all-cause mortality, myocardial infarction, cardiac hospital readmission, and repeat cardiac ED. Secondary outcomes were components of the composite and revascularization. Results: Participants ( Conclusion: Non-white patients had higher rates of ACS following discharge despite lower rates of obstructive CAD following standardization of index cardiac testing. Future disparity works should explore care following the index encounter.

Indexed as

ACSMACERace disparitiesRevascularizationSex disparities

Identifiers

PMID39866671
PMCPMC11764845

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.