Coronary artery disease
See who’s at risk for getting coronary artery disease (CAD) and the concerning disparities in treatment rates. And find insights to help you understand how to better reach undertreated women and people of color.
Who’s at risk?
In the United States, rates of hospitalization and mortality as a result of CAD have increased for non-whites but decreased for whites.1
Black men and women were 30%2 more likely to die of heart disease, including CAD, than non-Hispanic and Latinx white men and women.
By the time they’re 75, a woman’s risk of death from CAD is the same – or more than – a man’s risk.3
Blacks, Hispanic and Latinx, and Asians are less likely to recognize the five key signs of a heart attack when compared to whites.4
Who’s going untreated?
Despite having mortality benefits with therapy, women are less likely to receive appropriate treatment referrals following a heart attack than men.5
A 2004-2011 study shows that Black patients had a 30% longer waiting time than white patients when seeking care for CAD symptoms.6
Women experience longer wait times to treatment (door to balloon time) and lower rates of guideline-directed therapy than men, leading to worse care outcomes.6
Insight from underserved patients with CAD
Barriers to accessing healthcare for CAD
Our market research study found that people with CAD identify these top obstacles in getting care after diagnosis:
- 21% cite cost of healthcare or insurance
- 19% cite physical limitations
- 17% cite lack of specialists in the area
Barriers causing delays to healthcare for CAD
Those who delayed getting care gave this insight:
- 77% said they didn’t think they could possibly have CAD
- 46% said they didn’t think that their CAD was that bad
- 26% said they didn’t seek care when they had symptoms
Barriers causing delays to treatment for CAD
The study found that 47% of patients decided to put off surgery or a procedure for as long as possible in the past, with these reasons most often cited:
- 36% have a problem getting care
- 15% wanted help understanding insurance coverage
- 23% cited having other health conditions
What can help underserved patients with CAD
Give educational materials
- 21% want educational materials about treatment options, clinical trials and care locations
- 19% want online education about health issues and conditions
- 19% want local financial support access
Start by giving materials we’ve created, such as Black Americans and heart disease, Latino Americans and heart disease, and Women and heart disease.
Increase communication and access
- 26% want a phone call from a health specialist
- 38% wish they knew more about treatment options
- 64% want printed, take-home materials
Connect with your patients
- 19% of people with CAD get nervous around doctors, which means that they might not feel comfortable telling you about symptoms or concerns
- As you know, that’s important since CAD often progresses over many years and you could intervene early if given the chance
What do patients say is needed to break down barriers to care? Find fast facts about what underserved patients say prevent them from following the path to specialty care.
Help referring physicians and primary care providers engage underserved patients in their care and improve their access to specialty care.
Dedicated health equity consultants from Boston Scientific can help you build an outreach effort specifically designed to reach those most at-risk within your community.
- Desai, R. et al. (2019). Racial and sex disparities in resource utilization and outcomes of multi-vessel percutaneous coronary interventions (a 5-year nationwide evaluation in the United States). Cardiovascular Diagnosis and Therapy. 9(1). Pg 18-29
- U.S. Department of Health and Human Services – Office of Minority Health. Heart Disease and African Americans.
- Overview of Coronary Artery Disease, Merck Manual
- Fang J, Luncheon C, Ayala C, Odom E, Loustalot F. Awareness of Heart Attack Symptoms and Response Among Adults — United States, 2008, 2014, and 2017. MMWR Morb Mortal Wkly Rep 2019;68:101–106. DOI: http://dx.doi.org/10.15585/mmwr.mm6805a2
- Dennison Himmelfarb CR, Hayman LL. Reducing Disparities in Heart Disease Treatment and Outcomes Among Women: A Call to Action. J Cardiovasc Nurs. 2016 Sep-Oct;31(5):384-6. doi: 10.1097/JCN.0000000000000361. PMID: 27513676.
- American Heart Association (2019). Heart Disease and Stroke Statistics – 2019 update