Although mortality rates associated with cardiovascular disease (CVD) have decreased significantly in high-income countries in recent decades, substantial challenges related to CVD treatment and outcomes persist in rural areas.1 Higher rates of mortality from coronary heart disease have been observed in rural vs urban areas, and the distance between a patients home and the nearest metropolitan center was found to be positively correlated with the risk for CVD-related hospitalization and death.1,2 The authors of a narrative review published in the International Journal of Environmental Research and Public Health examined the factors that may have an impact on these issues, with a specific focus on acute coronary syndrome (ACS).1 In general, the burden of CVD is felt more by lower socioeconomic groups, Indigenous people, people from diverse cultural backgrounds, and those living in rural and remote communities, they noted. However, it is worth highlighting that rurality, gender, and race interact in a complex manner, reflecting impacts on both incidence of disease and access to care for those who have a cardiac illness Continue reading
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