Coronary disease & ACS

Emergency department visits among non-Western and Western women with no obstructive coronary artery disease: results from a nationwide cohort

HeartPublished nationwide register-based cohort

Authors' conclusion

Ethnicity was associated with ED visits, with non-Western women having significantly more visits regardless of whether the underlying chest pain was related to angina or non-specific symptoms.

Study context

Population
Danish non-Western and Western women with symptoms of angina or non-specific chest pain but no obstructive coronary artery disease (CAD), assessed with coronary angiography or cardiac CTwomen included in the two symptom groups · angina 17,835 · non-specific chest pain 42,831 · non-Western, angina group 1,484 · non-Western, non-specific chest pain group 3,644
Participants
60,666 participants
Exposure
non-Western women more commonly presented to the emergency department (ED) following diagnosis compared with Western women
Outcome
ED visits following diagnosis
Follow-up
Within 3 years following the diagnosis
Methodological detailssubstudy to the WOMANOCA cohort, multivariable Cox proportional hazard models adjusted for age, Charlson Comorbidity Index, body mass index and educational level
  • Substudy to the WOMANOCA cohort
  • Multivariable Cox proportional hazard models adjusted for age, Charlson Comorbidity Index, body mass index and educational level

Main finding

As reported in the abstract

non-Western women vs Western womenAdjusted hazard ratio (95% CI)
Angina
1.42(1.28–1.56)
Non-specific chest pain
1.25(1.18–1.33)

Observational data: associations, not effects.

Further findings

Proportion non-Western

Original publication

Emergency department visits among non-Western and Western women with no obstructive coronary artery disease: results from a nationwide cohort. Heart. Published 27 April 2026. doi:10.1136/heartjnl-2025-326747

Summarised from the published abstract; every number is checked against it

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