Jin Y, Song S, Zhang L, et al. - Researchers estimated differences across US counties in premature cardiac death (PCD) rates and explored county‐level factors associated with the differences. They noted that despite a reduction in the PCD rates from 1999–2017, there was a rise in the proportion of out‐of‐hospital PCDs from 58.3% to 61.5% among all cardiac deaths. Across counties, widening of geographic variations in PCD rates was evident from 1999 to 2017. The differences in out‐of‐hospital PCD rates (and in‐hospital PCD rates) related to demographic composition, socioeconomic features, healthcare environment, population health status, were estimated to be 36.51% (and 37.51%), 18.64% (and 18.36%), 18.64% (and 13.90%), and 23.73% (and 30.23%), respectively. Overall, the presence of disparities in PCD rates across US counties was evident, which may be associated with the decelerated trend of reduction in the rates in middle‐aged adults. More precision targeting and sustained efforts are warranted in view of slower declines in out‐of‐hospital rates in order to ensure progress at better levels of health (with lower PCD rates) against PCD.