Raparelli V, Benea D, Smith MN, et al. - The results showed that compared with White individuals, Black individuals with acute myocardial infarction (AMI) received lower in‐hospital quality of care and exhibited a higher rate of cardiac readmissions. The findings revealed that Black individuals had a lower quality of care whether unemployed, demonstrating the intersection of race and social determinants of health.

• Data were used from the VIRGO (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients) study enrolling young Black and White US adults with AMI (2008–2012).

• Researchers estimated an in‐hospital quality of care score (standard AMI quality indicators divided by the total a patient is eligible for).

• Researchers conducted multivariable logistic regression to distinguish factors correlated with the lowest quality of care score (QCS) tertile, including interactions between race and social determinants of health.

• The results showed that Black individuals, especially women, exhibited a higher prevalence of cardiac risk factors and social determinants of health and were more likely to experience a non–ST‐segment–elevation myocardial infarction than White individuals among 2846 young adults with AMI (median 48 years [interquartile range 44–52], 67.4% women, 18.8% Black race).

• Furthermore, Black individuals were more likely in the lowest QCS tertile in comparison with White individuals, (40.8% vs 34.7%; P=0.003).

• Moreover, the relationship between the Black race and low QCS (odds ratio [OR], 1.25; 95% CI, 1.02–1.54) was attenuated by adjustment for confounders.

• It has been reported that employment was independently correlated with better QCS, particularly, among Black participants (OR, 0.76; 95% CI, 0.62–0.92; P‐interaction=0.02).

• As per the findings, Black individuals experienced a higher rate of 1‐year cardiac readmission (29.9% vs 20.0%; P<0.0001).