Rural Health
Resources by Topic: Cardiovascular disease
Tenecteplase in Practice: A Rural Tele-Stroke Network's Experience
Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 10/2025
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New York State's Paid Family Leave Improved Postpartum Health Care among Women with Hypertensive Disorders in Pregnancy
Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Assesses the impact of a state paid family leave law on postpartum healthcare utilization among 312,470 women with hypertensive disorders. Includes rural and urban break down by hypertension status of study participants, among other demographic and health characteristics.
Author(s): Donglan Zhang, Jun Soo Lee, Elena V. Kuklina, et al.
Citation: Health Affairs Scholar, 3(10)
Date: 09/2025
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Beyond the Clinic Walls: Exploring the Potential of Mobile Health
Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Explores the use mobile health services to increase access to care and highlights opportunities to close evidence gaps. Summarizes the research on mobile health delivery in primary, specialty, and emergency care. Discusses rural concerns including for breast cancer screening, dentistry, acute stroke response, behavioral crisis interventions, and community paramedicine.
Additional links: Executive Summary
Author(s): Maanasa Kona, Julia Burleson, Leila Sullivan
Date: 09/2025
Sponsoring organizations: Center on Health Insurance Reforms, Georgetown University McCourt School of Public Policy
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Fast Facts: Rates of Chronic Conditions Consistently Higher Among Adults in Rural Areas
Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Compares the prevalence of chronic health conditions and associated risk factors in rural and urban areas, utilizing 2023 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes data on health conditions including obesity, chronic obstructive pulmonary disease, cardiovascular disease, arthritis, diabetes, chronic kidney disease, and depression, among others. Includes state-by-state rural health data for select conditions.
Date: 09/2025
Sponsoring organization: America's Health Rankings
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Enhancing Primary Care Capacity for Cardiovascular Disease Management Through the ECHO+ Model: A Multistate Rural Collaboration Among West Virginia, Arkansas, and Oklahoma
Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Fill Patterns of Glucose-Lowering Drugs with Cardiovascular and Kidney Benefits in the Rural and Urban United States, 2012–2021
Analyzes fill rates for GLP1RA and SGLT2i glucose-lowering drugs among people with type 2 diabetes by level of rurality and other demographics, utilizing 2012-2021 OptumLabs Data Warehouse claims data. Discusses how geographic differences in prescribing may influence cardiovascular and kidney disease outcomes among people with type 2 diabetes.
Author(s): Kyle Steiger, Kavya Sindhu Swarna, Jeph Herrin, Rozalina G. McCoy
Citation: Journal of General Internal Medicine, 41, 126-133
Date: 08/2025
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Analyzes fill rates for GLP1RA and SGLT2i glucose-lowering drugs among people with type 2 diabetes by level of rurality and other demographics, utilizing 2012-2021 OptumLabs Data Warehouse claims data. Discusses how geographic differences in prescribing may influence cardiovascular and kidney disease outcomes among people with type 2 diabetes.
Author(s): Kyle Steiger, Kavya Sindhu Swarna, Jeph Herrin, Rozalina G. McCoy
Citation: Journal of General Internal Medicine, 41, 126-133
Date: 08/2025
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Stalled Progress and Emerging Disparities in Acute Myocardial Infarction Mortality among U.S. Older Adults (> 65 Years) with Renal Failure, 1999–2023
Examines mortality trends related to acute myocardial infarction (AMI) and renal failure in older adults. Analyzes 288,801 AMI-related renal-failure deaths from 1999-2023 according to patient demographics, U.S. region, and metro versus nonmetro location.
Author(s): Bazil Azeem, Yumna Fatima, Iffat Ambreen Magsi, et al.
Citation: BMC Cardiovascular Disorders, 25, 565
Date: 08/2025
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Examines mortality trends related to acute myocardial infarction (AMI) and renal failure in older adults. Analyzes 288,801 AMI-related renal-failure deaths from 1999-2023 according to patient demographics, U.S. region, and metro versus nonmetro location.
Author(s): Bazil Azeem, Yumna Fatima, Iffat Ambreen Magsi, et al.
Citation: BMC Cardiovascular Disorders, 25, 565
Date: 08/2025
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A Comprehensive Mixed-Methods Analysis of Women's Cardiovascular Health Needs in Georgia, United States
Examines cardiovascular disease (CVD) in women living in rural Georgia, with a focus on barriers to care and strategies to improve health outcomes. Analyzes environmental factors in rural and urban counties in Georgia as well qualitative data from 56 women and 11 healthcare providers. Includes data on health indicators/behaviors in rural versus urban counties.
Author(s): Marlo Vernon, Brianna McIndoe, Michael J. Ryan, et al.
Citation: Biology of Sex Differences, 16, 62
Date: 08/2025
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Examines cardiovascular disease (CVD) in women living in rural Georgia, with a focus on barriers to care and strategies to improve health outcomes. Analyzes environmental factors in rural and urban counties in Georgia as well qualitative data from 56 women and 11 healthcare providers. Includes data on health indicators/behaviors in rural versus urban counties.
Author(s): Marlo Vernon, Brianna McIndoe, Michael J. Ryan, et al.
Citation: Biology of Sex Differences, 16, 62
Date: 08/2025
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Outcomes in Pregnant Patients with Congenital Heart Disease by Rurality
Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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Examines associations between rurality, major adverse cardiac events, adverse pregnancy outcomes, and neonatal outcomes in pregnant women with congenital heart disease, utilizing 2016-2021 Healthcare Cost and Utilization Project-National Inpatient Sample data. Discusses factors influencing access to care, quality of care, and patient outcomes in rural communities.
Author(s): Mehr Jain, Franklin Iheanacho, Kristen Sparagna, et al.
Citation: Journal of Perinatal Medicine, 53(7), 900-907
Date: 08/2025
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