Health AI Central
Peer-Reviewed Publication
Cureus2026;18(7):e112164.July 1, 2026Journal Article

Financial Toxicity and Coronary Heart Disease: A Dual-Level Cross-Sectional and Spatial Analysis of Adults in the United States, 2022-2024.

Carlos Acosta-Batista1, Karina Verrier Maden1, Rosemarie Morera Gomez1,2, Andrew A López Sánchez3, Laura B Diaz Perez4, Leonardo A Almaguer Gongora5
1Clinical Research, Primary Care - Research Initiative (PCRI), Miami Lakes, USA.
2Medicine, University of Louisville Physicians, Louisville, USA.
3Internal Medicine, Asociación Española, Montevideo, URY.
4Family Medicine, Included Health, Lewiston, USA.
5Internal Medicine, HCA Florida Aventura Hospital, Aventura, USA.
PubMed PMC DOI PDF

Abstract

Introduction  Coronary heart disease (CHD) remains a leading cause of mortality in the United States. While traditional risk factors are well established, the structural impact of financial toxicity, defined as the inability to afford medical care, on cardiovascular outcomes is undercharacterized in nationally representative populations. Methods  A dual-level analysis was conducted. At the individ…

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