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In the past few decades, the accelerated improvement in technology has allowed the development of new and effective coronary and structural heart disease interventions. There has been inequitable patient access to these advanced therapies and significant disparities have affected patients from low socioeconomic positions. In the US, these disparities mostly affect women, black and hispanic communities who are overrepresented in low socioeconomic. Other adverse social determinants of health influenced by structural racism have also contributed to these disparities. In this article, we review the literature on disparities in access and use of coronary and structural interventions; delineate the possible reasons underlying these disparities; and highlight potential solutions at the government, healthcare system, community and individual levels.

The article "The Role of Imaging in Preventive Cardiology in Women", was originally published electronically on the publisher's internet portal on 28 December 2022 with an error in the Fig. 3 caption. The legend "This showed normal regional ischemia at stress and rest." should be changed and corrected to "This showed no myocardial perfusion defects at stress and rest".Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.