Gender Disparities in Percutaneous Coronary Interventions for Acute Myocardial Infarction in Pennsylvania

Abstract

These results suggest that the morbidity and mortality associated with AMI in women could be reduced by increased use of PCI and that more women admitted for AMI should receive consideration for PCI.

Gender Differences in the Treatment of Non–ST‐Segment Elevation Myocardial Infarction

“…Indeed, Tavris's study 1 complements previous studies that have reported gender-related differences in survival-to-hospital-discharge rates for cardiac arrest 2 and ST-segment elevation myocardial infarction (STEMI) patients 3,4 that may be partially attributed to receiving different in-hospital medications and procedures or inequity in access to care. 2 -4 Women are less likely to have their myocardial infarction (MI) diagnosed in the emergency department, and are less likely to receive invasive diagnostics 5 -7 and treatment such as percutaneous coronary intervention (PCI) (23.9% women vs 39.9% men), 3,4 which may account for poorer outcomes 6,7 and increased mortality with MI (12.7% in women vs 9.7% in men). 3,4 Women had 24% lower odds of receiving PCI when they were taken to hospitals with PCI availability.…”

“…2 -4 Women are less likely to have their myocardial infarction (MI) diagnosed in the emergency department, and are less likely to receive invasive diagnostics 5 -7 and treatment such as percutaneous coronary intervention (PCI) (23.9% women vs 39.9% men), 3,4 which may account for poorer outcomes 6,7 and increased mortality with MI (12.7% in women vs 9.7% in men). 3,4 Women had 24% lower odds of receiving PCI when they were taken to hospitals with PCI availability. 4 Even more impressive is the fact that when women received the PCI intervention, the difference in mortality rates between genders disappeared.…”

“…3,4 Women had 24% lower odds of receiving PCI when they were taken to hospitals with PCI availability. 4 Even more impressive is the fact that when women received the PCI intervention, the difference in mortality rates between genders disappeared. 4 Using our local data of 5000 cardiac arrests per year, we have demonstrated significantly lower survival-to-discharge rates of 3.9% for women vs 6.4% for men (unpublished data).…”

“…4 Even more impressive is the fact that when women received the PCI intervention, the difference in mortality rates between genders disappeared. 4 Using our local data of 5000 cardiac arrests per year, we have demonstrated significantly lower survival-to-discharge rates of 3.9% for women vs 6.4% for men (unpublished data). The observed gender bias in inhospital care may be attributed to inequality in knowledge transfer.…”

Effect of Gender on Outcome of Out of Hospital Cardiac Arrest in the Resuscitation Outcomes Consortium

“…[11][12][13][14][15][16][17][18][19][20][21] For example, women are more likely to have a diagnosis of myocardial infarction missed in the Emergency Department, and are less likely to receive invasive diagnostic testing and treatments for cardiovascular diseases, such as cardiac catheterization and percutaneous coronary intervention -all of which might account for poorer outcomes and increased mortality. 5,17,[22][23][24][25][26][27] Previous research on age and gender-based out of hospital cardiac arrest (OHCA) has shown contradictory findings. 2,3,6,[28][29][30][31][32] Kannel et al, reported lower rates of sudden cardiac arrest in women when compared to men.…”