How to Promote Women Awareness to Heart Disease and the Role for Women Session: Women in Interventional Cardiology: Stories of Success How to Promote Women Awareness to Heart Disease and the Role for Women Performing Interventional Cardiology In Europe  Alaide Chieffo, MD Research Director Interventional Cardiology Unit S. Raffaele Scientific Institute, Milan, Italy

Disclosure Statement of Financial Interest Nothing else to disclose on this presentation apart being a woman interventional cardiologist, WIN SCAI and EAPCI Women member

Cardiovascular Disease: The Leading Cause of Death in US Women Adapted from Anderson RN et al. Monthly Vital Statistics Report. Vol 45(suppl 2):June 12, 1997.

Pathophysiology Symptoms Diagnosis Treatment Prognosis Gender gap in CVD Pathophysiology Symptoms Diagnosis Treatment Prognosis

Hospital Mortality for MI by Chest Pain/Discomfort on Presentation, Age, and Sex NRMI, 1994-2006 Canto, J. G. et al. JAMA 2012;307:813-822

Female Sex and CVD Risk Factors and Conditions

“Get with the Guidelines” registry database Underutilization of evidence-based treatments for women Delayed reperfusion among women (STEMI) Measure/Treatment Men (n=47 556), % (n) Women (n=30 698), % (n) P Early medical therapy Aspirin within <24 h -Blockers within <24 h 93.3 (40 332) 87.2 (34 653) 91.0 (24 686) 84.7 (21 124) <0.0001 Invasive procedures Cardiac catheterization PCI CABG Revascularization 56.2 (26 733) 52.3 (22 253) 9.2 (3893) 60.2 (25 614) 45.6 (14 012) 36.1 (10 070) 5.4 (1501) 40.9 (11 409) Timeliness of reperfusion DTN time, median (25th-75th), min DTB time, median (25th-75th), min 39.0 (24.0-66.0) 95.0 (69.0-135.0) 47.0 (27.0-83.0) 103.0 (74.0-154.0) Evidence based therapies for women are under-used and delayed. Hani Jneid et al Circulation 2008;118;2803-2810;

Race and Sex Differences in Post–Myocardial Infarction Angina Frequency and Risk of 1-Year Unplanned Rehospitalization (TRANSLATE ACS) N= 11595

Unplanned Rehosp After 1 Year from MI

Sex Differences at 1-Year in Rehosp: Results from TRIUMPH(Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients’ Health Status) Study 3536 pts (33% women)

Gender Gap for Women Interventional Cardiologist

Motivations for and barriers to choosing interventional cardiology : results from the EAPCI Women Survey Reasons for women not choosing interventional cardiology Reasons for women not choosing interventional cardiology according to men

Sex Differences in Faculty Rank Among Academic Cardiologist sin US

Sex Differences in Faculty Rank Among Academic Cardiologist sin US

Sex Differences in Faculty Rank Among Academic Cardiologists in US

EAPCI Women Steering Committee 2016-2018

Network & web communications Scientific group Career orientation & Challenging countries Lack of LinkedIn use Many members either do not use or have no time Decision not to use this Network & member-ship via EAPCI website New contents for website have been prepared (->Marielle) Aim: help to increase number of members and improve visibility Radiation survey Subgroup eager to complete Difficulty to get replies Last launch now – will be closed if not successful Research collaboration Merging of BVS databases Aim: gender bias? outcomes? Facilitate access to established fellowships and educational activities EAPCI Fellowship Leadership course Oxford (ESC) Create new opportunities “Woman Micro-fellowship” (borrow Young concept for challenging country) EAPCI “Woman Fellowship” (support EU woman with baby, 6 months fellowship) Other ideas @ brainstorm stage

Thank you for the attention