1. 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

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

3. 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.

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

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

7. Female Sex and CVD Risk Factors and Conditions

8. “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 ( )
95.0 ( )
47.0 ( )
103.0 ( )
Evidence based therapies for women are under-used and delayed.
Hani Jneid et al Circulation 2008;118; ;

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

10. Unplanned Rehosp After 1 Year from MI

11. 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)

12. Gender Gap for Women Interventional Cardiologist

13. 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

14. Sex Differences in Faculty Rank Among Academic Cardiologist sin US

15. Sex Differences in Faculty Rank Among Academic Cardiologist sin US

16. Sex Differences in Faculty Rank Among Academic Cardiologists in US

17. EAPCI Women Steering Committee 2016-2018

19. 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 brainstorm stage

20. Thank you for the attention