Narrowing disparities in PCI outcomes in women; From risk assessment, to referral pathways and outcomes

Sonya N Burgess; Mamas A Mamas

doi:10.1016/j.ahjo.2022.100225

Narrowing disparities in PCI outcomes in women; From risk assessment, to referral pathways and outcomes

Am Heart J Plus. 2022 Nov 5:24:100225. doi: 10.1016/j.ahjo.2022.100225. eCollection 2022 Dec.

Authors

Sonya N Burgess^{1

2}, Mamas A Mamas³

Affiliations

¹ Department of Cardiology, Nepean Hospital, Sydney, Australia.
² University of Sydney, NSW, Australia.
³ Keele Cardiovascular Research Group, Keele University, Stoke on Trent, UK.

Abstract

This review evaluates published data regarding outcomes for women with ACS undergoing PCI. Data is discussed from a patient centred perspective and timeline, beginning with sex-based differences in perception of risk, time to presentation, time to treatment, access to angiography, access to angioplasty, the impact of incomplete revascularization, prescribing practices, under-representation of women in randomized controlled trials and in cardiology physician workforces. The objective of the review is to identify factors contributing to outcome disparities for women with ACS, and to discuss potential solutions to close this outcome gap.