Gender differences in time to presentation for myocardial infarction before and after a national women's cardiovascular awareness campaign: a temporal analysis from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress ADverse Outcomes wi

In 2001-2002, the American Heart Association and National Heart, Lung, and Blood Institute initiated national campaigns with the aim of increasing women's awareness of their risk of heart disease, with particular focus on women aged 40 to 60 years. Our aim is to determine if these women's awareness campaigns were associated with a reduction in the time to hospital presentation for myocardial infarction in women. The study population comprised patients who presented with a non-ST-segment elevation myocardial infarction in the Can Rapid Risk Stratification of Unstable Angina Patients Suppress ADverse Outcomes with Early Implementation of the American College of Cardiology/American Heart Association Guidelines Registry and the National Cardiovascular Data Registry Acute Coronary Treatment and Intervention Outcomes Network-Get with the Guidelines registry. Analysis was done based on the introduction of the educational intervention: preintervention 2002-2003, intermediate 2004-2005, and post 2006-2007. Of 125,161 patients, 50,162 (40.1%) are women. The median time from symptom onset to presentation was significantly longer in women than men: 3 hours (interquartile range 1.4-7.6) versus 2.8 hours (interquartile range 1.3-7.2, P < .0001), a difference that remained significant after adjusting for clinical characteristics. There was no measurable reduction in the time from symptom onset to presentation over the period of the awareness campaigns: post- versus preintervention period (-0.18%, 95% CI -3.02% to 2.74%). After adjustment for covariates, women aged 40 to 60 years had a 3.46% longer time to presentation than men (95% CI 1.06-5.92, P = .005). There was no reduction in time from symptom onset to hospital presentation for myocardial infarction patients since national awareness campaigns in women were initiated, and a significant gender gap remains.

Diercks DB ，Owen KP ，Kontos MC ，Blomkalns A ，Chen AY ，Miller C ，Wiviott S ，Peterson ED ... -  《-》

Characterization and outcomes of women and men with non-ST-segment elevation myocardial infarction and nonobstructive coronary artery disease: results from the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early

Gehrie ER ，Reynolds HR ，Chen AY ，Neelon BH ，Roe MT ，Gibler WB ，Ohman EM ，Newby LK ，Peterson ED ，Hochman JS ... -  《-》

Temporal changes in the use of drug-eluting stents for patients with non-ST-Segment-elevation myocardial infarction undergoing percutaneous coronary intervention from 2006 to 2008: results from the can rapid risk stratification of unstable angina patients

Roe MT ，Chen AY ，Cannon CP ，Rao S ，Rumsfeld J ，Magid DJ ，Brindis R ，Klein LW ，Gibler WB ，Ohman EM ，Peterson ED ，CRUSADE and ACTION-GWTG Registry Participants ... -  《-》

Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of Ger

Alexander KP ，Newby LK ，Cannon CP ，Armstrong PW ，Gibler WB ，Rich MW ，Van de Werf F ，White HD ，Weaver WD ，Naylor MD ，Gore JM ，Krumholz HM ，Ohman EM ，American Heart Association Council on Clinical Cardiology ，Society of Geriatric Cardiology ... -  《-》

Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementatio

Blomkalns AL ，Chen AY ，Hochman JS ，Peterson ED ，Trynosky K ，Diercks DB ，Brogan GX Jr ，Boden WE ，Roe MT ，Ohman EM ，Gibler WB ，Newby LK ，CRUSADE Investigators ... -  《JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY》