Loading...
Women often present with atypical symptoms of myocardial infarction and may be at risk for delays in care. Investigators conducted a chart review to compare time to catheterization laboratory activation for women and men with ST-elevation myocardial infarction (STEMI) at three emergency departments (EDs). All three hospitals had percutaneous coronary intervention-capable catheterization labs.
Among 292 eligible patients from 2010 to 2014, median door-to-activation time was 7 minutes longer in women than men (25.5 vs. 18.5 minutes). In a multivariable analysis controlling for confounders, men had 1.9 times higher odds of activation time <15 minutes. Women had a longer time to first electrocardiogram (ECG; 7.6 vs. 4.0 minutes) and to diagnosti…