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Heart Disease Health Center

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Gender Gap in Heart Care Extends to 911

Women More Likely Than Men to Experience Delays Getting to the Hospital
WebMD Health News

Jan. 13, 2009 -- Women who call 911 with cardiac complaints are about 50% more likely than men to experience delays getting to the hospital after an ambulance arrives, new research shows.

No difference was seen in the time it took emergency medical services (EMS) to respond to calls from men and women. But once help arrived, women were much more likely than men to experience significant delays during their time in EMS care.

Researchers tracked nearly 6,000 911 calls made on behalf of patients with suspected cardiac symptoms across 10 municipalities in Dallas County, Texas, during 2004. About half the patients were women and half were white.

They found that the average time in EMS care was about 34 minutes, with about 20 minutes spent at the scene of the call and 10 minutes spent en route to the hospital.

A total of 11% of patients spent an extra 15 minutes or more in EMS care, and women were 52% more likely than men to be in this group.

“We don’t have enough information about these patients to fully understand why women were more likely to experience delays, but the findings are similar to what has been seen elsewhere in cardiac care,” lead researcher Thomas W. Concannon, PhD, of Boston’s Tufts Medical Center tells WebMD.

Cardiac Care Gender Gap

The report comes less than a month after a separate investigation found that women are more than twice as likely as men to die when hospitalized with the most serious type of heart attack.

And numerous studies suggest that women with heart disease and those who have heart attacks and other cardiac events often receive less aggressive treatment than men.

“We know that diagnosis of coronary heart disease in women is often delayed, especially when compared with their male counterparts,” New York University cardiologist Jennifer H. Mieres, MD, says in a news release.

Mieres, a spokeswoman for the American Heart Association, says that when classic heart attack symptoms like shortness of breath and chest tightness occur in women, the symptoms are more likely to be attributed to non-cardiac causes.

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