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Heart disease and stroke statistics-2012 update a report from the American Heart Association , 3 Jan. Roger VL, Go AS, Lloyd-Jones DM, et al.JAMA Internal Medicine, American Medical Association,, /journals/jama/ fullarticle/1355992 Association of age and sex with myocardial infarction symptom presentation and in- hospital mortality. Canto JG, Rogers WJ, Goldberg RJ, et al.Effectiveness-based guidelines for the prevention of cardiovascular disease in women–2011 update: a guideline from the American Heart Association. Mosca L, Benjamin EJ, Berra K, Bezanson JL, Dolor RJ, Lloyd- Jones DM, et al.Sex Differences in the Presentation and Perception of Symptoms Among Young Patients With Myocardial Infarction: Evidence from the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients). Lichtman JH, Leifheit EC, Safdar B, Bao H, Krumholz HM, Lorenze NP, Daneshvar M, Spertus JA, D’Onofrio G.Sex differences in the diagnostic evaluation of coronary artery disease. Patient-physician gender concordance and increased mortality among female heart attack patients. Mehilli J, Presbitero P. Coronary artery disease and acute coronary syndrome in women.Gender Disparities in CAD: Women and Ischemic Heart Disease. Remember to be skeptical of anything you learn, even if you heard it on the Skeptics’ Guide to Emergency Medicine. The ultimate goal of the SGEM is for patients get the best care, based on the best evidence. Trying to cut the knowledge translation window down from over ten years to less than one year using the power of social media.
The SGEM will be back next episode doing a structured critical appraisal of a recent publication. What can be done to address this gender gap? DeMeester’s answers to these five questions. Please listen to the SGEM podcast to hear Dr. Have any sex differences been identified in the treatment and outcomes of females with cardiovascular events?.Do females who have a cardiovascular event present differently to the emergency department?.Are there differences between males and females with regards to cardiovascular disease risk factors?.Are female represented proportionally in cardiovascular disease clinical research? We know females are often excluded from being subjects in medical research.What is the burden of cardiovascular disease in females and is it the same as males?.This was based on the Canadian Medical Association Journal article focusing on closing the gender pay gap in Canada ( Cohen and Kiren 2020).įive questions about gender disparities when it comes to cardiovascular disease. Michelle Cohen on the broader issue of the gender pay gap ( SGEM Xtra: Money, Money, Money It’s A Rich Man’s World – In the House of Medicine). We also did an entire SGEM Xtra episode with Dr. It covered the study published in AEM looking at the continuation of gender disparities among academic emergency physicians ( Wiler et al AEM 2019). The SGEM did a regular critical appraisal of a recent publication with Dr.
The conclusion from the FIX19 talk was that we should be moving from Evidence-Based Medicine (nerdy and male dominated) to Feminist-Based Medicine (recognizing the inequities in the house of medicine) to Gender-Based Medicine (acknowledging the spectrum of gender and sexuality) and ultimately to Humanist- Based Medicine. In the presentation, multiple references were provided to support the claim that a gender gap does exist. I realized that each of the three pillars contained biases against women. It looked at the three pillars of EBM: relevant scientific literature, clinicians, and patients. My FIX19 talk was called from Evidence-Based Medicine to Feminist-Based Medicine. I had the honour of presenting at the 2019 FeminEM conference called Female Idea Exchange (FIX19). This is not the first SGEM episode that has addressed the gender gap in the house of medicine. Gender refers to social constructs while sex refers to biological attributes. Despite having different meanings they are often used interchangeably. There is a difference between gender and sex. So, I felt a good way to address the issue would be to invite an expert like Dr. While there were a half-dozen episodes that did have female patients, they were the minority. This made me review past SGEM episodes which confirmed there has been a gender bias. The person lamented that it would be nice if a cardiac case scenario was of a female patient.
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