Skip to main content

Main menu

  • About Us
    • Leadership
    • Our Team
    • Vision, Mission and Values
    • Health and Economic Impact
    • Research Impact Video
    • Strategic Plan
  • Our Research
    • Research Focus
      • Brain Health
      • Cancer
      • Digital Health and Artificial Intelligence
      • Heart Health
      • Healthy Aging and Mobility
      • Immune System
      • Injury and Rehabilitation
      • Lung Health
      • Mental Health and Substance Use
    • Research Centres and Programs
      • BC Centre on Substance Use
      • Centre for Aging SMART
      • Centre for Cardiovascular Innovation
      • Centre for Clinical Epidemiology and Evaluation
      • Centre for Lung Health
      • Djavad Mowafaghian Centre for Brain Health
      • Immunity and Infection Research Centre
      • International Collaboration On Repair Discoveries
      • M. H. Mohseni Institute of Urologic Sciences
      • Ovarian Cancer Research Centre
      • Community Research Program
      • Emergency Medicine Research Program
      • Hematology Research Program
      • Skin Research Program
      • Other Research Focus Areas
    • News and Stories
    • Researcher Directory
    • Events and Workshops
  • Research Services
    • New to VCHRI
      • Working at VCHRI
      • Regulations and Training
      • Membership with VCHRI
      • Learning and Development
    • Starting Your Project
      • Research Facilitation
      • Awards and Funding
      • Grant Management
      • Operational Approval
      • CST Cerner
    • Developing Your Project
      • Clinical Trials Administration
      • Clinical Research Unit
      • Research Privacy
      • Financial Policies and Procedures
    • Additional Support
      • Indigenous Health Research Unit
      • VCH-VCHRI AI Hub
      • Communications and Media Relations
      • Study Recruitment Support
      • Innovation and Industry Partnership
    • Internal Awards
    • Clinical Research
    • Indigenous Research
  • Participate in Research
    • Reasons to Participate
    • Participant Stories
    • Find a Study
    • Recruitment Support

User menu

  • Log in

Breadcrumb

  1. Home
  2. Our Research
  3. News and Stories
  4. Closing the gap between the sexes in heart care

Closing the gap between the sexes in heart care

Stories Nov 17, 2021 3 minutes

Researchers found that women waited longer to receive a life-saving cardiac treatment and experienced worse outcomes than men.

Once thought of as a disease that mainly affected men, research has shed light on the fact that heart disease and stroke are the primary cause of premature death among Canadian women. Despite increased awareness and understanding of these risks, women with a form of heart attack called ST-elevation myocardial infarction (STEMI) waited longer for the recommended treatment and experienced worse outcomes than their male counterparts, according to research led by Vancouver Coastal Health Research Institute researcher Dr. Christopher Fordyce.

“These results point to a need for further investigations on how health care protocols can be introduced or adjusted to shorten the treatment interval and improve health outcomes for women presenting with STEMI and other heart conditions,” says Fordyce.  

Dr. Christopher Fordyce is a clinical assistant professor within the Division of Cardiology at the University of British Columbia (UBC) and director of the Cardiac Intensive Care Unit at Vancouver General Hospital.

STEMI occurs when a block in a coronary artery stops the flow of oxygen- and nutrient-rich blood to the heart. Acute STEMI requires urgent care, as patients are at risk of sudden cardiac arrest. Delaying treatment can lead to heart muscle atrophy and cell destruction due to a lack of blood flow to the area.

“The saying among clinicians goes that ‘time is muscle’,” says study co-investigator, Dr. Erin Rayner-Hartley. “The longer that an artery is blocked and a heart attack is ongoing without the artery being reopened, the more likely that the cardiac muscle could be damaged.”

More sex-specific protocols are needed to prevent care disparities

Fordyce and Rayner-Hartley’s study, published in the Clinical Cardiology, examined 1,928 STEMI patients who received a primary percutaneous coronary intervention (PCI) procedure. The non-surgical procedure involves threading a flexible hollow tube, called a catheter, up to the heart and expanding a small balloon to part fatty tissue that is blocking blood flow. The reopened coronary artery is then shored up with a stainless steel mesh stent.

Fordyce and his team found that the average time between first contact with a family doctor, paramedic or other health care provider and when a patient arrived in the emergency room was longer for women than men—26 minutes versus 22 minutes. So, too, was the time between first medical contact and when a female patient received heart treatment—109 minutes for women compared with 101 minutes for men.

The 21.4 per cent of the study cohort who were women also tended to have worse outcomes. This, Rayner-Hartley says, is likely because women had more comorbidities than men when they arrived in hospital with STEMI, it took longer to reestablish their blood flow and they also tended to be older on average than men.

“These findings were unexpected,” she notes. “Although many factors likely contributed to the differences in wait times, it is important that we highlight what we discovered so that researchers and practitioners pay more attention to how to enhance women’s heart care moving forward.”

Dr. Erin Rayner-Hartley is a clinical associate professor at UBC and practices cardiology and critical care medicine at Royal Columbian Hospital.

While the disparity between wait times and outcomes was significant, the study team found that this did not result in more deaths among women than men. 

“We know that when PCI is administered in a timely fashion, the rate of survival is greater, which is really one of the most important outcomes that we are striving for, as well as that patients live long and healthy lives after treatment,” says Rayner-Hartley. 

Still, Rayner-Hartley believes that more action will be needed in the next while to raise awareness and change protocols to close the gap between the sexes.

“Heart conditions have not traditionally been considered a women’s disease; however, we know by the data that women seem to be at higher risk of heart disease and heart attack than men.”

“Despite there being quite a lot of awareness about the fact that men and women experience health conditions, including heart disease, in unique ways, we are still seeing statistical differences in treatment times,” she says. “This means that we need to recognize that women have separate heart health needs and have the potential to be higher risk patients.”

 

Researchers

Christopher Fordyce

Related Articles

Preventative heart care leverages family connections

Extreme heat linked to lower cardiac arrest survival in B.C.

Machine learning for handheld cardiac ultrasounds

Share:

  • Facebook
  • Linkedin
  • Twitter
  • Email

Related Research Centres/Programs

Centre for Cardiovascular Innovation

Get the latest research headlines in your inbox

Subscribe

Recent News and Stories

Type
Announcement

Celebrating the life and distinguished career of Dr. Marcel Dvorak

May 14, 2025
Type
Stories

More equitable representation needed in Parkinson’s research

May 9, 2025 parkinsons, patient engagement, women
Type
Stories

Gamified stroke recovery improves arm function

May 8, 2025 stroke, rehabilitation
See more news

Get updates!

Join our newsletter mailing list to stay up to date on features and releases.

Subscribe

Quick Links

  • News and Stories
  • Careers
  • Events
  • Media Enquiries

Follow Us

  • LinkedIn
  • X
  • YouTube

© 2025 VCHRI. All rights reserved.

  • Contact
  • Privacy Policy