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Stent for Life Initiative
Save Her Life!
Save Her Life!
SFL Initiative focused on ACS in women
Objectives
1. To change the perception of the treatment of women with CVD,
who are too often under diagnosed and undertreated, by educating
the physician community.
2. To develop European position statement for distribution during
relevant international meetings and publication in major journals.
3. To include all interested interventional cardiologists in the
organization (both male and female) to have a broad range of
experts who will focus on various aspects of CVD in women.
4. To increase CVD and ACS awareness amongst the public as it
relates to women.
Save Her Life!
SFL Initiative focused on ACS in women
Objectives
1. To change the perception of the treatment of women with CVD,
who are too often under diagnosed and undertreated, by educating
the physician community.
2. To develop European position statement for distribution during
relevant international meetings and publication in major journals.
3. To include all interested interventional cardiologists in the
organization (both male and female) to have a broad range of
experts who will focus on various aspects of CVD in women.
4. To increase CVD and ACS awareness amongst the public as it
relates to women.
Save Her Life!
SFL Initiative focused on ACS in women
Objectives
1. To change the perception of the treatment of women with CVD,
who are too often under diagnosed and undertreated, by educating
the physician community.
2. To develop European position statement for distribution during
relevant international meetings and publication in major journals.
3. To include all interested interventional cardiologists in the
organization (both male and female) to have a broad range of
experts who will focus on various aspects of CVD in women.
4. To increase CVD and ACS awareness amongst the public as it
relates to women.
Save Her Life!
SFL Initiative focused on ACS in women
Objectives
1. To change the perception of the treatment of women with CVD,
who are too often under diagnosed and undertreated, by educating
the physician community.
2. To develop European position statement for distribution during
relevant international meetings and publication in major journals.
3. To include all interested interventional cardiologists in the
organization (both male and female) to have a broad range of
experts who will focus on various aspects of CVD in women.
4. To increase CVD and ACS awareness amongst the public as it
relates to women.
What else do we
need ?
Act
&
Account the results
of our actions
Analyze
Now Act
Account
after
acting
SFL data from
Greece, Spain ( Catalunya) and Portugal
P – PCI / million people
P – PCI / million people
Non reperfunded patients %
No data
No data
No data
% STEMI arriving via EMS
% STEMI arriving via EMS
% STEMI arriving via EMS
%
Time Intervals
142
158
139
81
99
80
110
138
102
53
53
53
34
35
32
114
116
114
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC Hospital arrival - Balloon
Primary PCI
142
158
139
81
99
80
110
138
102
53
53
53
34
35
32
114
116
114
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC Hospital arrival - Balloon
Primary PCI
142
158
139
81
99
80
110
138
102
53
53
53
34
35
32
114
116
114
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC Hospital arrival - Balloon
Primary PCI
136
166
130
80
93
74
120
152
120
62
61
62
46
46
46
61
81
59
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC FMC - Needle
Thrombolysis
136
166
130
80
93
74
120
152
120
62
61
62
46
46
46
61
81
59
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC FMC - Needle
Thrombolysis
136
166
130
80
93
74
120
152
120
62
61
62
46
46
46
61
81
59
0 30 60 90 120 150 180 210 240 270
Greece : All
Greece:…
Greece: Men
Catalunya : All
Catalunya :…
Catalunya :…
Portugal : All
Portugal :…
Portugal : Men
Symptom onset - FMC FMC - Needle
Thrombolysis
Outcomes
Outcomes
In- hospital mortality
25- 84 years old
Data from:
Registre Codi Infart
Registre Mortalitat de Catalunya
Registre CMBDAH de Catalunya
n = 435 n = 1636
One month mortality
25- 84 years old
Data from:
Registre Codi Infart
Registre Mortalitat de Catalunya
Registre CMBDAH de Catalunya
n = 435 n = 1636
One month mortality
all ages
Data from:
Registre Codi Infart
Registre Mortalitat de Catalunya
Registre CMBDAH de Catalunya
So
It is time to
• Collect more data
• Execute
• Evaluate results
It is time to
• Collect more data
• Execute
• Evaluate results
It is time to
• Collect more data
• Execute
• Evaluate results
Final Questions
• What are the main barriers in your opinion related to
women access to PPCI?
• Who is collecting ACS data per gender?
• Who wants to join the Save Her Life project
Thank You

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Sfl save her life mauri 2013

  • 1. Stent for Life Initiative Save Her Life!
  • 2. Save Her Life! SFL Initiative focused on ACS in women Objectives 1. To change the perception of the treatment of women with CVD, who are too often under diagnosed and undertreated, by educating the physician community. 2. To develop European position statement for distribution during relevant international meetings and publication in major journals. 3. To include all interested interventional cardiologists in the organization (both male and female) to have a broad range of experts who will focus on various aspects of CVD in women. 4. To increase CVD and ACS awareness amongst the public as it relates to women.
  • 3. Save Her Life! SFL Initiative focused on ACS in women Objectives 1. To change the perception of the treatment of women with CVD, who are too often under diagnosed and undertreated, by educating the physician community. 2. To develop European position statement for distribution during relevant international meetings and publication in major journals. 3. To include all interested interventional cardiologists in the organization (both male and female) to have a broad range of experts who will focus on various aspects of CVD in women. 4. To increase CVD and ACS awareness amongst the public as it relates to women.
  • 4. Save Her Life! SFL Initiative focused on ACS in women Objectives 1. To change the perception of the treatment of women with CVD, who are too often under diagnosed and undertreated, by educating the physician community. 2. To develop European position statement for distribution during relevant international meetings and publication in major journals. 3. To include all interested interventional cardiologists in the organization (both male and female) to have a broad range of experts who will focus on various aspects of CVD in women. 4. To increase CVD and ACS awareness amongst the public as it relates to women.
  • 5. Save Her Life! SFL Initiative focused on ACS in women Objectives 1. To change the perception of the treatment of women with CVD, who are too often under diagnosed and undertreated, by educating the physician community. 2. To develop European position statement for distribution during relevant international meetings and publication in major journals. 3. To include all interested interventional cardiologists in the organization (both male and female) to have a broad range of experts who will focus on various aspects of CVD in women. 4. To increase CVD and ACS awareness amongst the public as it relates to women.
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  • 10. What else do we need ?
  • 12.
  • 14. SFL data from Greece, Spain ( Catalunya) and Portugal
  • 15. P – PCI / million people
  • 16.
  • 17. P – PCI / million people
  • 19.
  • 23. % STEMI arriving via EMS
  • 24. % STEMI arriving via EMS
  • 25. % STEMI arriving via EMS %
  • 27. 142 158 139 81 99 80 110 138 102 53 53 53 34 35 32 114 116 114 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC Hospital arrival - Balloon Primary PCI
  • 28. 142 158 139 81 99 80 110 138 102 53 53 53 34 35 32 114 116 114 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC Hospital arrival - Balloon Primary PCI
  • 29. 142 158 139 81 99 80 110 138 102 53 53 53 34 35 32 114 116 114 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC Hospital arrival - Balloon Primary PCI
  • 30. 136 166 130 80 93 74 120 152 120 62 61 62 46 46 46 61 81 59 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC FMC - Needle Thrombolysis
  • 31. 136 166 130 80 93 74 120 152 120 62 61 62 46 46 46 61 81 59 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC FMC - Needle Thrombolysis
  • 32. 136 166 130 80 93 74 120 152 120 62 61 62 46 46 46 61 81 59 0 30 60 90 120 150 180 210 240 270 Greece : All Greece:… Greece: Men Catalunya : All Catalunya :… Catalunya :… Portugal : All Portugal :… Portugal : Men Symptom onset - FMC FMC - Needle Thrombolysis
  • 35. In- hospital mortality 25- 84 years old Data from: Registre Codi Infart Registre Mortalitat de Catalunya Registre CMBDAH de Catalunya n = 435 n = 1636
  • 36. One month mortality 25- 84 years old Data from: Registre Codi Infart Registre Mortalitat de Catalunya Registre CMBDAH de Catalunya n = 435 n = 1636
  • 37. One month mortality all ages Data from: Registre Codi Infart Registre Mortalitat de Catalunya Registre CMBDAH de Catalunya
  • 38. So
  • 39. It is time to • Collect more data • Execute • Evaluate results
  • 40. It is time to • Collect more data • Execute • Evaluate results
  • 41. It is time to • Collect more data • Execute • Evaluate results
  • 42. Final Questions • What are the main barriers in your opinion related to women access to PPCI? • Who is collecting ACS data per gender? • Who wants to join the Save Her Life project