Abstract 14211: Vast Gender Disparities in AMI Care - Report From LATIN Telemedicine

IntroductionGender disparities in PCI are well recognized. Global Lumen Organization for Women (GLOW), has previously reported these inequalities in a meta-analysis of >750,000 patients. Telemedicine eliminates some process barriers that women traditionally face when confronted with an acute myocardial infarction. Research regarding gender and telemedicine, however, is altogether lacking.HypothesisWe explored the Latin American Telemedicine Infarct Network (LATIN) database to investigate the prevalence of gender disparities and their impact on STEMI interventionsMethodsAs a program for managing population-based AMI care, LATIN has utilized an innovative hub and spoke strategy and remote guidance to expand access in remote regions of Brazil, Colombia and Mexico. A two-part strategy was diligently constructed for LATIN - telemedicine was first deployed as a screening tool to accurately diagnose AMI. Next, based upon the duration of chest pain and transfer time to a PCI-capable facility, the AMI patients were triaged into guidelines-based pathways of thrombolysis, pharmaco-invasive management or Primary PCI. Along the entire LATIN pathway of AMI diagnosis and its management, resource allocation was identical for both men and womenResultsData from 610,427 screened patients in LATIN reveals broad gender disparities were that were most revealing for prevalence of STEMI diagnosed (p