Practice Patterns and Outcomes of Women Interventional Cardiologists in Treatment of STEMI
Authors' conclusion
Female interventionalists performed a small proportion of primary STEMI PCI procedures. Although female interventionalists had lower adjusted odds of achieving DTB < 90 minutes, interventionalist gender was not associated with adjusted in-hospital mortality. These findings were consistent across male and female patient subgroups and highlight persistent differences in selected care-process measures without a corresponding detectable difference in mortality.
Study context
- Population
- Cases coded as "Primary PCI for STEMI" between April 2018 and March 2025, stratified by patient and cardiologist genderprimary PCI procedures for STEMI, 44,335 (5.3%) performed by female interventionalists
- Participants
- 834,465 cases
- Exposure
- Female vs male interventional cardiologists
- Female interventionalistsn = 44,335
- Outcome
- Meeting DTB standards
Methodological detailsNCDR CathPCI registry, logistic regression sequentially adjusted for patient and hospital characteristics
- NCDR CathPCI registry
- Logistic regression sequentially adjusted for patient and hospital characteristics
Main finding
As reported in the abstract
- Male interventionalists were more likely to meet DTB standards
Observational data: associations, not effects.
Further findings
Documented non-system reasons for delay
- Female interventionalists were more likely to document non-system reasons for delay
Outcomes of patients, stratified by patient gender
- No evidence of influence of operator gender on the outcomes of patients, when stratified by patient gender
Original publication
Practice Patterns and Outcomes of Women Interventional Cardiologists in Treatment of STEMI. Am Heart J. Published 5 November 2026. doi:10.
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