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Acute MI rates lower in men, women since Red Dress Campaign

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American College of Cardiology 60th Annual Scientific Sessions

NEW ORLEANS – Since its inception in 2002, the National Heart, Lung and Blood Institute’s Red Dress Campaign has been associated with a decreased incidence of acute MI among both men and women, according to data presented here.

“Over the last few years there’s been a lot of awareness of women in public health and cardiovascular disease. Some research has been done to demonstrate the increase, and we wanted to see if this increase translated into improved outcomes in treatment patterns in women,” Liana M. Spano-Brennan, DO, cardiology fellow, told Endocrine Today.

Using the New Jersey Myocardial Infarction Data Acquisition System database, Spano-Brennan and colleagues at the University of Medicine and Dentistry of New Jersey’s Robert Wood Johnson Medical School identified 315,246 patients who presented to hospitals in New Jersey for acute MI between 1986 and 2007. Almost half (40.9%) of patients identified were female. The researchers examined the effect the campaign has had on acute MI incidence, management and outcomes.

The overall incidence of acute MI (per 100,000) decreased between 1986 and 2007, with the most notable decline observed in men (women: 321 to 197; P<.0001 and="" men:="" 598="" to="" 311;="">P<.0001). according="" to="" the="" researchers,="" after="" 2002,="" the="" trend="" increased.="">

Over the observed period of 22 years, though the rate of left heart catheterization increased 5-fold for women and 3-fold for men, the likelihood of left heart catheterization was still low among women (OR=0.78; 95% CI, 0.77-0.79). The percent difference between men and women undergoing percutaneous coronary intervention increased from 2.2% in 1986 to 9.4% in 2007 (P<.0001), among="" those="" who="" received="" left="" heart="" catheterization.="">

Both in-hospital and one-year mortality was higher among women compared with men (OR=1.30; 95% CI, 1.27-1.34 for in-hospital and OR=1.10; 95% CI, 1.08-1.13 for one-year). However, the mortality rate did not decrease significantly after 2002.

For more information:

• Cohen L. Poster 150. Presented at: ACC 60th Annual Scientific Sessions; April 2-5, 2011; New Orleans.

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