Thread by @Gurleen_Kaur96

1/ In Episode 234, @PaChapterACC & @CardioNerds featured a Narratives in Cardiology discussion on Structural Heart Disease & LatinX Representation in Cardiology w/ @MayraGuerreroMD, @TDonisan, @AdrianaCMares

Follow this #CardsNarratives 🧵 on Valvular Heart Disease in Women

2/ We’ll cover these 2 questions:

❓What are the disparities in valvular heart disease in women?
❓What changes need to be implemented to improve the care of women with valvular heart disease?

3/ I feel comfortable openly discussing or asking others about factors that make them different from myself like race, religion, ethnicity, gender, sexual orientation, immigration status, etc

4/ Awareness about CV disease in women is suboptimal

From survey data, 📉 in awareness about heart disease as a leading cause of death among women from 2009-2019, particularly among Hispanic & Black women
bit.ly/3TQaG3A

Valvular heart disease awareness is low

5/ Women have⬆️mortality than men during surgical aortic or mitral interventions

🚩Older age
🚩More frail
🚩More comorbidities

⬇️rates of aortic valve replacement in women than men

Among those referred for AVR, ⬆️TAVR vs SAVR among women than men

bit.ly/3DunZBl

6/ How to address?
🔷Identify referral biases for AVR
🔷Need ⬆️ enrollment of women in clinical trials
bit.ly/3VYfFkD

To address disparities in valve disease for women, also need ⬆️ women cardiologists & interventional cardiologists

‼️<4% of TAVR operators are women‼️

7/ 58.7% annualized increase in TAVR operators from 2014-2018, but female operators only📈from 2.5% to 3.9%

⬇️proportion of women interventional cardiology operators compared with women cardiac surgeons

ahajournals.org/doi/10.1161/CI…

8/ To⬆️diversity in IC:
🌟Mentorship at every level
🌟⬇️unconscious bias
🌟Improve workplace conditions & promote inclusive culture
🌟Women/URiM in leadership
🌟FDA, industry, societies responsible for ensuring representation in clinical trial leadership
bit.ly/3zc8gEu

9/ Summary
✨ Inadequate awareness of valvular disease among women
✨Need to⬆️representation of women in clinical trials to address sex disparities in valvular heart disease
✨Very few women operators for structural heart disease - needs to be addressed at all levels to📈 WIC

10/ I feel comfortable openly discussing or asking others about factors that make them different from myself like race, religion, ethnicity, gender, sexual orientation, immigration status, etc

11/ After reading this #CardsNarratives Tweetorial, I have a greater appreciation for diversity in cardiology.

12/ Listen to full discussion: cardionerds.com/234-narratives…

Please consider replying with a personal experience or reflection in relation to anything discussed

Thanks to @AmitGoyalMD, @Dr_DanMD, @ThomasMDas for guidance on #CardsNarratives Tweetorials