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Updated: Aug 17, 2025

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

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Gender-based time discrepancy in diagnosis of coronary artery disease based on data analytics of electronic medical

Maryam Panahiazar1,2, Andrew M Bishara2,3, Yorick Chern4

  • 1Division of Cardiothoracic Surgery, Department of Surgery, School of Medicine, University of California, San Francisco, San Francisco, CA, United States.

Frontiers in Cardiovascular Medicine
|December 12, 2022
PubMed

Insights

Women experience longer diagnostic delays for Coronary Artery Disease (CAD) than men. This study highlights a significant time gap between initial encounters and cardiac catheterization, impacting timely treatment and outcomes for female patients.

Area of Science:

  • Cardiology
  • Health Disparities
  • Data Analytics

Background:

  • Coronary Artery Disease (CAD) outcomes are poorer in women compared to men.
  • The underlying reasons for this gender-based discrepancy require further investigation.

Purpose of the Study:

  • To identify and analyze gender-based differences in the diagnosis and treatment pathways of Coronary Artery Disease (CAD).

Main Methods:

  • Utilized data analytics on approximately 32,000 CAD patients from UCSF Medical Center over 8 years.
  • Implemented a multidimensional framework to track patient journeys from admission to treatment, calculating time intervals between key events.
  • Applied statistical analysis to compare diagnosis and treatment timelines between genders.

Main Results:

  • A statistically significant delay was observed in diagnostic Cardiac Catheterization for women compared to men (p-value = 0.000119).
  • No significant time difference was found between diagnostic Cardiac Catheterization and Coronary Artery Bypass Grafting (CABG) surgery between genders.

Conclusions:

  • Women face a longer interval from initial CAD indication to diagnostic cardiac catheterization than men.
  • Reducing diagnostic delays for women may lead to more prompt treatment and improved patient outcomes.
  • Early detection and tailored management are crucial for improving patient care and addressing CAD progression risks.
Abstract

Keywords:
Coronary Artery Diseasebig datacardiac catheterizationcoronary artery bypass grafting (CABG)electronic medical recordgender-based discrepancies

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