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Öz TK, Cader FA, Dakhil ZA, Parapid B, Kadavath S, Bond R, Chieffo A, Gimelli A, Mihailidou AS, Ramu B, Cavarretta E, Michos ED, Kaya E, Buchanan L, Patil M, Aste M, Alasnag M, Babazade N, Burgess S, Manzo-Silberman S, Paradies V, Thamman R. International consensus statement on challenges for women in cardiovascular practice and research in the COVID-19 era. Minerva Cardiol Angiol 2022; 70:641-651. [PMID: 35212510 DOI: 10.23736/s2724-5683.22.05935-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The challenges to academic and professional development and career advancement of women in cardiology (WIC), imposed by the pandemic, not only impinge the female cardiologists' "leaky pipeline" but also make the "leakiness" more obvious. This consensus document aims to highlight the pandemic challenges WIC face, raise awareness of the gender equity gap, and propose mitigating actionable solutions derived from the data and experiences of an international group of female cardiovascular clinicians and researchers. This changing landscape has led to the need for highly specialized cardiologists who may have additional training in critical care, imaging, advanced heart failure, or interventional cardiology. Although women account for most medical school graduates, the number of WIC, particularly in mentioned sub-specialties, remains low. Moreover, women have been more affected by systemic issues within these challenging work environments, limiting their professional progression, career advancement, and economic potential. Therefore, it is imperative that tangible action points be noted and undertaken to ensure the representation of women in leadership, advocacy, and decision-making, and increase diversity in academia. Strategies to mitigate the negative impacts of the pandemic need to be taken during this COVID-19 pandemic to ensure WIC have a place in the field of Cardiology.
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Affiliation(s)
- Tuğba Kemaloğlu Öz
- Department of Cardiology, Liv Hospital Ulus, Istanbul, Turkey.,Faculty of Medicine, Istinye University, Istanbul, Turkey
| | - F Aaysha Cader
- Department of Cardiology, Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh
| | - Zainab A Dakhil
- Ibn Al-Bitar Cardiac Center, Department of Cardiology, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
| | - Biljana Parapid
- Department of Internal Medicine, School of Medicine University of Belgrade, Belgrade, Serbia
| | - Sabeeda Kadavath
- Structural Interventional Cardiology, Vanderbilt University, Nashville, TN, USA
| | - Rachel Bond
- Division of Cardiology, Dignity Health Department of Medicine, Creighton University, Chandler, AZ, USA
| | - Alaide Chieffo
- Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
| | - Alessia Gimelli
- Nuclear Cardiology Unit, Fondazione Toscana G. Monasterio, Pisa, Italy
| | - Anastasia S Mihailidou
- Royal North Shore Hospital, Northern Sydney Local Health District, Kolling Institute, Macquarie University, Sydney, Australia
| | - Bhavadharini Ramu
- Unit of Advanced Heart Failure and Cardiac Transplantation, Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA
| | - Elena Cavarretta
- Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University, Latina, Italy.,Mediterranea Cardiocentro, Naples, Italy
| | - Erin D Michos
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Esra Kaya
- Department of Cardiology, Clinic of Heart, Lung, and Vessel Disease, Rikshospitalet, Oslo University Hospital, Oslo, Norway
| | - Louise Buchanan
- Department of Cardiology, North Cumbria Integrated Care NHS Foundation Trust, Carlisle, UK
| | - Mansi Patil
- Department of Medicine, Asha Kiran JHC Hospital, Maharastra, India
| | - Milena Aste
- Arrhythmologic Center, Department of Cardiology, ASL4 Chiavarese, Ospedali del Tigullio, Lavagna, Genoa, Italy
| | - Mirvat Alasnag
- Cardiac Center, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia
| | - Nigar Babazade
- Department of Cardiology, New Clinic, Heart Valve Center, Baku, Azerbaijan
| | - Sonya Burgess
- Nepean Public Hospital, Sydney Southwest Private Hospital, Southwest Cardiology and Penrith Specialist Group, Sydney, Australia
| | - Stéphane Manzo-Silberman
- Coronary Care Unit, Department of Interventional Cardiology, Lariboisière Hospital, APHP, Paris University, Paris, France
| | - Valeria Paradies
- Department of Cardiology, Maasstad Hospital, Rotterdam, the Netherlands
| | - Ritu Thamman
- Section of Cardiology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA -
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Abstract
The coronavirus disease 2019 pandemic is having a major impact on healthcare systems worldwide. Several months after the COVID-19 outbreak, waiting lists of non-urgent structural heart (SH) interventions continue to increase. Limitations in terms of ICU beds and anesthesiology represent a major limitation to conduct non-urgent SH interventions and are a valid reason to move towards less invasive approaches. The field of left atrial appendage occlusion (LAAO) reflects this challenging situation perfectly. The aim of this paper is to describe the possibilities for pre-procedural LAA assessment, performance of the LAAO procedure and post-procedural surveillance in these challenging times.
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Affiliation(s)
- Xavier Freixa
- Department of Cardiology, IDIBAPS, Hospital Clinic of Barcelona, c/Villarroel 170. Escala 3 Planta 6, 08015 Barcelona, Spain
| | - Adel Aminian
- Department of Cardiology, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium
| | - Ole De Backer
- Department of Cardiology, Rigshospitalet, The Heart Centre, Copenhagen, Denmark
| | - Sergio Berti
- Department of Cardiology, Fondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, Massa, Italy
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