Dr. Nicole Woitowich is the Associate Director for the Women’s Health Research Institute at Northwestern University. She is actively transforming the landscape of women’s health through her research, advocacy, and outreach activities. She implements programming which informs the scientific and medical communities, as well as the public, about the influences of sex and gender on health and disease. In addition, Dr. Woitowich serves as the Director for the Illinois Women’s Health Registry, which promotes the participation of women in clinical research and evaluates state-wide women’s health trends. As a former Presidential Management Fellow awardee, she remains politically active and advocates on behalf of women’s health research. In 2018, she drafted legislation to recognize January 25th as National Women’s Health Research Day which was introduced in Congress by Sen. Duckworth and Rep. Schakowsky, and locally endorsed by Mayor Emanuel. While formally trained as biochemist, her current research explores the impact of science policy on research practices and gender biases in science, technology, engineering, mathematics, and medical (STEMM) fields. Dr. Woitowich has held a long-standing interest in the advancement and retention of women in the STEMM pipeline and has created programs both at Northwestern University and beyond to this end. In 2015, she was nominated to serve as a member of the Public Outreach Committee for the American Society for Biochemistry and Molecular Biology, due to her ability to communicate science to diverse audiences and her passion for making science publicly accessible. Through this role, she served as a co-organizer for SciOut18, the first national meeting of science outreach practitioners in the United States.
A recent study published in the American Journal of Emergency Medicine found that sex-differences exist in emergency room evaluation and treatment times for patients presenting with a heart attack . The retrospective study conducted at the University of Pennsylvania analyzed treatment times for over 250 patients with confirmed heart attacks. The study authors found that women, on average, wait 3 minutes longer to receive an initial EKG than men. Additionally, women wait 7 minutes longer than men for a heart attack treatment protocol to be activated, with the total average time being 25.5 minutes for women and 18.5 minutes for men. Current recommendations suggest that anyone presenting with a suspected heart attack should be evaluated and a treatment protocol initiated in less than 20 minutes . Thus, women may be subject to additional heart damage as time passes without intervention.
According to the American Heart Association, women may experience a wide variety of symptoms during a heart attack which can include:
- Chest pain
- Shortness of breath
- Pain in the arms, jaw, back or stomach
- Nausea or vomiting
However, the most common symptom is chest pain or discomfort which is experienced by both men and women. It may be possible that sex-based bias exists in the initial diagnosis of heart attacks as evidence by this research. Additional studies which explore sex-differences within evaluation, diagnosis, and treatment of heart attacks and other cardiovascular disease may promote enhanced survival for both men and women.
To learn more about the signs and symptoms of heart attacks in women check out the following video by the American Heart Association which was directed by, and stars Elizabeth Banks: It’s Just a Little Heart Attack.
- Choi et al., Am J Emerg Med. 2016; EPub ahead of print.
- McCabe et al., Circ Cardiovasc Qual Outcomes. 2012; 5(5):672-9.
- American Heart Association