Fewer women get CPR in public, study says

ANAHEIM, Calif. — Women are less likely than men to get CPR from a bystander and more likely to die in such situations, a new study suggests, and researchers think reluctance to touch a woman’s chest might be one reason.

Only 39 percent of women suffering cardiac arrest in a public place were given CPR, versus 45 percent of men, and men were 23 percent more likely to survive, the study found.

It involved nearly 20,000 cases around the country and is the first to examine gender differences in receiving heart help from the public versus professional responders.

“It can be kind of daunting thinking about pushing hard and fast on the center of a woman’s chest,” and some people may fear hurting her, said Audrey Blewer, a University of Pennsylvania researcher who led the study.

Rescuers also may worry about moving a woman’s clothing to get better access, or touching breasts to perform CPR, but doing it properly “shouldn’t entail that,” said another study leader, Penn’s Dr. Benjamin Abella. “You put your hands on the sternum, which is the middle of the chest. In theory, you’re touching in between the breasts.”

The study was discussed Sunday at an American Heart Association conference in Anaheim.

“This is not a time to be squeamish, because it’s a life-and-death situation,” Abella said.

Researchers had no information on rescuers or why they may have been less likely to help women. But no gender difference was seen in CPR rates for people who were stricken at home, where a rescuer is more likely to know the person needing help.

The findings suggest that CPR training may need to be improved. Even that may be subtly biased toward males — practice mannequins are usually male torsos, Blewer said.

“All of us are going to have to take a closer look at this” gender issue, said the Mayo Clinic’s Dr. Roger White, who co-directs the paramedic program for the city of Rochester, Minnesota. He said he has long worried that large breasts may impede proper placement of defibrillator pads.

Men did not have a gender advantage in a second study discussed on Sunday. It found the odds of suffering cardiac arrest during or soon after sex are very low, but higher for men than women.

They studied records on more than 4,500 cardiac arrests over 13 years in the Portland area. Only 34 were during or within an hour of having sex, and 32 of those were in men. Most already were on medicines for heart conditions, so their risk was elevated to start with.

Results were published in the Journal of the American College of Cardiology.