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Introduction: Gender disparities in PCI are well recognized. Global Lumen Organization for Women (GLOW), has previously reported these inequalities in a meta-analysis of >750,000 patients. Telemedicine eliminates some process barriers that women traditionally face when confronted with an acute myocardial infarction. Research regarding gender and telemedicine, however, is altogether lacking. Hypothesis: We explored the Latin American Telemedicine Infarct Network (LATIN) database to investigate the prevalence of gender disparities and their impact on STEMI interventions Methods: As a program for managing population-based AMI care, LATIN has utilized an innovative hub and spoke strategy and remote guidance to expand access in remote regions of Brazil, Colombia and Mexico. A two-part strategy was diligently constructed for LATIN - telemedicine was first deployed as a screening tool to accurately diagnose AMI. Next, based upon the duration of chest pain and transfer time to a PCI-capable facility, the AMI patients were triaged into guidelines-based pathways of thrombolysis, pharmaco-invasive management or Primary PCI. Along the entire LATIN pathway of AMI diagnosis and its management, resource allocation was identical for both men and women Results: Data from 610,427 screened patients in LATIN reveals broad gender disparities were that were most revealing for prevalence of STEMI diagnosed (p<0.0001), STEMI treated (p<0.0001), PCI as the preferred reperfusion strategy (p<0.0001), pharmaco-invasive management (p<0.0001), use of CABG (p<0.001) and in-hospital mortality (<0.001). These findings assume even greater relevance with the detection that more women were screened through the Telemedicine pathway (p<0.0001). Conclusions: LATIN gender data signals the urgency to decree better STEMI care for women. [ABSTRACT FROM AUTHOR]