Frequent reports of gender differences in cardiology prompted us to study the cardiological situation in Tyrol, Austria, from 1995 to 2000. Mortality statistics for heart deaths 1995: women 1008 (53.5 %), men 875 (46.5 %); 2000: women 1104 (58.2 %), men 792 (41.8 %). Coronary heart deaths 1995: women 572 (50.0 %), men 571 (50.0 %); 2000: women 634 (54.4 %), men 531 (45.6 %). Angiograms 1995: women 332 (33.9 %), men 646 (66.1 %); 2000: women 688 (32.5 %), men 1429 (67.5 %). Bypass surgery 1995: women 54 (33.0 %), men 156 (67.0 %); 2000: women 42 (27.5 men 157 (72.5 %). Heart deaths 1995-2000: women +9.5 men -9.5 %; coronary heart deaths 1995-2000: women +10.8 %, men -7.0 %. By (welcome) contrast, coronary angiograms 1995-2000: women +107.2 men +121.2 %. Bypass operations 1995-2000: women -22.2 men +0.6 %. Life expectancy 1995-2000: women +0.6 men +0.6 %. Patient age at heart death 1995-2000: women +1.8 %, men +2.5 %. In aggregate, we see that for decades more women than men have died a heart death, but that cardiac mortalities remain a typically,male bastion" with persistent gender differences in access to clinical cardiology. The worsening trend for women begs for awareness programs and corresponding preventive measures.