Neha J Pagidipati, Mark D Huffman, Panniyammakal Jeemon, Rajeev Gupta, Prakash Negi, Thannikot M Jaison, Satyavan Sharma, Nakul Sinha, Padinhare Mohanan, B G Muralidhara, Sasidharan Bijulal, Sivasubramonian Sivasankaran, Vijay K Puri, Jacob Jose, K Srinath Reddy, and Dorairaj Prabhakaran
BACKGROUND:Studies from high-income countries have shown that women receive less aggressive diagnostics and treatment than men in acute coronary syndromes (ACS), though their short-term mortality does not appear to differ from men. Data on gender differences in ACS presentation, management, and outcomes are sparse in India. METHODS AND RESULTS:The Detection and Management of Coronary Heart Disease (DEMAT) Registry collected data from 1,565 suspected ACS patients (334 women; 1,231 men) from ten tertiary care centers throughout India between 2007-2008. We evaluated gender differences in presentation, in-hospital and discharge management, and 30-day death and major adverse cardiovascular event (MACE; death, re-hospitalization, and cardiac arrest) rates. Women were less likely to present with STEMI than men (38% vs. 55%, p