1. Sex differences in treatment and prognosis of acute coronary syndrome with interventional management.
- Author
-
Ruiz-Pizarro, Virginia, Ferrera, Carlos, Gómez-Polo, Juan Carlos, Palacios-Rubio, Julián, Rico-García Amado, Carmen, Fernández-Ortiz, Antonio, and Viana-Tejedor, Ana
- Subjects
- *
ACUTE coronary syndrome , *GENDER , *CORONARY angiography , *PROGNOSIS , *PLATELET aggregation inhibitors , *TREATMENT of acute coronary syndrome , *DATABASES , *RESEARCH , *HEALTH services accessibility , *SPECIALTY hospitals , *TIME , *RESEARCH methodology , *HEALTH status indicators , *EVALUATION research , *MEDICAL cooperation , *HOSPITAL mortality , *RISK assessment , *TREATMENT effectiveness , *SEX distribution , *COMPARATIVE studies , *MYOCARDIAL revascularization , *HEALTH equity , *LONGITUDINAL method - Abstract
Objective: Female sex has been associated with differences in diagnostic and management of acute coronary syndrome (ACS). Our aim was to analyze sex differences in ACS with interventional management in a tertiary care hospital.Methods: Patients with ACS admitted to a Spanish tertiary care referral center were included prospectively and consecutively. All patients included in the study underwent a coronary angiography.Results: From the total cohort of 1214 patients, 290 (24%) were women. Women were older (71 ± 12.8 vs 64 ± 13.4 years, p < 0.001) and showed lower ischemic risk and higher hemorrhagic risk scores (GRACE 159 ± 45 vs 171 ± 42, p = 0.005; CRUSADE 41 ± 19 vs 28 ± 17, p < 0.001). There were no significant differences in time to coronary angiography and revascularization rates between sex groups. A lower proportion of women received high-potency antiplatelet agents (29% vs 41.3%, p = 0.004). In-hospital evolution and one-year mortality were similar between groups.Conclusions: In our population, there were no gender differences in management and prognosis of ACS. Differences in risk profile among groups could have an influence on antiplatelet therapy. [ABSTRACT FROM AUTHOR]- Published
- 2019
- Full Text
- View/download PDF