1. Association between Gender, Process of Care Measures, and Outcomes in ACS in India: Results from the Detection and Management of Coronary Heart Disease (DEMAT) Registry
- Author
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K. Srinath Reddy, P.P. Mohanan, Rajeev Gupta, Prakash Chand Negi, Puri Vk, Panniyammakal Jeemon, Neha J. Pagidipati, Jacob Jose, Satyavan Sharma, B. G. Muralidhara, Thannikot M. Jaison, Dorairaj Prabhakaran, Sivasubramonian Sivasankaran, Nakul Sinha, Sasidharan Bijulal, and Mark D. Huffman
- Subjects
Male ,Non-Clinical Medicine ,Epidemiology ,Health Care Providers ,lcsh:Medicine ,030204 cardiovascular system & hematology ,Cardiovascular ,Global Health ,0302 clinical medicine ,Outcome Assessment, Health Care ,Ambulatory Care ,Registries ,030212 general & internal medicine ,lcsh:Science ,Aspirin ,Multidisciplinary ,Mortality rate ,Confounding ,Clopidogrel ,Socioeconomic Aspects of Health ,3. Good health ,Medicine ,Female ,Health Services Research ,Research Article ,medicine.drug ,medicine.medical_specialty ,Acute coronary syndrome ,India ,Health Informatics ,Natural history of disease ,03 medical and health sciences ,Sex Factors ,Ambulatory care ,Internal medicine ,Cardiovascular Diseases in Women ,medicine ,Humans ,Health Care Quality ,Acute Coronary Syndrome ,Cardiovascular Disease Epidemiology ,Inpatients ,business.industry ,Acute Cardiovascular Problems ,lcsh:R ,medicine.disease ,Socioeconomic Factors ,Physical therapy ,Women's Health ,lcsh:Q ,business ,Mace - Abstract
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
- Published
- 2013
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