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Sex differences in treatment and prognosis of acute coronary syndrome with interventional management.
- Source :
-
Cardiovascular Revascularization Medicine . Mar2019, Vol. 20 Issue 3, p183-186. 4p. - Publication Year :
- 2019
-
Abstract
- <bold>Objective: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 15538389
- Volume :
- 20
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Cardiovascular Revascularization Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 135711926
- Full Text :
- https://doi.org/10.1016/j.carrev.2018.06.021