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Gender differences in the assessment and treatment of myocardial infarction.

Authors :
Jortveit J
Govatsmark RE
Langørgen J
Hole T
Mannsverk J
Olsen S
Risøe C
Halvorsen S
Source :
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2016 Aug 23; Vol. 136 (14-15), pp. 1215-22. Date of Electronic Publication: 2016 Aug 23 (Print Publication: 2016).
Publication Year :
2016

Abstract

Background: Previous studies have shown that there are gender-related differences in the assessment and treatment of myocardial infarction, despite international guidelines that prescribe identical treatment for women and men. We investigated whether these differences occurred in Norway.<br />Material and Method: All patients admitted to Norwegian hospitals with myocardial infarction from 1 January 2013 to 31 December 2014 and registered in the Norwegian Myocardial Infarction Registry were included. Data from the registry were used to analyse differences in the assessment, treatment, complications and survival of women and men in different age groups.<br />Results: A total of 26 447 myocardial infarctions were registered in the Norwegian Myocardial Infarction Registry in the period 2013 – 2014. Fewer women than men were assessed by means of coronary angiography. Percutaneous coronary intervention (PCI) was used to virtually the same extent for both genders if coronary stenosis was found. Women were recommended secondary prophylactic medication to a lesser extent than men. There were no major differences between men and women in the incidence of complications in the course following myocardial infarction or in survival.<br />Interpretation: Fewer women than men suffering acute myocardial infarction were assessed by means of coronary angiography, and women were recommended secondary prophylactic medication less often than men. The reason for the gender differences is not known, but comorbidity and a potentially greater risk of adverse reactions in women may be contributory factors. The different views of doctors providing treatment may also play a part.

Details

Language :
English; Norwegian
ISSN :
0807-7096
Volume :
136
Issue :
14-15
Database :
MEDLINE
Journal :
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
Publication Type :
Academic Journal
Accession number :
27554562
Full Text :
https://doi.org/10.4045/tidsskr.16.0224