Abstract
To examine whether there are sex differences in the characteristics, management, and clinical outcomes of patients with an ST-elevation myocardial infarction (STEMI). Design, setting: Cohort study; analysis of data collected prospectively by the CONCORDANCE acute coronary syndrome registry from 41 Australian hospitals between February 2009 and May 2016. 2898 patients (2183 men, 715 women) with STEMI. Rates of revascularisation (percutaneous coronary intervention [PCI], thrombolysis, coronary artery bypass grafting [CABG]), adjusted for GRACE risk score quartile. timely vascularisation rates; major adverse cardiac event rates; clinical outcomes and preventive treatments at discharge. The mean age of women with STEMI at presentation was 66.6 years (SD, 14.5 years), of men, 60.5 years (SD, 12.5 years). The proportions of women with hypertension, diabetes, prior stroke, chronic kidney disease, chronic heart failure, or dementia were larger than those of men; fewer women had histories of previous coronary artery disease or myocardial infarction, or of prior PCI or CABG. Women were less likely to have undergone coronary angiography (odds ratio, adjusted for GRACE score quartile [aOR], 0.53; 95% CI, 0.41-0.69) or revascularisation (aO...Continue Reading
References
Jul 22, 1999·The New England Journal of Medicine·J S HochmanR M Califf
Oct 13, 2006·BMJ : British Medical Journal·Keith A A FoxChristopher B Granger
Oct 16, 2007·Heart·Dragana RadovanovicUNKNOWN AMIS Plus Investigators
May 9, 2008·Heart·S DeyUNKNOWN Global Registry of Acute Coronary Events investigators
Dec 17, 2008·American Heart Journal·Nausheen AkhterAdhir Shroff
Aug 27, 2009·JAMA : the Journal of the American Medical Association·Jeffrey S BergerPamela S Douglas
Jun 1, 2010·Heart·K A A FoxUNKNOWN GRACE and GRACE2 Investigators
Jul 12, 2011·The American Journal of Cardiology·François SchieleJean-Pierre Bassand
Oct 25, 2011·PloS One·Neel M ButalaHarlan M Krumholz
Mar 21, 2012·JACC. Cardiovascular Imaging·Alexandra J LanskyGregg W Stone
Feb 19, 2013·Heart, Lung & Circulation·B Aliprandi-CostaD Brieger
Feb 28, 2013·Internal Medicine Journal·Y L RoeD P Chew
May 3, 2013·PloS One·Neha J PagidipatiDorairaj Prabhakaran
Jan 2, 2014·International Journal of Cardiology·Derek P ChewUNKNOWN Predict study Investigators
Jun 10, 2014·Archives of Cardiovascular Diseases·Guillaume LeurentHervé Le Breton
Jan 17, 2015·Global Heart·Hou Tee LuUNKNOWN NCVD Investigators
Feb 24, 2015·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Lisa KuhnLinda Worrall-Carter
Dec 25, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Linda Worrall-CarterMuhammad Aziz Rahman
Jul 29, 2016·International Journal of Cardiology·David BriegerMario D'Sousa
Aug 2, 2016·Heart, Lung & Circulation·Derek P ChewUNKNOWN NHFA/CSANZ ACS Guideline 2016 Executive Working Group:
Nov 21, 2016·International Journal of Cardiology·María Jesús Valero-MasaManuel Martínez-Sellés
Citations
Oct 4, 2020·American Heart Journal·Chantal F SkiDavid R Thompson
Sep 27, 2019·Heart·George MnatzaganianRachel Huxley
Feb 6, 2020·European Journal of Preventive Cardiology·Michael HaySarah Zaman
Feb 12, 2021·BMC Cardiovascular Disorders·Zubair AkhtarOle Fröbert
Jun 26, 2020·European Heart Journal. Quality of Care & Clinical Outcomes·Paul Jie Wen TernKhung Keong Yeo
Feb 12, 2021·Internal Medicine Journal·Luke P DawsonAndrew E Ajani
Mar 6, 2021·BMC Cardiovascular Disorders·Jia-Li WangShu-Mei Zhao
Feb 14, 2021·Irish Journal of Medical Science·Stephanie WhittleViviane Khalil
Feb 5, 2021·European Heart Journal. Quality of Care & Clinical Outcomes·Misha DaganStephen J Duffy
Oct 17, 2019·ESC Heart Failure·Sarah J GutmanAndrew J Taylor
Feb 18, 2020·Clinical Practice and Cases in Emergency Medicine·Mary E McLean, Jennifer Beck-Esmay
Feb 18, 2020·Circulation·Shijun XiaChangsheng Ma
Jun 6, 2019·Future Cardiology·Robert J Henning
May 21, 2020·Internal Medicine Journal·Miriam WiersmaWendy Lipworth
Nov 3, 2020·Kardiologiia·D V Seliverstova, S S Yakushin
May 27, 2020·Internal and Emergency Medicine·Zhenhua HuangHong Zhan
Jun 19, 2019·Internal Medicine Journal·Sonya BurgessSarah Zaman
Mar 14, 2020·Transplantation·Melanie L R WyldAngela C Webster
Apr 12, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Jan CameronLisa Kuhn
Dec 7, 2018·The Medical Journal of Australia·Nicholas J Talley Ac
Aug 4, 2018·The Medical Journal of Australia·Andrew I MacIsaac, Gemma Figtree
Dec 19, 2018·Journal of the American Heart Association·Victor OkunrintemiErin D Michos
Apr 24, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Edward L HannanSpencer B King
Dec 19, 2019·International Journal of Environmental Research and Public Health·Sandra C ThompsonFrank Sanfilippo
Sep 3, 2019·Journal of Alzheimer's Disease : JAD·David LanhamMark James Rawle
Mar 13, 2021·Lancet·Gemma A FigtreeEmil Hagström
Nov 8, 2020·Heart, Lung & Circulation·Sonya N BurgessJohn K French
Mar 23, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Barbara M MurphyAlun C Jackson
Mar 30, 2021·Preventive Medicine Reports·Eden BarrettEmily Banks
Apr 14, 2021·Journal of Thrombosis and Thrombolysis·M VerdoiaG De Luca
May 29, 2021·Atherosclerosis·Stephen T VernonGemma A Figtree
Jun 1, 2021·Interventional Cardiology Clinics·Shanthosh SivapathanSonya N Burgess
Jul 10, 2021·The American Journal of Cardiology·Alexandra C MurphyUNKNOWN Victorian Cardiac Outcomes Registry
Jul 20, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Monica VerdoiaGiuseppe De Luca
Aug 17, 2021·Circulation. Arrhythmia and Electrophysiology·Alexandra ButtersJodie Ingles
Sep 16, 2021·PloS One·Robina MatyalKamal R Khabbaz
Sep 18, 2021·Journal of the American Heart Association·Samian SulaimanMohamad Alkhouli
Sep 10, 2019·Heart, Lung & Circulation·Clare ArnottGemma A Figtree
Sep 19, 2019·Heart, Lung & Circulation·Anna J ScovelleAdrienne O'Neil
Dec 16, 2021·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·F ArslanUNKNOWN Coronary Artery Aneurysm Registry (CAAR) investigators