PMID: 30025513Jul 22, 2018Paper

Differences in management and outcomes for men and women with ST-elevation myocardial infarction

The Medical Journal of Australia
Ehsan KhanClara K Chow

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

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Citations

Oct 4, 2020·American Heart Journal·Chantal F SkiDavid R Thompson
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 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
Jun 6, 2019·Future Cardiology·Robert J Henning
May 21, 2020·Internal Medicine Journal·Miriam WiersmaWendy Lipworth
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
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