Sex Differences in Management and Outcome After Acute Myocardial Infarction in the 1990s
- 14 November 2000
- journal article
- other
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation
- Vol. 102 (20), 2484-2490
- https://doi.org/10.1161/01.cir.102.20.2484
Abstract
Background—Previous studies have suggested that women with acute myocardial infarction (AMI) are less aggressively managed than are men. The aim of this study was to assess sex differences in medical and invasive coronary procedures (angiography, PTCA, and CABG) in AMI patients admitted to cardiac care units (CCUs) in Israel in the mid 1990s and their association with early and 1-year prognosis. Methods and Results—We studied 2867 consecutive AMI patients (2125 men, 74%) hospitalized in all 25 CCUs in Israel from 3 prospective nationwide surveys conducted in 1992, 1994, and 1996. Women were, on average, older than men (69 versus 61 years, PConclusions—This prospective nationwide observational community-based study of consecutive AMI patients hospitalized in the CCUs in the mid 1990s indicates that women fare significantly worse than do men at 30 days but not thereafter at 1-year. The difference in 30-day outcome was not influenced by the use of different therapeutic modalities, including thrombolysis and invasive coronary procedures, but was rather due to the older age and greater comorbidity of women; these findings seem also to explain the less frequent use of invasive procedures in women.This publication has 27 references indexed in Scilit:
- Thrombomodulin expression on atrial endocardium in patients with atrial fibrillationJournal of the American College of Cardiology, 1998
- Smoking and prognosis after acute myocardial infarction in the thrombolytic era (Israeli thrombolytic national survey)Journal of the American College of Cardiology, 1996
- Influence of gender on short- and long-term mortality after acute myocardial infarctionThe American Journal of Cardiology, 1996
- Myocardial infarction patients in the 1990s—their risk factors, stratification and survival in Canada: The Canadian assessment of myocardial infarction (CAMI) studyJournal of the American College of Cardiology, 1996
- Gender differences and factors associated with the receipt of thrombolytic therapy in patients with acute myocardial infarction: A community-wide perspectiveAmerican Heart Journal, 1996
- Gender-related differences in reperfusion treatment allocation and outcome for acute myocardial infarctionThe American Journal of Cardiology, 1995
- Referral for coronary artery revascularization procedures after diagnostic coronary angiography: Evidence for gender bias?Journal of the American College of Cardiology, 1995
- Relation of gender to the use of cardiac procedures in acute myocardial infarctionThe American Journal of Cardiology, 1994
- Differences in the Use of Procedures between Women and Men Hospitalized for Coronary Heart DiseaseThe New England Journal of Medicine, 1991
- Effects of gender and race on prognosis after myocardial infarction: Adverse prognosis for women, particularly black womenJournal of the American College of Cardiology, 1987