Acute myocardial infarction: Sex-related differences in prognosis

Puletti, M; Sunseri, Lorenzo; Curione, Mario; Erba, Stefano; Borgia, C

doi:10.1016/0002-8703(84)90545-3

Cited by 122 publications

(43 citation statements)

References 21 publications

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“…Previous studies have documented gender differences between men and women in procedure use and mortality among patients hospitalized with myocardial infarction, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] but few studies have assessed whether there are differences in processes and outcomes that require patient perceptions to measure. We found that women had worse health status outcomes than men, as indicated by worse physical and mental health, a greater likelihood of spending time in bed due to ill health, and a lower likelihood of returning to work 3 months after discharge; however, we found no differences in the quality of interpersonal communication or health behavior counseling for men and women.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Women hospitalized with myocardial infarctions are less likely to be treated with thrombolytics or revascularization. [1][2][3][4][5][6] Women also have a higher mortality rate following myocardial infarction, which may be partially explained by higher ages and increased comorbidity.…”

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confidence: 99%

“…[1][2][3][4][5][6] Women also have a higher mortality rate following myocardial infarction, which may be partially explained by higher ages and increased comorbidity. [4][5][6][7][8][9][10][11][12][13][14][15] Despite this extensive literature comparing procedures and mortality in men and women with myocardial infarction, there is little information about patients' perceptions of processes and outcomes. For example, little is known about processes of care that require patient reports to measure, such as the quality of communication during the hospitalization or at the time of discharge, or health education discussions with providers.…”

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confidence: 99%

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Differences in patient-reported processes and outcomes between men and women with myocardial infarction

et al. 2000

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OBJECTIVE:Previous research measuring differences in the care between men and women with myocardial infarction has focused on differences in procedure use and mortality. However, little is known about differences in processes and outcomes that are reported by patients, such as interpersonal processes of care and health status. Our goal was to measure differences in patient-reported measures for men and women who recently were hospitalized with myocardial infarction. PARTICIPANTS AND SETTING:We surveyed by mail patients with myocardial infarction discharged to home from one of 27 Cleveland area hospitals 3 months following discharge; 502 (64%) of 783 patients responded. The mean age of subjects was 65 years and 40% were women. D ifferences in treatment and survival have been consistently demonstrated for men and women with myocardial infarction. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Women hospitalized with myocardial infarctions are less likely to be treated with thrombolytics or revascularization. 1-6 Women also have a higher mortality rate following myocardial infarction, which may be partially explained by higher ages and increased comorbidity. [4][5][6][7][8][9][10][11][12][13][14][15] Despite this extensive literature comparing procedures and mortality in men and women with myocardial infarction, there is little information about patients' perceptions of processes and outcomes. For example, little is known about processes of care that require patient reports to measure, such as the quality of communication during the hospitalization or at the time of discharge, or health education discussions with providers. In terms of outcomes, gender differences have seldom been examined in outcomes important to the quality of life of patients such as health status or employment status. MEASUREMENTS:Our goal was to measure differences in the processes and outcomes of care for men and women hospitalized for myocardial infarction, focusing on processes and outcomes that require patient reports. We surveyed patients in a community-based cohort 3 months after their myocardial infarction. We focused on 3 domains of process of care: quality of communication during the hospitalization, quality of communication at the time of discharge, and health education discussions. In addition, we measured several health care outcomes: physical and psychological health, bed days because of ill health, and employment status.

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Differences in patient-reported processes and outcomes between men and women with myocardial infarction

et al. 2000

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“…It has higher mortality and morbidity compared to men, because of higher prevalence of comorbidities, baseline CAD risk factors and older age at the time of presentation (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12) . The incidence of acute myocardial infarction (AMI) in women, although lower than men, increases dramatically after the menopause (13) .…”

Section: Introductionmentioning

confidence: 99%

Does Treatment Change with Gender in Acute Coronary Syndrome?

Daraghmeh¹,

Shah²,

Degheim³

et al. 2015

jcvd

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333Abstract Coronary artery disease (CAD) is the leading cause of death in women, with higher mortality and morbidity compared to men. We sought to evaluate whether an inequality in the primary medical treatment of acute myocardial infarction (AMI) exists in a sample population in a tertiary care hospital setting. There were no statistically significant differences in use of beta receptor blockers, aspirin, cholesterol lowering agent or cclopidogrel in both genders. However, women were slightly more likely to receive angiotensin converting enzyme inhibitor. There is an extensive literature suggesting gender bias in the management of patients with AMI, with women being treated less intensively than men. Our research highlights the fact that there were no statistically significant differences in the AMI medical management. Clinical management of men and women with AMI is similar and should follow the standard of care recommended by the related guidelines.

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“…The nonadjusted and adjusted odds ratio (OR) for the distinct covariables were 3.28 , respectively. Numerous studies have consistently shown that mortality in acute myocardial infarction (AMI) is higher in women than in men [1][2][3][4][5][6][7][8][9] . There is evidence that some factors related to the female gender, such as advanced age at the time of hospital admission, a higher frequency of heart failure, a larger interval between symptom onset and hospital admission, and lesser access to medical care partially explain the higher mortality in women with AMI.…”

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Difference in the in-hospital mortality of unstable angina pectoris between men and women

Passos¹,

Lopes²,

Costa³

et al. 1999

Arq. Bras. Cardiol.

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Purpose -To assess differences in the in-hospital mortality (HM) rate between men and women with unstable angina pectoris (UA) according to age, depression of the ST segment, history of previous acute myocardial infarction (AMI), and risk factors for coronary heart disease. =1.02-9.27. In logistic regression models, the association between sex and death was not significantly altered when the following parameters were considered: age, depression of the ST segment, history of previous AMI and risk factors for coronary heart disease. The nonadjusted and adjusted odds ratio (OR) for the distinct covariables were 3.28 , respectively. Numerous studies have consistently shown that mortality in acute myocardial infarction (AMI) is higher in women than in men [1][2][3][4][5][6][7][8][9] . There is evidence that some factors related to the female gender, such as advanced age at the time of hospital admission, a higher frequency of heart failure, a larger interval between symptom onset and hospital admission, and lesser access to medical care partially explain the higher mortality in women with AMI. In regard to unstable angina pectoris (UA), there are few studies comparing the prognosis between men and women, which is particularly amazing considering the large number of hospital admissions due to UA at cardiology services 10 . In addition, the risk of death during hospital admission for this group of patients can reach 5% to 10% 11 . These points motivated the present study, whose main purpose was to assess the possible association between sex and in-hospital mortality (HM) due to UA in a cardiology service in the city of Salvador in the Brazilian state of Bahia. Methods Conclusion MethodsAll patients in this study (n=261) were admitted to the Cardiology and Cardiovascular Surgery Unit of the Fundação Bahiana de Cardiologia (FBC), at the Hospital Universitário Prof. Edgar Santos, of the Federal University of Bahia. This hospital has a 24-hour emergency unit and is a referral service for the entire state of Bahia. Patients were prospectively and consecutively selected at the time of hospital admission to the Coronary Unit, from October 96 to March 98. Patients with one of the following characteristics were excluded from the study: those with elevated levels of CKMB in the first 12 hours after admission (these patients were considered to have evolving AMI); those patients remaining in the hospital for less than 48 hours free from events because the period of observation was considered too short; and those with diagnosis on hospital discharge different from UA because they did not have angiographic documentation of coronary heart disease (CHD) or objective evidence of spontaneous or provoked ischemia.Data collected were from the hospital phase of the UA, 674Passos et al In-hospital mortality of unstable angina in men and women Arq Bras Cardiol volume 72, (nº 6), 1999which is defined as precordial pain compatible with myocardial ischemia at rest (with or without electrocardiographic alteration) or progressive angina (i. e.,...

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Acute myocardial infarction: Sex-related differences in prognosis

Cited by 122 publications

References 21 publications

Differences in patient-reported processes and outcomes between men and women with myocardial infarction

Differences in patient-reported processes and outcomes between men and women with myocardial infarction

Does Treatment Change with Gender in Acute Coronary Syndrome?

Difference in the in-hospital mortality of unstable angina pectoris between men and women

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