The care of patients with ischaemic heart disease from a gender perspective

Swahn, Eva

doi:10.1053/euhj.1998.1205

Cited by 35 publications

(22 citation statements)

References 68 publications

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“…. Studies have indicated being female, having a low income and low schooling as poor prognostic factors for cardiovascular morbi-mortality (19) , which suggests the vulnerability of the group studied for cardiovascular events.…”

Section: Data Analysis and Ethical Aspectsmentioning

confidence: 99%

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Perin

Cornélio

Rodrigues

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the relationship between the behaviors of salt consumption and sociodemographic and clinical variables. Method: sodium consumption was evaluated using the methods: self-reporting (considering 3 different behaviors related to salt consumption), 24-hr dietary recall, discretionary salt, food frequency questionnaire, estimation of total sodium intake and 24-hr urinary excretion of sodium (n=108). Results: elevated salt intake according to the different measurements of consumption of the nutrient was associated with the variables: male sex, low level of schooling and monthly income, being Caucasian, and being professionally inactive; and with the clinical variables: elevated Body Mass Index, tensional levels, ventricular hypertrophy and the number of medications used. Conclusion: the data obtained shows a heterogenous association between the different behaviors related to salt consumption and the socio-demographic and clinical variables. This data can be used to optimize the directing of educational activities with a view to reducing salt consumption among hypertensives. (1) . Among the factors related to the development and progression of hypertension, the elevated consumption of salt has been directly associated with the increase in blood pressure levels and the occurrence of cardiovascular complications (2)(3)(4)(5)(6)(7) . Although there are international and Brazilian recommendations for the limiting of sodium consumption both for the population in general and for hypertensive individuals of 5g and 4g respectively (8)(9) , studies with different populations show a consumption of sodium which is higher than the recommended (9)(10)(11)(12)(13)(14) , with an average of up to 4600mg of sodium (11.5g of salt)/day (7) . An important study in the area, the INTERSALT

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Section: Data Analysis and Ethical Aspectsmentioning

confidence: 99%

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Perin

Cornélio

Rodrigues

et al. 2013

Rev. Latino-Am. Enfermagem

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“…CAD is often diagnosed later in women than in men when they are suffering from more severe prognosis. 18 Late diagnosis may also result from less sensitivity of standard diagnostic methods to detect CAD in women. 18 Interpretation of early signs of atherosclerosis may constitute a turning point in the management and prevention of CAD in women.…”

Section: Cad In Womenmentioning

confidence: 99%

Endothelial Function Predicts Future Development of Coronary Artery Disease

et al. 2004

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Background-The prognosis for women with chest pain and angiographically normal coronary arteries is believed to be totally benign. Previous studies, however, did not account for the delay of a decade or so in the development of coronary artery disease that women may experience. Methods and Results-This study assessed long-term follow-up of 42 women with de novo angina, evidence of reversible myocardial perfusion defects on SPECT, and normal coronary angiograms. At recruitment, all women underwent endothelial function testing (intracoronary acetylcholine) during catheterization. Patients were followed up for Ͼ10 years. Angiography was repeated at the end of the follow-up in 37 patients. At recruitment, 22 patients developed diffuse vasoconstriction during acetylcholine in the absence of identifiable focal coronary spasm (acetylcholine-positive group). The remaining 20 patients showed vasodilation (acetylcholine-negative group). At the end of follow-up, in the acetylcholine-positive group, 1 patient developed cardiac death, 13 still complained of chest pain, and 8 had remission of symptoms. In the acetylcholine-negative group, all patients showed complete resolution of chest pain beginning 6 to 36 months after baseline assessment. Angiography showed development of coronary artery disease in the 13 symptomatic patients in the acetylcholine-positive group. Conclusions-In women with angiographically normal-appearing coronary arteries, persistence of chest pain over the years often relates to development of coronary artery disease. Endothelial dysfunction in a setting of normal coronary arteries is a sign of future development of atherosclerosis.

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“…Recent examples are outcome in ischemic and nonischemic heart disease [1][2][3] and in solid neoplastic disorders such as malignant melanoma, [4][5][6] non-small-cell lung cancer treated with gefitinib and tipifarnib, [7][8][9] surgically treated colorectal cancer, 10 esophageal carcinoma, 11 renal cell carcinoma 12 and soft tissue sarcoma. 13,14 Gender differences in survival have been reported also in hematological malignancies such as Hodgkin's disease, 15 acute myeloid leukemia, 16 and childhood acute lymphoblastic leukemia.…”

Section: Introductionmentioning

confidence: 99%

Gender aspects in chronic myeloid leukemia: long-term results from randomized studies

et al. 2005

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Gender-related aspects in chronic myeloid leukemia (CML) have not been studied well. We therefore analyzed 856 patients with Ph/BCR-ABL-positive CML from the German randomized CML-studies I (interferon a (IFN) vs hydroxyurea (HU) vs busulfan) and II (IFN þ HU vs HU alone). The median observation time was 8.6 years. A total of 503 patients (59%) were male. Female patients were older (51 vs 46 years; Po0.0001), presented with lower hemoglobin (11.7 vs 12.5 g/dl; Po0.0001), higher platelet counts (459 vs 355 Â 10 9 /l; Po0.0001), smaller spleen size (3 vs 4 cm below costal margin; P ¼ 0.0097), a lower rate of additional cytogenetic aberrations (9 vs 15%; P ¼ 0.018) and a less favorable risk profile (P ¼ 0.036). The transplantation rate was 14% for female (n ¼ 48) and 22% for male patients (n ¼ 113). Median survival was longer in female patients (58 vs 49 months; P ¼ 0.035) mainly attributable to better survival in the low-and intermediate-risk groups and, independent from risk groups, in the HU group. These results were confirmed by matched-pair analyses based on German population data (n ¼ 496, 59 vs 45 months; P ¼ 0.0006). This is the first analysis of gender aspects in CML using randomized trials. It demonstrates the relevance of analyses of gender differences in CML and in malignant disease at large.

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The care of patients with ischaemic heart disease from a gender perspective

Cited by 35 publications

References 68 publications

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Endothelial Function Predicts Future Development of Coronary Artery Disease

Gender aspects in chronic myeloid leukemia: long-term results from randomized studies

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