Trends in Cardiovascular Risk Factors in the United States Women With Acute Coronary Syndrome: An Insight From the National Inpatient Sample, 1998–2013

Choksi, Tatvam; Ali, Waleed; Zhang, Hui

doi:10.1016/s0735-1097(20)32603-6

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…15 A higher prevalence of traditional risk factors was also observed in women compared with men, including hypertension, 58.5% vs. 37.8% (p = 0.002), and diabetes 35.4% vs. 17.4% (p = 0.001). This is consistent with earlier studies that showed significantly higher incidences of hypertension and diabetes among women who presented with ACS, 16 which could have contributed to their higher mortality. 17 No significant difference was found between men and women in BMI, dyslipidemia, and chronic kidney disease, with p-values of 0.517, 0.639, and > 0.999, respectively.…”

Section: Discussionsupporting

confidence: 93%

Impact of Gender on the Clinical Features, Angiographic Findings, and Outcomes of Young Patients Presented With Acute Coronary Syndrome

et al. 2022

View full text Add to dashboard Cite

Objectives: Acute coronary syndrome (ACS) at a younger age is now becoming a crucial problem. This study determined the effect of gender on the clinical findings and outcomes of young patients (≤ 45 years) with ACS. Methodology: In this descriptive cross sectional study, young patients (≤45 years) who presented with ACS and underwent coronary angiography were recruited. The comparison of clinical profile, angiographic findings, in-hospital, and 90-days mortality between genders were made. Results: A total of 335 young patients with ACS were included, 80.6% of whom were men. A significant difference was found between men and women in terms of mean age: 38±6 vs. 40±5 (p=0.014), hypertension: 37.8% vs. 58.5% (p=0.002), diabetes: 17.4% vs. 35.4% (p=0.001), smoking: 50.4% vs. 6.2% (p≤0.001), use of smokeless tobacco: 14.1% vs. 4.6% (p=0.037), median time from symptom onset to first medical contact: 270 [420–165] minutes vs. 346 [499.5–240] minutes (p=0.047), ST-segment elevation myocardial infarction (STEMI) 89.6% vs. 78.5% (p=0.015), non-ST-elevation myocardial infarction (NSTEMI) 8.5% vs. 18.5% (p=0.019), and three-vessel disease (3VD) 10.7% vs. 21.5% (p=0.019), respectively. In-hospital and 90-day mortality rates were 0.4% vs. 3.1% (p=0.097) and 1.5% vs. 4.6% (p=0.136) for men and women, respectively. Conclusion: Women tended to have a higher age at presentation, more frequent traditional risk factors, late presentation after symptom onset, frequent NSTEMI, and 3VD, whereas men were distinct with frequent STEMI and higher tobacco use. In addition, women trended to have a higher in-hospital as well as short-term mortality than men did.

show abstract

Section: Discussionsupporting

confidence: 93%