Use of drug-eluting versus bare-metal stents after an acute coronary syndrome in Portugal: The EURHOBOP study

Barros, Vítor; Pereira, Marta; Araújo, Carla Santos; Braga, Pedro; Azevedo, Ana

doi:10.1016/j.repce.2015.07.005

Cited by 1 publication

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“…Changes in the major cardiovascular risk factors in Portugal contributed significantly more to the CHD decrease among women than among men, mainly due to lifestyle changes, as the effect of risk factor lowering treatment was small and similar between sexes . Improvements in sex differences in discharge medications after an ACS as well as in drug‐eluting stents use might also have contributed to these results …”

Section: Introductionmentioning

confidence: 99%

Sex-related inequalities in management of patients with acute coronary syndrome-results from the EURHOBOP study

et al. 2017

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Summary Background Real‐world data from different levels of hospital specialisation would help to understand if differences in management between women and men with acute coronary syndrome (ACS) are still a priority target. We aimed to identify sex inequalities in management of patients with different types of ACS. Methods We analysed 1757 patients with a non‐ST‐elevation ACS (NSTEACS) and 1184 with ST elevation myocardial infarction (STEMI) or left bundle branch block (non‐classifiable (NC) ACS (STEMI/NC ACS group), consecutively discharged from ten Portuguese hospitals with different specialisation levels, between 2008 and 2010. We estimated odds ratios (OR) and 95% confidence intervals (95% CI) for the association between sex and the performance of coronary angiography, reperfusion and revascularisation. Results Among STEMI/NC ACS, men had higher probability of performing coronary angiography than women (adjusted OR = 1.64, 95% CI: 1.11‐2.44), while among NSTEACS patients there was no significant difference by sex (adjusted OR = 1.26, 95% CI: 0.99‐1.62). In patients who underwent coronary angiography, there was no difference in proportion of women and men submitted to revascularisation, regardless of the ACS type. Although men with STEMI/NC ACS were more likely to undergo reperfusion (crude OR = 2.17, 95% CI: 1.68‐2.81), the effect became not significant after multivariable adjustment (adjusted OR = 1.33, 95% CI: 0.96‐1.84). Conclusion Women diagnosed with STEMI/NC, but not NSTEACS, had lower probability when compared with men to be submitted to coronary angiography. There was no difference in performance of reperfusion and revascularisation by sex.

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Section: Introductionmentioning

confidence: 99%