Gender differences in the management and survival of patients with acute myocardial infarction.

Abstract:

:Coronary heart disease (CHD) and specifically acute myocardial infarction (AMI) are the most common causes of death among both men and women throughout the world. Although CHD mortality rates have been halved in many developed countries in recent decades, some studies have pointed out significant differences regarding time-related tendencies of mortality between the sexes. This paper briefly reviews factors related to post-AMI survival and possible reasons for inequalities in survival benefit between men and women after AMI. Presentation of AMI also exhibits differences with regard to sex, and this has some effect on patient care and on mortality from the disease. CHD morbidity and mortality rates vary with socioeconomic deprivation and social patterning in most industrialized countries. Several studies have indicated that women sustaining AMI have a higher mortality than men. Although AMI affects men in greater numbers, the short-term outcomes for women are worse. Studies suggest that, over the longer term, the mortality risk for women is lower than, or similar to, that for men. It is still a major problem that in-hospital case fatality and morbidity rates in the post-infarction period are higher for women, despite lower rates of administration of thrombolytics and catheterization. Patients admitted to the hospital with an AMI should be offered optimal treatment, irrespective of age or sex.

journal_name

Eur J Intern Med

authors

Karciogcaron;lu O,Unal Aslan B,Aslan O

doi

10.1016/s0953-6205(02)00156-5

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

474-479

issue

8

eissn

0953-6205

issn

1879-0828

pii

S0953620502001565

journal_volume

13

pub_type

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