Female patients were prescribed calcium antagonists (OR 2.13) and diuretics (OR 1.52) significantly more often than male patients 6 to 18 months after hospitalization for ischaemic heart disease.
Observational (n=640)
Yes
Are there sex- and age-related differences in the secondary prevention management of patients hospitalized for ischaemic heart disease?
This study demonstrates that in everyday practice in Poland, there are no major sex-related biases in secondary prevention of ischemic heart disease, though older age is associated with poorer blood pressure control.
Odds Ratio: 2.13 (95% CI 1.34–3.39)
Absolute Event Rate: 32.5% vs 17.7%
p-value: p=<0.001
BACKGROUND: Many researchers have studied age- and sex-related differences in the management of patients with coronary artery disease. However, the results are inconsistent. AIM: To assess sex- and age-related bias in the secondary prevention in patients hospitalised due to ischaemic heart disease. METHODS: Five hospitals with departments of cardiology serving a city and surrounding districts in southern Poland participated in the study. Consecutive patients hospitalised from 1 April 2005 to 31 July 2006 due to acute coronary syndrome or for a myocardial revascularisation procedure and aged ≤ 80 years were recruited and interviewed 6-18 months after hospitalisation. RESULTS: The hospital records of 640 patients were reviewed and 513 (80.2%) patients participated in the follow-up interview. Women were older and less educated than their male counterparts. Sex was not independently associated with the control of major risk factors in the post-discharge period, whereas age was related to a higher probability of having high blood pressure and a lower chance of smoking. Multivariate analysis showed that females were prescribed calcium antagonists (odds ratio OR 2.13; 95% confidence intervals CI 1.34-3.39) and diuretics (OR 1.52; 95% CI 1.00-2.31) more often than males. Age was independently related to the prescription rate of diuretics (≥ 70 years vs. < 60 years; OR 1.61; 95% CI 1.19-2.20). The prescription rate of antiplatelets, beta-blockers, angiotensin converting enzyme-inhibitors/sartans, lipid-lowering drugs, and anticoagulants was not related to age or sex. CONCLUSIONS: We found no major sex-related difference in the frequency of achieving recommended goals in secondary prevention, whereas age was related to a lower prevalence of smoking and a higher probability of having high blood pressure in subjects after hospitalisation for coronary artery disease.
Jankowski et al. (2013) conducted an observational in Ischaemic heart disease (n=640). Female sex vs. Male sex was evaluated on Prescription of calcium antagonists at 6-18 months (OR 2.13, 95% CI 1.34-3.39, p=<0.001). Female patients were prescribed calcium antagonists (OR 2.13) and diuretics (OR 1.52) significantly more often than male patients 6 to 18 months after hospitalization for ischaemic heart disease.
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