Why the study?
Data were limited regarding gender-based differences in atrial fibrillation treatment and prognosis.
Are there gender-related differences in clinical characteristics, therapeutic strategies, and long-term adverse events in patients presenting to the emergency department with an atrial fibrillation episode?
Observational
No
Are there gender-related differences in clinical characteristics, therapeutic strategies, and long-term adverse events in patients presenting to the emergency department with an atrial fibrillation episode?
Significant gender inequities exist in the management of atrial fibrillation, with women receiving less specialist evaluation and cardioversion, and experiencing higher rates of heart failure hospitalization.
Answers are grounded in this paper and cite their sources.
May signal AF management disparities in women; leaves open whether targeted strategies improve HF outcomes.
BACKGROUND: There are limited data on gender-based differences in atrial fibrillation (AF) treatment and prognosis. We aimed to examine gender-related differences in medical attention in an emergency department (ED) and follow-up (FU) among patients diagnosed with an AF episode and to determine whether there are gender-related differences in clinical characteristics, therapeutic strategies, and long-term adverse events in this population. METHODS: We performed a retrospective observational study of patients who presented to a tertiary hospital ER for AF from 2010 to 2015, with a minimum FU of one year. Data on medical attention received, mortality, and other adverse outcomes were collected and analyzed. CONCLUSIONS: In patients with AF, although there were no gender differences in mortality, there were significant differences in clinical outcomes, medical attention received, and therapeutic strategies. Women underwent fewer attempts at cardioversion, had a lower probability of being evaluated by cardiologists, and showed a higher probability of hospitalization for heart failure. Being alert to these inequities should facilitate the adoption of measures to correct them.
No takes yet. Share an insight, caveat, or question.
Quesada et al. (2023) conducted an observational in Atrial fibrillation. Female gender vs. Male gender was evaluated on Medical attention received, mortality, and other adverse outcomes (p=< 0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: