Key result
Female patients with acute coronary syndrome were significantly less likely to undergo in-hospital coronary angioplasty compared to male patients (35% vs 40% in ACS I, p=0.005; 61% vs 67% in ACS II, p=0.001).
Why the study?
Data were limited regarding sex differences in management disparities and post-intervention outcomes among patients diagnosed with ACS.
Does female sex affect the management and in-hospital outcomes in patients diagnosed with non-ST-segment elevation acute coronary syndrome?
Observational (n=1,000)
No
Does female sex affect the management and in-hospital outcomes in patients diagnosed with non-ST-segment elevation acute coronary syndrome?
Answers are grounded in this paper and cite their sources.
Women with NSTE-ACS are less likely to receive invasive management strategies like coronary angiography and angioplasty, leading to poorer in-hospital outcomes compared to men.
The limited knowledge is present about the outcomes associated with the patients diagnosed with acute coronary syndrome (ACS). The insufficient data about the sex difference in the post-interventions outcomes and disparities in management is available. Objectives: To determine the sex-related differences in the patient diagnosed with ACS. This study also aimed to determine how these differences have perished in a time span of one year. Methods: It was a retrospective study with the statistical approaches. The data of the 1000 patients visited the cardiology department of our institute was collected from the Wazirabad Institute of Cardiology, Wazirabad. The patients diagnosed with the non-ST-segment elevation acute coronary syndrome were selected. The ethical and review board committee of the hospital approved the study. The patients were further grouped to ACS I and ACS II. Results: The study indicated that the older women had the higher cases with reported history of heart failure and hypertension. The association between coronary angiography in-hospital use and female gender was very weak. It suggests that physicians underestimate the risk associated with the patients that leads to less use of invasive strategies for treatment. Conclusions: The poor in-hospital outcomes are associated with the female gender. Women are less likely to undergo coronary artery angioplasty and other cardiac procedures as compared to the male patients
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Nazim et al. (2022) conducted an observational in Non-ST-segment elevation acute coronary syndrome (n=1,000). Female sex vs. Male sex was evaluated on In-hospital coronary angioplasty (ACS I group) (p=0.005). Female patients with acute coronary syndrome were significantly less likely to undergo in-hospital coronary angioplasty compared to male patients (35% vs 40% in ACS I, p=0.005; 61% vs 67% in ACS II, p=0.001).
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