Key result
Women with MI or AF receive less guideline-directed care, driving higher stroke and in-hospital mortality.
Why the study?
Women with ST-elevation myocardial infarction and atrial fibrillation receive suboptimal management and have worse outcomes than men, making closing knowledge gaps in their care a public health priority.
Are there differences in care and outcomes between men and women with myocardial infarction and atrial fibrillation?
Are there differences in care and outcomes between men and women with myocardial infarction and atrial fibrillation?
Highlights the ongoing sex disparities in the management and outcomes of acute ST-segment elevation myocardial infarction.
Myocardial Infarction and Atrial Fibrillation: Are there Differences between Men and Women?SAŽETAK: Žene s akutnim infarktom miokarda s elevacijom ST-segmenta primaju još uvijek suboptimalnu skrb i imaju lošiji ishod nakon infarkta miokarda (IM) nego muški spol.Američka udruga American Heart Association osvijestila je razlike u zbrinjavanju akutnog infarkta miokarda između muškaraca i žena te je postavila medicinsko zbrinjavanje žena s IM-om kao prioritet zdravstvene usluge.Fibrilacija atrija (FA) u žena danas se još uvijek ne liječi adekvatno oralnim antikoagulantnim lijekovima, a povezana je s češćim moždanim udarom.U liječenju FA-a u žena češće se primjenjuje kontrola frekvencije, a rjeđe kontrola ritma.Žene se rjeđe podvrgavaju invazivnim kardiovaskularnim procedurama.Prevencija moždanog udara odrednica je liječenja FA-a.SUMMARY: Today, women with ST-elevation myocardial infarction receive suboptimal management and have worse outcomes than men, with higher rates of in-hospital adverse events and higher mortality.In 2017, the American Heart Association identified "closing knowledge gaps on acute myocardial infarction and treatments for women" as a public health priority.There are sex-specific differences in the management of atrial fibrillation (AF).Women with AF receive suboptimal management and are significantly less likely to receive therapeutic anticoagulation, attempt rhythm control, or undergo invasive cardiovascular procedures.Stroke prevention still remains central to the management of AF.
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Benčić et al. (2018) conducted a review in Myocardial infarction and atrial fibrillation. Female sex vs. Male sex was evaluated. Women with myocardial infarction or atrial fibrillation receive suboptimal management, including less anticoagulation and invasive procedures, leading to higher rates of stroke and in-hospital mortality.
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