Key result
Women with acute coronary syndrome were significantly less likely to undergo coronary angiography within 60 days compared to men (adjusted HR 0.82; 95% CI 0.80-0.85; P<0.0001).
Why the study?
Are women with acute coronary syndrome less likely to receive coronary angiography and revascularization compared to men?
Population
25,967 patients admitted to Danish hospitals with acute coronary syndrome between 2005-2007.
Comparison
Female sex vs Male sex
Design
Cohort
Follow-up
60 days
Authors
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Potential sex disparities in ACS angiography access warrant monitoring; leaves open whether they reflect bias, appropriateness, or affect outcomes.
Cohort (n=25,967)
Yes
Are women with acute coronary syndrome less likely to receive coronary angiography and revascularization compared to men?
Hazard Ratio: 0.82 (95% CI 0.8–0.85)
Absolute Event Rate: 64% vs 78%
p-value: p=<0.0001
Women with acute coronary syndrome are significantly less likely to undergo coronary angiography and revascularization compared to men, even after adjusting for age, comorbidities, and disease severity.
Hvelplund et al. (2009) conducted a cohort in Acute coronary syndrome (n=25,967). Female sex vs. Male sex was evaluated on Coronary angiography (CAG) rate within 60 days of admission (HR 0.82, 95% CI 0.80-0.85, p=<0.0001). Women with acute coronary syndrome were significantly less likely to undergo coronary angiography within 60 days compared to men (adjusted HR 0.82; 95% CI 0.80-0.85; P<0.0001).