Key result
Women participating in the MC-AMI program did not have a different incidence of major cardiovascular events compared with men over a 12-month follow-up.
Why the study?
Data were lacking on possible improvement in long-term prognosis among women after acute myocardial infarction participating in a managed care programme.
Does female gender affect the rate of major cardiovascular events in patients participating in a managed care program for acute myocardial infarction?
Cohort (n=529)
No
Does female gender affect the rate of major cardiovascular events in patients participating in a managed care program for acute myocardial infarction?
Women participating in a managed care program for acute myocardial infarction have similar 1-year cardiovascular outcomes compared to men, supporting the need for increased female enrollment in such secondary prevention programs.
Answers are grounded in this paper and cite their sources.
Suggests similar post-MI outcomes by gender in coordinated care; leaves open whether MC-AMI narrows established prognostic gaps in women.
BACKGROUND: There is increasing evidence that cardiac rehabilitation and regular follow-ups are associated with reduced mortality and morbidity. A programme of Managed Care for Patients with Acute Myocardial Infarction was developed in Poland (MC-AMI; in Polish, KOS-zawał), based on current scientific evidence. However, there is a lack of data on possible improvement in long-term prognosis among women after acute myocardial infarction. AIMS: To compare the male and female population who participated in MC-AMI, regarding major cardiovascular events, defined as a composite of death, recurrent myocardial infarction, and hospital-ization for heart failure, in a 1-year follow-up. METHODS: A prospective research study from a single cardiology care centre. The study compared 2 groups: women and men who agreed to participate in the MC-AMI programme. RESULTS: A total of 529 patients were included in the study (167 women and 362 men). In the 12-month follow-up, the difference in major cardiovascular events events was not statistically significant for women and men, respectively (11.38% women vs 11.33% men; p = 0.98). Cox multivariate regression analysis of the surveyed population showed that coronary heart disease, diabetes mellitus type II, and previous percutaneous coronary intervention were significantly correlated with the primary endpoint. CONCLUSION: Women participating in the MC-AMI programme did not have a worse prognosis regarding major cardiovascular events, compared with men in a 12-month follow-up. Given the benefits of the MC-AMI programme, the proportion of women participating in the programme should be increased.
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Katarzyna Wilkosz (2021) conducted a cohort in Acute Myocardial Infarction (AMI) (n=529). Female sex vs. Male sex was evaluated on Major cardiovascular events (MACE), defined as a composite of death, recurrent myocardial infarction, and hospitalization for heart failure (HR 0.71, 95% CI 0.49-1.03, p=0.07). Women participating in the MC-AMI program did not have a different incidence of major cardiovascular events compared with men over a 12-month follow-up.
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