Women experience poorer survival and clinical outcomes following bypass and heart valve surgery compared with men, and are more likely to undergo mitral valve replacement rather than repair.
Are there gender differences in clinical outcomes and survival following cardiac surgery?
Women experience poorer survival and different surgical management (e.g., more valve replacement than repair) following cardiac surgery compared to men, highlighting the need to understand underlying factors.
PURPOSE OF REVIEW: This review summarizes the differences in clinical outcomes following cardiac surgery according to gender. RECENT FINDINGS: Women comprise a large proportion of patients presenting with coronary artery or valvular heart disease. Although it is well known that women have poorer survival following bypass surgery compared with men, more recent data confirm that women also have poorer outcomes after heart valve surgery. Women are also more likely to receive mitral valve replacement instead of repair, when compared with men. These divergent outcomes are because of many factors, including valve disease and clinical presentation, which may result in delayed surgical referral in women. SUMMARY: Factors that result in poorer outcomes following heart valve surgery, including mitral valve surgery, between men and women remain incompletely understood. These may relate to differences in clinical presentation, valve morphology, and physiology. Further research is needed to clarify differences in heart valve outcomes according to gender.
Tran et al. (Mon,) conducted a review in Coronary artery or valvular heart disease requiring cardiac surgery. Cardiac surgery vs. Men vs. Women was evaluated on Clinical outcomes and survival. Women experience poorer survival and clinical outcomes following bypass and heart valve surgery compared with men, and are more likely to undergo mitral valve replacement rather than repair.
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