Cardiovascular Care Differs for Women vs Men

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Men are more likely to be informed about their risk for cardiovascular disease than men.
Men are more likely to be informed about their risk for cardiovascular disease than men.

(HealthDay News) — New research suggests that doctors do not warn younger women when they are at risk for cardiovascular disease (CVD) as often as they warn men. 

Additionally, once younger women suffer an ST-segment elevation myocardial infarction (STEMI), they are less likely to receive revascularization and more likely to die in the hospital. 

The findings were reported in two separate studies published in the Journal of the American College of Cardiology.

In the treatment study, researchers looked at patients with STEMI and found that women were less likely to receive percutaneous coronary intervention (PCI). By 2011, the rate of this treatment had grown to 84% in men but only 77% in women. 

According to the analysis of 1.4 million STEMI cases, 4.5% of women aged younger than 60 years died in the hospital, compared with 3% of comparable men. The mortality rates for both genders actually went up from 2004 to 2011.

In the other study, researchers led by Erica Leifheit-Limson, PhD, an associate research scientist in chronic disease epidemiology at the Yale School of Public Health in New Haven, Connecticut, looked at the medical records of more than 2,300 women and 1,100 men from the United States and Spain — aged 18 to 55 years —who had experienced an acute myocardial infarction

The researchers wanted to know if physicians had previously told those with risk factors like diabetes and obesity that they face a higher risk for CVD.

The researchers found that only about half of the U.S. men and women said they had received a warning from their physicians about their risk and ways to reduce it. Moreover, women were 11% less likely than men to be told they are at risk, and 16% were less likely to report that their doctor discussed ways to reduce their risk.

References

  1. Khera S, Kolte D, Gupta T, et al. Temporal Trends and Sex Differences in Revascularization and Outcomes of ST-Segment Elevation Myocardial Infarction in Younger Adults in the United States. J Am Coll Cardiol. 2015;66(18):1961-1972.
  2. Leifheit-Limson EC, D'Onofrio G, Daneshvar M, et al. Sex Differences in Cardiac Risk Factors, Perceived Risk, and Health Care Provider Discussion of Risk and Risk Modification Among Young Patients With Acute Myocardial Infarction: The VIRGO Study. J Am Coll Cardiol. 2015;66(18):1949-1957.
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