Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes
To access publisher's full text version of this article click on the hyperlink below BACKGROUND: The objective was to investigate whether gender disparities are found in referrals of patients with acute coronary syndromes to percutaneous coronary interventions (PCIs) or coronary artery bypass g...
Published in: | American Heart Journal |
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Online Access: | http://hdl.handle.net/2336/620326 https://doi.org/10.1016/j.ahj.2017.06.014 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620326 2023-05-15T16:51:49+02:00 Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes Gudnadottir, Gudny Stella Andersen, Karl Thrainsdottir, Inga Sigurros James, Stefan Karl Lagerqvist, Bo Gudnason, Thorarinn 1 Landspitali University Hospital, Reykjavik, Iceland; Dep. of Cardiology and Cardiovascular Research Center, University of Iceland, Reykjavik, Iceland; Sahlgrenska University Hospital, Department of Geriatrics, Gothenburg, Sweden. Electronic address: gudnystella@gmail.com. 2 Landspitali University Hospital, Reykjavik, Iceland; Dep. of Cardiology and Cardiovascular Research Center, University of Iceland, Reykjavik, Iceland. 3 Uppsala Clinical Research Center (UCR) and Department of Medical Sciences, Uppsala University, Uppsala, Sweden. 2017 http://hdl.handle.net/2336/620326 https://doi.org/10.1016/j.ahj.2017.06.014 en eng Mosby-Elsevier http://linkinghub.elsevier.com/retrieve/pii/S0002870317301965 Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes 2017, 191:65 American Heart Journal 00028703 doi:10.1016/j.ahj.2017.06.014 http://hdl.handle.net/2336/620326 American Heart Journal Archived with thanks to American Heart Journal National Consortium - Landsaðgangur Kransæðasjúkdómar Röntgenrannsóknir CAR12 Acute Coronary Syndrome Coronary Angiography Sex Distribution Article 2017 ftlandspitaliuni https://doi.org/10.1016/j.ahj.2017.06.014 2022-05-29T08:22:16Z To access publisher's full text version of this article click on the hyperlink below BACKGROUND: The objective was to investigate whether gender disparities are found in referrals of patients with acute coronary syndromes to percutaneous coronary interventions (PCIs) or coronary artery bypass grafting (CABG) and, furthermore, to study gender differences in complications and mortality. METHODS: All consecutive coronary angiographies (CAs) and PCIs performed in Sweden and Iceland are prospectively registered in the Swedish Coronary Angiography and Angioplasty Registry. For the present analysis, data of patients with acute coronary syndromes, enrolled in 2007-2011, were used to analyze gender differences in revascularization, in-hospital complications, and 30-day mortality. RESULTS: A total of 106,881 CAs were performed during the study period. In patients with significant coronary artery disease, the adjusted odds ratio (OR) for women to undergo PCI compared with men was 0.95 (95% CI 0.92-0.99) and 0.81 (0.76-0.87) for referrals to CABG. In patients with 1-vessel disease, women were less likely to undergo PCI than men, but women with 2- or 3-vessel or left main stem disease were more likely to undergo PCI. All in-hospital complications after CA followed by PCI were more frequent among women (adjusted OR 1.58 [1.47-1.70]). There was no gender difference in adjusted 30-day mortality after PCI (1.02 [0.92-1.12]) and after CABG (0.97 [0.72-1.31]). CONCLUSIONS: After CA showing 1-vessel disease, women as compared with men were less likely to undergo PCI. In the group with 2- or 3-vessel disease or left main stem stenosis, women were more likely to undergo PCI but less likely to undergo CABG. However, there was no gender difference in 30-day mortality. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive American Heart Journal 191 65 74 |
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Hirsla - Landspítali University Hospital research archive |
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English |
topic |
Kransæðasjúkdómar Röntgenrannsóknir CAR12 Acute Coronary Syndrome Coronary Angiography Sex Distribution |
spellingShingle |
Kransæðasjúkdómar Röntgenrannsóknir CAR12 Acute Coronary Syndrome Coronary Angiography Sex Distribution Gudnadottir, Gudny Stella Andersen, Karl Thrainsdottir, Inga Sigurros James, Stefan Karl Lagerqvist, Bo Gudnason, Thorarinn Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
topic_facet |
Kransæðasjúkdómar Röntgenrannsóknir CAR12 Acute Coronary Syndrome Coronary Angiography Sex Distribution |
description |
To access publisher's full text version of this article click on the hyperlink below BACKGROUND: The objective was to investigate whether gender disparities are found in referrals of patients with acute coronary syndromes to percutaneous coronary interventions (PCIs) or coronary artery bypass grafting (CABG) and, furthermore, to study gender differences in complications and mortality. METHODS: All consecutive coronary angiographies (CAs) and PCIs performed in Sweden and Iceland are prospectively registered in the Swedish Coronary Angiography and Angioplasty Registry. For the present analysis, data of patients with acute coronary syndromes, enrolled in 2007-2011, were used to analyze gender differences in revascularization, in-hospital complications, and 30-day mortality. RESULTS: A total of 106,881 CAs were performed during the study period. In patients with significant coronary artery disease, the adjusted odds ratio (OR) for women to undergo PCI compared with men was 0.95 (95% CI 0.92-0.99) and 0.81 (0.76-0.87) for referrals to CABG. In patients with 1-vessel disease, women were less likely to undergo PCI than men, but women with 2- or 3-vessel or left main stem disease were more likely to undergo PCI. All in-hospital complications after CA followed by PCI were more frequent among women (adjusted OR 1.58 [1.47-1.70]). There was no gender difference in adjusted 30-day mortality after PCI (1.02 [0.92-1.12]) and after CABG (0.97 [0.72-1.31]). CONCLUSIONS: After CA showing 1-vessel disease, women as compared with men were less likely to undergo PCI. In the group with 2- or 3-vessel disease or left main stem stenosis, women were more likely to undergo PCI but less likely to undergo CABG. However, there was no gender difference in 30-day mortality. |
author2 |
1 Landspitali University Hospital, Reykjavik, Iceland; Dep. of Cardiology and Cardiovascular Research Center, University of Iceland, Reykjavik, Iceland; Sahlgrenska University Hospital, Department of Geriatrics, Gothenburg, Sweden. Electronic address: gudnystella@gmail.com. 2 Landspitali University Hospital, Reykjavik, Iceland; Dep. of Cardiology and Cardiovascular Research Center, University of Iceland, Reykjavik, Iceland. 3 Uppsala Clinical Research Center (UCR) and Department of Medical Sciences, Uppsala University, Uppsala, Sweden. |
format |
Article in Journal/Newspaper |
author |
Gudnadottir, Gudny Stella Andersen, Karl Thrainsdottir, Inga Sigurros James, Stefan Karl Lagerqvist, Bo Gudnason, Thorarinn |
author_facet |
Gudnadottir, Gudny Stella Andersen, Karl Thrainsdottir, Inga Sigurros James, Stefan Karl Lagerqvist, Bo Gudnason, Thorarinn |
author_sort |
Gudnadottir, Gudny Stella |
title |
Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
title_short |
Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
title_full |
Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
title_fullStr |
Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
title_full_unstemmed |
Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
title_sort |
gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes |
publisher |
Mosby-Elsevier |
publishDate |
2017 |
url |
http://hdl.handle.net/2336/620326 https://doi.org/10.1016/j.ahj.2017.06.014 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://linkinghub.elsevier.com/retrieve/pii/S0002870317301965 Gender differences in coronary angiography, subsequent interventions, and outcomes among patients with acute coronary syndromes 2017, 191:65 American Heart Journal 00028703 doi:10.1016/j.ahj.2017.06.014 http://hdl.handle.net/2336/620326 American Heart Journal |
op_rights |
Archived with thanks to American Heart Journal National Consortium - Landsaðgangur |
op_doi |
https://doi.org/10.1016/j.ahj.2017.06.014 |
container_title |
American Heart Journal |
container_volume |
191 |
container_start_page |
65 |
op_container_end_page |
74 |
_version_ |
1766041934427586560 |