Sex Differences in the Management of Coronary Artery Disease
| Autor: | Richard M. Steingart, Milton Packer, Peggy Hamm, Mary Ellen Coglianese, Bernard Gersh, Edward M. Geltman, Josephine Sollano, Stanley Katz, Lem Moyé, Lofty L. Basta, Sandra J. Lewis, Stephen S. Gottlieb, Victoria Bernstein, Patricia McEwan, Kirk Jacobson, Edward J. Brown, Marrick L. Kukin, Niki E. Kantrowitz, Marc A. Pfeffer |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
business.industry Psychological intervention Infarction General Medicine medicine.disease Clinical trial Coronary artery disease Angina Internal medicine medicine Cardiology Myocardial infarction complications cardiovascular diseases Myocardial infarction business Cause of death |
| Zdroj: | New England Journal of Medicine. 325:226-230 |
| ISSN: | 1533-4406 0028-4793 |
| DOI: | 10.1056/nejm199107253250402 |
| Popis: | Background. Despite the fact that coronary artery disease is the leading cause of death among women, previous studies have suggested that physicians are less likely to pursue an aggressive approach to coronary artery disease in women than in men. To define this issue further, we compared the care previously received by men and women who were enrolled in a large postinfarction intervention trial. Methods. We assessed the nature and severity of anginal symptoms and the use of antianginal and anti-ischemic interventions before enrollment in the 1842 men and 389 women with left ventricular ejection fractions ≤40 percent after an acute myocardial infarction who were randomized in the Survival and Ventricular Enlargement trial. Results. Before their index infarction, women were as likely as men to have had angina and to have been treated with antianginal drugs. However, despite reports by women of symptoms consistent with greater functional disability from angina, fewer women had undergone cardiac catheterizati... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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