Acute coronary syndrome in nonagenarians: gender gap?
| Autor: | G Caldentey Adrover, Pedro L. Cepas-Guillén, E. Sanz, E Martinez Gomez, M Llagostera, Manel Sabaté, Felipe Fernández-Vázquez, Julio Echarte-Morales, Pablo Vidal, Ana Viana Tejedor, Javier Borrego Rodriguez, Carlos Macaya Miguel, E Flores Umanzor |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Myocardial ischemia business.industry Barthel index medicine.medical_treatment Percutaneous coronary intervention 18.2 - Epidemiology Prognosis Outcome General Medicine Critical Care and Intensive Care Medicine medicine.disease Conservative treatment Cardiovascular death Internal medicine Cardiology Medicine Gender gap Cardiology and Cardiovascular Medicine business |
| Zdroj: | Eur Heart J Acute Cardiovasc Care |
| ISSN: | 2048-8734 2048-8726 |
| DOI: | 10.1093/ehjacc/zuab020.068 |
| Popis: | Funding Acknowledgements Type of funding sources: None. Background Ischemic heart disease in the elderly people has increased accordingly with rising hope of life. In patients with acute coronary syndrome (ACS) women have a higher mortality than men. However, it is unknown if these differences remain in nonagenarians. Purpose The aim of the study was to evaluate the therapeutic strategies and mortality at 1 year according to gender. Methods We retrospectively included in a multicenter study all consecutive patients > 90 yo admitted with non-ST segment elevation (NSTEMI) or ST segment elevation MI (STEMI) between 2005 and 2018. Strategies treatment and mortality at 1 year by gender were evaluated. Results 680 patients were included (92.6 ± 2.4 years, 59% women) (Table 1). Women presented a greater prevalence of hypertension arterial. Conservative treatment was more frequent in women (73.5% vs 66.2%, p = 0.04) (Image 1), in particular in STEMI subgroup (p = 0.01). They had less capacity functional evaluated by Barthel index (p Conclusions Women had lower functional capacity than men, which could explain that they were more likely to be treated with conservative strategy. Mortality was similar in both genders, however, in the subgroup of patients undergoing PCI, was achieved a trend of lower mortality in women. WomenMenPPatients402.0 (59,1%)278.0 (40,9%)Age92.5 ± 2,292.6 ± 2,50.82STEMI189.0 (47%)120.0 (43%)0.32Hypertension331.0 (82,6%)208.0 (74,8%)0.01CKD84.0 (20,9%)59.0 (21,2%)0.91COPD17.0 (4,2%)54.0 (19,4%) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|