Sex-based inequalities in contemporary UK hospital management of stable chest pain

Autor: Matthias Schmitt, Michelle Claire Williams, Margaret Loudon, Russel Bull, Stelios Iacovides, Gareth Morgan-Hughes, Carl A Roobottom, Alice Veitch, Franchesca Wotton
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Open Heart, Vol 8, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2021-001672
Popis: Objective We surveyed UK practice of National Institute for Health and Care Excellence (NICE) “Recent onset chest pain” guidance (CG95, 2016), stratified by sex. We looked for sex-related differences in referral to computed tomographic coronary angiography (CTCA) and subsequent functional imaging (FI), invasive coronary angiography (ICA) and revascularisation.Methods This was a prospective analysis of CTCA practice in 8 UK centres between 2018 and 2020. Coronary artery disease (CAD) was recorded with the CAD-reporting and data system. Local electronic records/archiving/communication systems were used to collect data regarding subsequent FI, ICA and revascularisation.Results 2301 women, 2326 men underwent CTCA; women were older (58±11 vs 55±12 years, p
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