Author + information
- Claire E. Raphael,
- Daniel Spoon,
- Ryan Lennon,
- Daniel Crusan,
- Mandeep Singh,
- Amir Lerman,
- Charanjit Rihal,
- Bernard Gersh and
- Rajiv Gulati
Women have higher rates of crude all-cause mortality after PCI. Whether there are gender differences in cause-specific mortality remains unclear.
We assessed trends in cause-specific 5-year mortality after index PCI performed at a single center between 1991 and 2012. Cause of death was determined via scheduled prospective surveillance using telephone interviews, medical records, autopsy and death certificates. Unadjusted mortality and mortality adjusted for age and comorbidities were assessed at 5- years post PCI.
6847 women and 16,280 men underwent index PCI between 1991 and 2012. Women were older (69.4±12 vs 64.8±11.7, p<0.001), had higher rates of diabetes (29% vs 22%, p<0.001) and hypertension (76% vs 64%, p<0.001) and a higher Charlson index (2.1±2.1 vs 1.9±2.1, p<0.001). Unadjusted cardiac and non cardiac mortality rates were greater in women compared to men for all time periods (Figure1, left panel). Following adjustment for age and comorbidities, cardiac mortality was higher in males compared to females, while females had higher rates of non-cardiac mortality (Figure 1, right panel). Cause of death in both males and females has shifted from predominantly cardiac to predominantly non-cardiac causes between 1991 and 2012.
After adjustment for baseline risk, cardiac mortality is lower in women compared with men after PCI in the contemporary era However, non-cardiac mortality has increased over time and now is the predominant cause of death in both genders.
Poster Area, South Hall A1
Sunday, April 03, 2016, 3:45 p.m.-4:30 p.m.
Session Title: ACC.i2 Interventional Cardiology: Angiography and Interventional CT/MR
Abstract Category: 2. ACC.i2 Interventional Cardiology: Angiography and Interventional CT/MR
Presentation Number: 1224-164
- 2016 American College of Cardiology Foundation