Author + information
- Ayman A. El-Menyar,
- Emad Ahmed,
- Hajar AlBinAli,
- Hassan Al-Thani,
- Rajvir Singh,
- Abdulrazzak Gehani and
- Jassim Al Suwaidi
Coronary artery disease (CAD) is the leading cause of mortality worldwide. The present study evaluated the impact of gender in patients hospitalized with acute coronary syndromes (ACS) across a 20-year period in Qatar.
Data were collected for all patients presenting with ACS who were admitted during the period (1991–2010) and were analyzed according to gender.
Among 16,736 patients who were admitted with ACS, 14262 (85%) were men and 2474 (15%) were women. Women were more likely to have more cardiovascular risk factors when compared to men. On admission, women presented mainly with non-ST-elevation ACS and were more likely to be undertreated with β-blockers (BB), antiplatelet agents and reperfusion therapy in comparison to men. However, from 1999 through 2010, the use of Aspirin, ACE inhibitors and BB increased from 66% to 79%, 27% to 41% and 17% to 49%, respectively, in Women. In that period, relative risk reduction in mortality was 64% in women and 51% in men. Across the 20-year period, the mortality rate decreased among Middle Eastern Arab women from 27% to 7%. Female gender was independent predictor of mortality (odd ratio 1.51, 95%CI 1.27–1.79).
Although, women presenting with ACS are high-risk group, women had greater improvement in hospital outcome when compared to men through guidelines adherence and improvement in the hospital care.
Poster Sessions, Expo North
Saturday, March 09, 2013, 3:45 p.m.-4:30 p.m.
Session Title: Gender, Dissection, Outcomes from ACS
Abstract Category: 1. Acute Coronary Syndromes: Clinical
Presentation Number: 1170-196
- 2013 American College of Cardiology Foundation