Coronary artery bypass surgery in women and in men; early and long-term results. A study of the Norwegian population adjusted by age and sex

Risum, Ø.; Abdelnoor, Michel; Nitter-Hauge, S; Levorstad, K.; Jl, Svennevig

doi:10.1016/s1010-7940(96)01107-4

Cited by 36 publications

(33 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although long-term outcomes with CABG in women are similar to or even better than those in men, women have higher rates of periprocedural morbidity and mortality. [1133][1134][1135][1136][1137][1138][1139] Several hypotheses have been suggested to explain this increased morbidity and mortality, including older age at presentation, more frequent need for urgent revascularization, more comorbid conditions, smaller body surface area and coronary arterial dimensions, and increased risk of bleeding. The fact that women on average are older than men at the time of CABG is thought, at least in part, to be due to the loss of the protective effects of estrogen with menopause.…”

Section: Womenmentioning

confidence: 99%

“…1139 Some investigators have shown that smaller body surface area, a surrogate for coronary arterial size, is associated with higher risk of perioperative mortality, whereas others have not. 1140 Women use more hospital resources in the perioperative period than do men, including intra-aortic balloon counterpulsation, 1137 vasopressors, mechanical ventilation, dialysis, and blood products, 1154,1159 all of which are associated with higher mortality rates. 1146,1160,1161 Women are more likely to have wound complications and longer ICU and hospital stays.…”

Section: Womenmentioning

confidence: 99%

See 1 more Smart Citation

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

et al. 2011

View full text Add to dashboard Cite

Section: Womenmentioning

confidence: 99%

Section: Womenmentioning

confidence: 99%

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

et al. 2011

View full text Add to dashboard Cite

“…379,422,[428][429][430][431] In some studies, women had even better long-term survival than men after adjusting for risk factors. 379,420 The reasons for improved longterm, but not short-term, survival are speculative.…”

Section: Long-term Mortalitymentioning

confidence: 99%

A comprehensive view of sex-specific issues related to cardiovascular disease

Pilote¹,

Dasgupta²,

Guru³

et al. 2007

Canadian Medical Association Journal

375

256

View full text Add to dashboard Cite

A comprehensive view of sex-specific issues related to cardiovascular disease Cardiovascular disease (CVD) is the leading cause of mortality in women. In fact, CVD is responsible for a third of all deaths of women worldwide and half of all deaths of women over 50 years of age in developing countries. The prevalence of CVD risk factor precursors is increasing in children. Retrospective analyses suggest that there are some clinically relevant differences between women and men in terms of prevalence, presentation, management and outcomes of the disease, but little is known about why CVD affects women and men differently. For instance, women with diabetes have a significantly higher CVD mortality rate than men with diabetes. Similarly, women with atrial fibrillation are at greater risk of stroke than men with atrial fibrillation. Historically, women have been underrepresented in clinical trials. The lack of good trial evidence concerning sex-specific outcomes has led to assumptions about CVD treatment in women, which in turn may have resulted in inadequate diagnoses and suboptimal management, greatly affecting outcomes. This knowledge gap may also explain why cardiovascular health in women is not improving as fast as that of men. Over the last decades, mortality rates in men have steadily declined, while those in women remained stable. It is also becoming increasingly evident that gender differences in cultural, behavioural, psychosocial and socioeconomic status are responsible, to various degrees, for the observed differences between women and men. However, the interaction between sex-and gender-related factors and CVD outcomes in women remains largely unknown. CMAJ 2007;176(6):S1-44 Although cardiovascular disease (CVD) is common, significant sex-related differences in its epidemiology have only recently been appreciated. The objective of this section is to demonstrate that there are sex-specific differences in the prevalence, complications and burden of CVD in terms of mortality, hospital admissions and quality of life. Abstract Search strategyA MEDLINE search was conducted using the MeSH terms "cardiovascular disease" OR "atrial fibrillation" OR "congestive heart failure." A second search used the terms "prevalence" OR "incidence" OR "mortality" and the final search combined the results of the first 2 searches and added the terms "gender" OR "sex." Articles identified in this manner were retrieved and their reference lists searched for additional relevant articles. The search was limited to English-language publications, but no other restrictions were applied. Other data sources included Web sites of the World Health Organization, the Canadian Institute for Health Information and the National Centre for Health Statistics. Thirty-three original studies were reviewed. Studies were included if they were cohort studies, case-control studies or nested cohort studies that examined the incidence, prevalence or mortality of CVD, congestive heart failure or atrial fibrillation. The studies had to include data on both ...

show abstract

“…In Brazil, at the analysis of more than 115,000 heart surgeries carried out between 2000 and 2003, the reported mortality was 8%. The main risk factors for death during valve replacement surgeries are: advanced age 4 , female sex [5][6][7] , chronic obstructive pulmonary disease (COPD) 8,9 , New York Heart Association functional class (NYHA-FC), ventricular dysfunction, surgical priority (urgency/emergency), pulmonary arterial hypertension (PAH) 10 , renal dysfunction 11 , valvular disease associated with ischemic cardiopathy 12 , reoperation [13][14][15][16] and infectious endocarditis [17][18][19][20] .…”

Section: Introductionmentioning

confidence: 99%