Racial, Ethnic, and Sex Disparities in Patients With STEMI and Cardiogenic Shock

Ya’qoub, Lina; Lemor, Alejandro; Dabbagh, Mohammed; O’Neill, William W.; Khandelwal, Akshay; Martinez, Sara C.; Ibrahim, Nasrien E.; Grines, Cindy L.; Voeltz, Michelle; Basir, Mir B.

doi:10.1016/j.jcin.2021.01.003

Cited by 82 publications

(83 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…30 Studies have shown that women tend to have a higher risk of bleeding and stroke following percutaneous cardiac procedures, including transcatheter aortic valve replacement and percutaneous coronary interventions. [31][32][33][34][35][36] Not only do women tend to have an increased risk for peri-procedural stroke, but also tend to have worse recovery after stroke compared with men. 30,32 Consistent with other studies, this analysis showed that women had higher rates of periprocedural stroke.…”

Section: Discussionmentioning

confidence: 99%

Sex differences in outcomes of transcatheter edge‐to‐edge repair with MitraClip: A meta‐analysis

Ya’qoub

Gad

Faza³

et al. 2022

Cathet Cardio Intervent

View full text Add to dashboard Cite

Background: Transcatheter edge-to-edge repair (TEER) with MitraClip improves outcomes among select patients with moderate-to-severe and severe mitral regurgitation; however, data regarding sex-specific differences in the outcomes among patients undergoing TEER are limited.Methods: An electronic search of the PubMed, Embase, Central, and Web of Science databases for studies comparing sex differences in outcomes among patients undergoing TEER was performed. Summary estimates were primarily conducted using a random-effects model. Results:Eleven studies with a total of 24,905 patients (45.6% women) were included. Women were older and had a lower prevalence of comorbidities, including diabetes, chronic kidney disease, and coronary artery disease. There was no difference in procedural success (odds ratio [OR]: 0.75, 95% confidence interval [CI]: 0.55-1.05) and short-term mortality (i.e., up to 30 days) between women and men

show abstract

Section: Discussionmentioning

confidence: 99%

Sex differences in outcomes of transcatheter edge‐to‐edge repair with MitraClip: A meta‐analysis

Ya’qoub

Gad

Faza³

et al. 2022

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…101 Nevertheless, several studies have suggested that women presenting with acute MI and shock were less likely to receive MCS devices. [102][103][104][105][106] Supplemental Table 3 summarizes the RCTs and observational studies describing the prevalence, management, and outcomes of women compared with men with cardiogenic shock complicating acute MI.…”

Section: Sex-specific Disparities In Treatment For Stemimentioning

confidence: 99%

SCAI Expert Consensus Statement on Sex-Specific Considerations in Myocardial Revascularization

Lansky

Baron²,

Grines³

et al. 2022

Journal of the Society for Cardiovascular Angiography & Int

View full text Add to dashboard Cite

“…[ 13 – 16 ] Those with cardiogenic shock with STEMI obtain less aggressive care, including a lower likelihood of receiving mechanical circulatory support, and have a higher mortality rate. [ 17 ] These all contribute to worse outcomes for women.…”

Section: Gaps In Cardiovascular Care For Womenmentioning

confidence: 99%

Why We Need Specialised Centres for Women’s Hearts: Changing the Face of Cardiovascular Care for Women

et al. 2021

View full text Add to dashboard Cite

Although cardiovascular disease (CVD) is the leading cause of mortality in women globally, cardiovascular care for women remains suboptimal, with poorer outcomes than for men. During the past two decades, there has been an incremental increase in research and publications on CVD in women, addressing sex-specific risk factors, symptoms, pathophysiology, treatment, prevention and identification of inequities in care. Nonetheless, once women have manifested CVD, they continue to have increasingly worse outcomes than men. An approach to addressing these global disparities has been the worldwide establishment of specialised centres providing cardiovascular care for women. These women’s heart centres (WHCs) allow a comprehensive approach to the cardiovascular care of women across the lifespan. The purpose of this article is to define the need for and role of these specialised centres by outlining sex-specific gaps in CVD care, and to provide guidance on components within WHCs that may be considered when establishing such programmes.

show abstract

Racial, Ethnic, and Sex Disparities in Patients With STEMI and Cardiogenic Shock

Cited by 82 publications

References 26 publications

Sex differences in outcomes of transcatheter edge‐to‐edge repair with MitraClip: A meta‐analysis

Sex differences in outcomes of transcatheter edge‐to‐edge repair with MitraClip: A meta‐analysis

SCAI Expert Consensus Statement on Sex-Specific Considerations in Myocardial Revascularization

Why We Need Specialised Centres for Women’s Hearts: Changing the Face of Cardiovascular Care for Women

Contact Info

Product

Resources

About