Trends in success rate after percutaneous transluminal coronary angioplasty in men and women with coronary artery disease

Hussain, K.M.A.; Estrada, A.Q.; Kogan, A.; Dadkhah, Shahriar; Foschi, Alberto

doi:10.1016/s0002-8703(97)70056-5

Cited by 12 publications

(4 citation statements)

References 63 publications

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“…However, an echocardiogram was obtained in a greater propor-tion of women younger than 75 years, which may suggest that women are more physically limited for exercise testing and efforts were being made to obtain clinical information by other diagnostic procedures. Since women with AMI are more severely ill than men, similarities in the rate of diagnostic and therapeutic invasive procedures between sexes could be interpreted as undertreatment for women who have proved to benefit from more intensive therapeutic (eg, PTCA 21 ) and diagnostic effort; however, this issue was beyond the scope of the present study. Other routine treatments such as antiplatelet drugs, heparin, and ␤-blockers were similarly provided to a subsample of men and women during the acute phase of myocardial infarction.…”

Section: Commentmentioning

confidence: 93%

Mortality Differences Between Men and Women Following First Myocardial Infarction

Marrugat¹

1998

JAMA

205

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Context.-Mortality after acute myocardial infarction is worse in women than in men, even after adjustment for comorbidity and age dissimilarities between sexes. Objective.-To assess the influence of sex on survival after acute myocardial infarction. Design.-Inception cohort obtained in a prospective registry of patients with acute myocardial infarction from 1992 through 1994. Setting.-Four teaching hospitals in northeastern Spain. Patients.-All consecutive patients aged 80 years or younger with first acute myocardial infarction. A total of 331 women and 1129 men were included. Main Outcome Measure.-Survival at 28 days and mortality or readmission at 6 months. Results.-Women were older (mean, 68.6 vs 60.1 years), presented more often with diabetes (52.9% vs 23.3%), hypertension (63.9% vs 42.3%), or previous angina (44.6% vs 37.4%), and developed more severe myocardial infarctions than men (acute pulmonary edema or cardiogenic shock occurred in 24.8% of women and 10.5% of men) (all PϽ.02). Men were more likely than women to receive thrombolytic therapy (41.3% vs 23.9%; PϽ.001), but rates of percutaneous transluminal angioplasty and coronary artery bypass graft surgery at 28 days were similar among men and women. The 28-day mortality rate was significantly higher among women (18.5% for women, 8.3% for men; PϽ.001). Revascularization procedures at 6 months were performed in a similar proportion of women and men. However, women had higher 6-month mortality rates (25.8% in women, 10.8% in men; PϽ.001) and readmission rates (23.3% for women, 12.2% for men; PϽ.001). After adjustment, women had greater risk of death than men at 28 days (odds ratio [OR], 1.72; 95% confidence interval [CI], 1.12-2.65) and at 6 months (OR, 1.73; 95% CI, 1.18-2.52). Conclusions.-In this study population, women experienced more lethal and severe first acute myocardial infarction than men, regardless of comorbidity, age, or previous angina.

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Section: Commentmentioning

confidence: 93%

Mortality Differences Between Men and Women Following First Myocardial Infarction

Marrugat¹

1998

JAMA

205

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“…[5][6][7][8] A parallel bias occurs in the treatment of cardiovascular disease. [9][10][11][12][13][14][15][16][17] However, physicians are more likely to prescribe activity restrictions for women with acute illnesses. 18 In mental health care, women are more likely than men to receive the diagnosis of depression and anxiety for the same symptoms.…”

mentioning

confidence: 99%

Child Sex Differences in Primary Care Clinicians' Mental Health Care of Children and Adolescents

Gardner¹,

Pajer²,

Kelleher³

et al. 2002

Arch Pediatr Adolesc Med

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“…The ratio of men to women decreased from 81:100 at age 65, to 63:100 at age 75, to 43:100 at age 85 14 . In a recent report, octogenarian women more frequently underwent ( p <0.001) PTCA than their male counterparts 15 . Patients with acute coronary syndrome (unstable angina and MI) constituted 54% of our study group, with one patient presenting in cardiogenic shock.…”

Section: Discussionmentioning

confidence: 88%

Results of Stent Supported Percutaneous Transluminal Coronary Angioplasty in Octogenarians With Coronary Artery Disease

Hussain

Sankari

Jain

et al. 2000

American J Geri Cardiology

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Between January 1995 and July 1998, percutaneous transluminal coronary angioplasty was performed on 27 lesions in 24 octogenarians. Half of the patients were African American. Women comprised 67% of the study group. Patients with unstable angina and myocardial infarction constituted 54% of the cohort. Two-thirds of the patients (83%) had single vessel disease with predominant class A and B lesion complexity of the angioplasty site. Acute success rate was 92%. Stents were successfully placed in 11 subjects (46%). None had acute myocardial infarction, emergency coronary artery bypass surgery, or stroke as a complication of the procedure. One patient presenting with acute myocardial infarction complicated by cardiogenic shock, died. Significant bleeding complications requiring blood transfusions occurred in 17% of patients. Of the patients, 23 (96%) were discharged in a clinically stable condition. Follow up during a two year period was completed in 21 patients (88%). One patient died of cancer. Four subjects (19%) underwent repeat percutaneous transluminal coronary angioplasty. One other patient had recurrent chest pain requiring multiple hospitalizations. The remaining 16 patients (76%) remained free of recurrence of angina. We concluded that percutaneous transluminal coronary angioplasty with stent placement can be performed in octogenarians with a high rate of clinical and angiographic success with an acceptable range of morbidity and mortality, and favorable long term (two year) outcome. (c) 2000 by CVRR, Inc.

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Trends in success rate after percutaneous transluminal coronary angioplasty in men and women with coronary artery disease

Cited by 12 publications

References 63 publications

Mortality Differences Between Men and Women Following First Myocardial Infarction

Mortality Differences Between Men and Women Following First Myocardial Infarction

Child Sex Differences in Primary Care Clinicians' Mental Health Care of Children and Adolescents

Results of Stent Supported Percutaneous Transluminal Coronary Angioplasty in Octogenarians With Coronary Artery Disease

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