ArticleAmerican heart journal2008
Gender disparity in cardiac procedures and medication use for acute myocardial infarction.
Article in American heart journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 113 citations in OpenAlex.
- The impact of patient sex on intensive care unit admission: a blinded randomized survey.Scientific reports · 2019Trial
- Managing Postangiography Radial Artery Pseudoaneurysms: Systematic Review of the Published Literature.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Review
- Uncovering the gender health data gap.Cadernos de saude publica · 2023Article
- Evaluation of the causes of sex disparity in heart failure trials.Heart (British Cardiac Society) · 2022Article
- Article
- ST-Segment Elevation Myocardial Infarction: Sex Differences in Incidence, Etiology, Treatment, and Outcomes.Current cardiology reports · 2022Review
- Your neighborhood matters: A machine-learning approach to the geospatial and social determinants of health in 9-1-1 activated chest pain.Research in nursing & health · 2022Article
- Article
- Observed and Expected Survival in Men and Women After Suffering a STEMI.Journal of clinical medicine · 2020Article
- Sex-Based Differences in Presentation, Treatment, and Complications Among Older Adults Hospitalized for Acute Myocardial Infarction: The SILVER-AMI Study.Circulation. Cardiovascular quality and outcomes · 2019Observational
- Missing female patients: an observational analysis of sex ratio among outpatients in a referral tertiary care public hospital in India.BMJ open · 2019Observational
- Gender-related differences in men and women with ST-segment elevation myocardial infarction and incomplete infarct-related artery flow restoration: a multicenter national registry.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018Article
- Sex-specific differences in risk factors for in-hospital mortality and complications in patients with acute coronary syndromes : An observational cohort study.Wiener klinische Wochenschrift · 2017Observational
- Use of diagnostic coronary angiography in women and men presenting with acute myocardial infarction: a matched cohort study.BMC cardiovascular disorders · 2016Observational
- The impact of gender on long-term mortality in patients with multivessel disease after primary percutaneous coronary intervention.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2015Article
- Coronary artery disease in women: From the yentl syndrome to contemporary treatment.World journal of cardiology · 2015Review
- Comparison of clinical outcomes of Chinese men and women after coronary stenting for coronary artery disease: a multi-center retrospective analysis of 4,334 patients.Journal of biomedical research · 2014Article
- Early results of Massachusetts healthcare reform on racial, ethnic, and socioeconomic disparities in cardiovascular care.Circulation · 2014Article
- Mortality risk for women on chronic hemodialysis differs by age.Canadian journal of kidney health and disease · 2014Article
- Two-year clinical outcomes after coronary drug-eluting stent placement in Chinese men and women: a multicenter, prospective registry study.Patient preference and adherence · 2013Article
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4 authors at 1 institution in 1 country.
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Abstract
objectiveDetermine if gender bias is present in contemporary management of acute myocardial infarction (AMI).
backgroundDespite major advances in medicine, disparities in healthcare still persist. Previous studies on gender bias in the diagnosis and treatment of AMI are inconsistent and may not represent more contemporary practice. METHODS AND
resultsData were collected from the Minnesota Heart Survey, a population-based study of patients presenting with AMI in 2001-02. In-hospital diagnostic and therapeutic approaches were compared between women and men using logistic regression models. We identified 1242 women and 1378 men with an AMI defined by either positive cardiac biomarkers or ST-elevation on electrocardiogram. There were no differences in the prescription of aspirin, beta-blockers, ACE inhibitors or angiotensin receptor blockers. Women were 46% less likely than men to undergo investigative coronary angiography [OR = 0.54 (0.45-0.64)]. After accounting for confounders, women remained less likely to be referred for angiography [OR = 0.73 (0.57-0.94)]. Revascularization rates, were similar between women and men [OR = 0.96 (0.72-1.28)]. However, women were more likely to undergo PCI [OR = 1.41 (1.07-1.86)] whereas men were more likely to have coronary artery bypass grafting (CABG) [OR = 0.57 (0.39-0.84)]. When severity of coronary artery disease (CAD) was incorporated into the model, gender no longer influenced the modality of coronary revascularization.
conclusionsThere is no evidence of gender bias in the pharmacologic treatment of AMI. Evidence of gender bias persists in the referral of patients for coronary angiography but not in the subsequent use of coronary revascularization.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.