ArticleClinical research in cardiology : official journal of the German Cardiac Society2015
Gender differences in therapeutic recommendation after diagnostic coronary angiography: insights from the Coronary Angiography and PCI Registry of the German Society of Cardiology.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 17 citations in OpenAlex.
- Sex-Based Differences and Outcomes in Unselected Patients Undergoing Coronary Angiography.Journal of clinical medicine · 2025Article
- Coronary artery disease in women.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2018Review
- Assessing and Modifying Coronary Artery Disease Risk in Women.Current treatment options in cardiovascular medicine · 2017Review
- Sex Differences in Percutaneous Coronary Intervention-Insights From the Coronary Angiography and PCI Registry of the German Society of Cardiology.Journal of the American Heart Association · 2017Article
- Gender-specific uncertainties in the diagnosis of acute coronary syndrome.Clinical research in cardiology : official journal of the German Cardiac Society · 2017Article
- Characteristics of and outcomes for elderly patients with acute myocardial infarction: differences between females and males.Clinical interventions in aging · 2016Article
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Authors and funding
15 authors at 9 institutions in 1 country.
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Abstract
backgroundThere is information suggesting differences and underuse of invasive coronary diagnostic and therapeutic procedures in women compared to men.
methodsData from consecutive patients (pts) which were enrolled in the Coronary Angiography and PCI Registry of the German Society of Cardiology were analyzed. We compared gender-related differences in diagnosis and therapeutic recommendation of pts undergoing coronary angiography (XA) for stable coronary artery disease (CAD), non-ST elevation acute coronary syndromes (NSTE-ACS) and ST elevation myocardial infarction (STEMI).
resultsFrom 2004 until the end of 2009, data of 1,060,542 invasive procedures in 1,014,996 pts were prospectively registered. One-third (34.6%) of them were female. Women less often had significant CAD, irrespective of the indication for XA. In pts with relevant CAD, percutaneous coronary interventions (PCI) were recommended in 87.1% of women versus 89.1% of men with STEMI [age-adjusted OR (aOR) 0.98, 95% CI 0.93-1.04], in 67.1 vs. 66.8% in NSTE-ACS (aOR 1.10, 1.07-1.12), and in 50.3 vs 49.4% in stable CAD (aOR 1.07, 1.05-1.09).
conclusionsIn pts with significant CAD, there was no difference in recommendation for PCI between the genders in stable CAD, whereas in STEMI and NSTE-ACS women were treated even more often with PCI. There were only minor differences in referral for CABG between women and men. Hence, our data provide strong evidence against a gender bias in use of invasive therapeutic procedures once the diagnosis of significant CAD has been confirmed.
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