Evidence map›Paper›PMID 38407435›Full record

ArticleCoronary artery disease2024

Differences in coronary angiographic findings and outcomes between men and postmenopausal women with stable chest pain.

In Sook Kang, Mi-Seung Shin, Hye Ah Lee, Mi-Na Kim, Hack-Lyoung Kim, Hyun-Ju Yoon, Seong-Mi Park, Kyung-Soon Hong, Myung-A Kim

Open access · hybridAbstract readMulticenter StudyComparative Study
In one paragraph

Article in Coronary artery disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

In Sook KangDivision of Cardiology, Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.
Mi-Seung ShinDivision of Cardiology, Department of Internal Medicine, Gachon University College of Medicine, Gil Medical Center, Incheon, Korea.
Hye Ah LeeClinical Trial Center, Mokdong Hospital, Ewha Womans University.
Mi-Na KimDivision of Cardiology, Department of Internal Medicine, Korea University Anam Hospital.
Hack-Lyoung KimDivision of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Boramae Medical Center, Seoul, Korea.
Hyun-Ju YoonDivision of Cardiology, Department of Internal Medicine, Chonnam National University College of Medicine, Gwangju, Korea.
Seong-Mi ParkDivision of Cardiology, Department of Internal Medicine, Korea University Anam Hospital.
Kyung-Soon HongDivision of Cardiology, Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Myung-A KimDivision of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Boramae Medical Center, Seoul, Korea.
Ewha Womans University · KRKorea University · KRSNUH SMG-SNU Boramae Medical Center · KRChonnam National University · KRGachon University Gil Medical Center · KRHallym University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the significant increase in cardiovascular events in women after menopause, studies comparing postmenopausal women and men are scarce.

methodsWe analyzed data from a nationwide, multicenter, prospective registry and enrolled 2412 patients with stable chest pain who underwent elective coronary angiography. Binary coronary artery disease (b-CAD) was defined as the ≥50% stenosis of epicardial coronary arteries, including the left main coronary artery.

resultsCompared with the men, postmenopausal women were older (66.6 ± 8.5 vs. 59.5 ± 11.4 years) and had higher high-density lipoprotein cholesterol levels (49.0 ± 12.8 vs. 43.6 ± 11.6 mg/dl, P  < 0.01). The prevalence of diabetes did not differ significantly ( P  = 0.40), and smoking was more common in men than in postmenopausal women ( P  ≤ 0.01). At enrollment, b-CAD and revascularization were more common in men than in postmenopausal women (50.3% vs. 41.0% and 14.4% vs. 9.7%, respectively; both P  < 0.01). However, multivariate analyses revealed that revascularization [odds ratio (OR): 0.72; 95% confidence interval (CI): 0.49-1.08] was not significantly related to sex and a similar result was found in age propensity-matched population (OR: 0.80; 95% CI: 0.52-1.24). During the follow-up period, the secondary composite cardiovascular outcomes were lower in postmenopausal women than in men (OR: 0.55; 95% CI: 0.31-0.98), also consistent with the result using the age propensity-mated population (OR: 0.33; 95% CI: 0.13-0.85).

conclusionPostmenopausal women experienced coronary revascularization comparable to those in men at enrollment, despite the average age of postmenopausal women was 7 years older than that of men.Postmenopausal women exhibit better clinical outcomes than those of men if optimal treatment is provided.

Indexed as

Coronary AngiographyCoronary Artery DiseasePostmenopauseRegistriesAgedAge FactorsAngina, StableCoronary StenosisFemaleHumansMaleMiddle AgedMyocardial RevascularizationPredictive Value of TestsPrevalenceProspective Studies

Identifiers

PMID38407435
PMCPMC11045394
OpenAlexW4392157376

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.