Evidence map›Paper›PMID 40947918›Full record

ArticleClinical cardiology2025

Evaluation of Sex-Based Differences in the Prescription of the Combination of Evidence-Based Medicine After the Occurrence of an Acute ST-Elevation Myocardial Infarction.

A Evelo, E Leegwater, W J R Rietdijk, T D Warning, C E Schotborgh, L E Visser

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Article in Clinical cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

A EveloDepartment of Hospital Pharmacy, Haga Teaching Hospital, The Hague, The Netherlands.ORCID https://orcid.org/0009-0000-7174-0709
E LeegwaterDepartment of Hospital Pharmacy, Haga Teaching Hospital, The Hague, The Netherlands.
W J R RietdijkDepartment of Hospital Pharmacy, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
T D WarningHagaAcademy & Innovation, Haga Teaching Hospital, The Hague, The Netherlands.
C E SchotborghDepartment of Cardiology, Haga Teaching Hospital, The Hague, The Netherlands.
L E VisserDepartment of Hospital Pharmacy, Haga Teaching Hospital, The Hague, The Netherlands.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

aimTo evaluate sex-based differences in the prescription of the combination of evidence-based medicine (cEBM) at discharge after an acute ST-elevation myocardial infarction (STEMI). Secondly, we analysed risk factors for the absence of cEBM after discharge, and examined sex differences in adverse events.

methodsThis retrospective cohort study compared women to men who were admitted with an acute STEMI at Haga Teaching Hospital between January 2017 and June 2023. The primary outcome was cEBM, defined as an active prescription of the combination of acetylsalicylic acid, P2Y

resultsAmong 1467 patients (27% women), women were older than men (74 years vs. 65 years, p < 0.001). cEBM was less often prescribed to women than men (66.0% vs. 72.8%, p = 0.013), primarily due to ACEi/ARB (82.1% vs. 87.7%, p = 0.007) and statins (90.2% vs. 95.2%, p = 0.001). In a multivariable logistic regression analysis, female sex was not associated with the absence of cEBM (Odds Ratio (OR) = 1.01, 95% confidence interval [95% CI]: 0.73-1.39). Other confounders such as increasing age, decreasing haemoglobin, and oral anticoagulants were correlated with the absence of cEBM.

conclusionsA smaller proportion of women were prescribed cEBM post-STEMI compared to men. However, this difference disappeared when controlled for other confounders. Also, women remained to have a higher chance for a stroke or death at 6 months post-discharge. These findings highlight the need for further research into sex disparities and their underlying confounders in the field of evidence-based medicine after an acute STEMI.

Indexed as

Evidence-Based MedicinePractice Patterns, Physicians'ST Elevation Myocardial InfarctionAgedDrug Therapy, CombinationFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPlatelet Aggregation InhibitorsRetrospective StudiesRisk FactorsSex FactorsHydroxymethylglutaryl-CoA Reductase InhibitorsPlatelet Aggregation Inhibitorsevidence‐based medicinesecondary preventionsex differencesST‐elevation myocardial infarctionwomen

Identifiers

PMID40947918
PMCPMC12434318

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