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Gender differences in outcomes in patients with acute coronary syndrome in the current era: A review

Lookup NU author(s): Dr Hannah Sinclair, Dr Vijay Kunadian

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Abstract

Coronary heart disease is the most common cause of death worldwide. In the United Kingdom in 2010, over 80,000 deaths were attributed to coronary heart disease, and one in 10 female deaths were due to coronary heart disease. Acute coronary syndrome, a subset of coronary heart disease, was responsible for 175,000 inpatient admissions in the United Kingdom in 2012. While men have traditionally been considered to be at higher risk of acute coronary syndrome, various studies have demonstrated that women often suffer from poorer outcomes following an adverse cardiovascular event. This gap is gradually narrowing with the introduction of advanced interventional strategies and pharmacotherapy. However, a better understanding of these differences is of crucial importance for the improvement of the pharmacological and interventional management of acute coronary syndrome and for the development of possible new gender-specific diagnostic and therapeutic options. The goals of this review are to evaluate gender differences in outcomes in patients with acute coronary syndrome in the current era and identify potential mechanisms behind these differences in outcomes following percutaneous coronary intervention.


Publication metadata

Author(s): Tan YC, Sinclair H, Ghoorah K, Teoh X, Mehran R, Kunadian V

Publication type: Review

Publication status: Published

Journal: European heart journal. Acute cardiovascular care

Year: 2016

Volume: 5

Issue: 7

Pages: 51-60

Print publication date: 01/11/2016

Online publication date: 08/10/2015

Acceptance date: 01/01/1900

ISSN (print): 2048-8734

URL: https://doi.org/10.1177/2048872615610886

DOI: 10.1177/2048872615610886

PubMed id: 26450783


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