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15-04-2019 | Original Article | Uitgave 5/2019 Open Access

Netherlands Heart Journal 5/2019

Sex differences in characteristics and outcome in acute coronary syndrome patients in the Netherlands

Tijdschrift:
Netherlands Heart Journal > Uitgave 5/2019
Auteurs:
M. E. ten Haaf, M. Bax, J. M. ten Berg, J. Brouwer, A. W. van’t Hof, R. J. van der Schaaf, P. R. Stella, R. M. Tjon Joe Gin, P. A. Tonino, A. G. de Vries, F. Zijlstra, E. Boersma, Y. Appelman
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s12471-019-1271-0) contains supplementary material, which is available to authorized users.

Abstract

Background

Sex differences in acute coronary syndrome (ACS) have been reported, but little is known about the situation in the Netherlands.

Methods

This registry is a merge of available data on ACS patients in the electronic data capture systems of 11 centres with 24/7 interventional cardiology services. We included patients >18 years undergoing a cardiac catheterisation between 2010–2012. We evaluated sex differences in clinical and procedural characteristics and 1‑year mortality.

Results

A total of 29,265 ACS patients (8,720 women and 20,545 men) were registered. Women were on average 4.5 years older (68.5 vs 63.0 years, p < 0.001) and had a higher prevalence of hypertension (62.7 vs 49.8%, p < 0.001) and insulin-dependent diabetes mellitus (9.6 vs 6.8%, p < 0.001) than men. Women less often presented with ST-elevation myocardial infarction (43.7% vs 47.6%, p < 0.001) and appeared to have less extensive coronary artery disease than men. Women less often underwent coronary angiography by radial access (52.5 vs 55.9%, p < 0.001). One-year mortality was higher in women than in men (7.3% and 5.6%, p < 0.001). More specific, the relationship between sex and mortality was age-dependent and showed higher mortality in women ≤71 years, but lower mortality in older women compared with men (p-interaction <0.001).

Conclusion

We found differences in clinical and procedural characteristics and outcome between women and men admitted for ACS, which are in line with other Western countries. The limitations of our registry, based on existing local databases, can be overcome by the use of the prospective Netherlands Heart Registry that is currently in development.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Extra materiaal
Table 1: Baseline characteristics; Merged data according to sex and indication procedure
12471_2019_1271_MOESM1_ESM.docx
Table 2: Procedural characteristics; Merged data according to sex and indication procedure
12471_2019_1271_MOESM2_ESM.docx
Table 3: All-cause mortality* up to 1 year; Merged data according to sex, age stratum and indication procedure
12471_2019_1271_MOESM3_ESM.docx
Literatuur
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