Navigation Links
Younger men receive faster care for heart attacks, angina compared with women of same age
Date:3/17/2014

A new study indicates that in younger adults experiencing heart attacks and angina, men are more likely to receive faster care compared with women. The study, published in CMAJ (Canadian Medical Association Journal) also found that gender-related factors affected access to care for both men and women.

To understand why sex differences in mortality exist in younger men and women with acute coronary syndrome, researchers included 1123 patients aged 18 to 55 years recruited from 24 centres across Canada, 1 in the United States and 1 in Switzerland. Of the participants, 362 (32%) were women and 761 (68%) were men. The median age for women was 50 and for men 49 years.

Within 24 hours after admission to hospital, patients completed a survey that asked about gender-related issues such as "traditional" masculine and feminine traits of personality, responsibility for housework, education level and health status before the event.

Women came from lower income brackets, were more likely to have diabetes, high blood pressure and a family history of heart disease, and had substantially higher levels of anxiety and depression than men.

Men received faster access to electrocardiograms (ECGs) and fibrinolysis than women, with door-to-ECG and door-to-needle times of 15 and 21 minutes and 28 and 36 minutes, respectively.

"Anxiety was associated with failure to meet the 10-minute benchmark for ECG in women but not in men," writes Dr. Louise Pilote, clinician-researcher, Division of Clinical Epidemiology at the Research Institute of McGill University Health Centre (RI-MUHC), Montral, and professor of medicine at McGill University with coauthors. "Patients with anxiety who present to the emergency department with noncardiac chest pain tend to be women, and the prevalence of acute coronary syndrome is lower among young women than among young men. These findings suggest that triage personnel might initially dismiss a cardiac event among young women with anxiety, which would result in a longer door-to-ECG interval."

Patients visiting the emergency department with atypical symptoms or multiple risk factors also had longer treatment delays.

The researchers found, interestingly, that both men and women with feminine character traits were less likely to receive timely care than patients with masculine traits.

"A novel finding of our study was the identification of gender-related determinants of access to care," write the authors. "Men and women who reported higher levels of feminine personality traits, as well as those who reported being the person at home mainly responsible for housework, were less likely to undergo invasive procedures."

The authors conclude that more specific management may be required for patients presenting to the emergency department with no chest pain, several risk factors or a feminine gender identity and role.


'/>"/>

Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116
Canadian Medical Association Journal
Source:Eurekalert

Related medicine news :

1. Study finds mammography beneficial for younger women
2. PSA screening to detect prostate cancer can be beneficial to younger and at-risk men
3. Female and younger athletes take longer to overcome concussions
4. ASCO: Younger colon cancer patients have worse prognosis at diagnosis, yet better survival
5. Miriam researchers urge physicians to ask younger men about erectile dysfunction symptoms
6. Younger Kids Likelier to Gain Weight After Tonsillectomy
7. Older and younger chronic leukemia patients may need different therapy
8. UC Davis study links low wages with hypertension, especially for women and younger workers
9. Younger Women Start to Follow Pap Test Guidelines: CDC
10. Active Video Games May Boost Fitness in Younger Students
11. Many Younger Parents Weigh Online Doctor Reviews: Poll
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/25/2017)... ... March 25, 2017 , ... Getting earned media coverage meaningful for Garden Media ... All through the year, Garden Media aims to provide material helpful to clients’ goals ... pitching client’s key messages to gain coveted media placements, Garden Media wows ...
(Date:3/24/2017)... ... March 24, 2017 , ... Mediaplanet ... a conversation on the current obstacles facing infection prevention and offer strategies for ... caused by these infections. , The print component of “Fighting Infection” is ...
(Date:3/24/2017)... ... ... According to a new study by NCPA Senior Fellow John R. Graham, ... Congress has directed the CBO to follow. The CBO itself previously recognized Obamacare would ... estimates a reduction in employer-based coverage due to the GOP reform, which is not ...
(Date:3/24/2017)... ... March 24, 2017 , ... Shamanic healer and teacher ... Healing and Spiritual Awakening, proudly presents her Sacred Peru retreat with world ... and spiritual journey during the Summer Solstice will also be her final international ...
(Date:3/24/2017)... CA (PRWEB) , ... March 24, 2017 , ... ... on two panels at the Advanced ERISA Benefit Claims Litigation seminar in Chicago, ... Creating the Administrative Record, The majority of cases litigated under ERISA involve claims ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... 23, 2017 Summary ... disease pipeline guide Primary Hyperoxaluria - Pipeline Review, ... Hyperoxaluria (Genito Urinary System And Sex Hormones) pipeline ... characterized by recurrent kidney and bladder stones. It ... oxalate. Symptoms include blood in the urine, pain ...
(Date:3/23/2017)... and VANCOUVER, British Columbia ... SPHS ) (the "Company" or "Sophiris"), a ... treatment of urological diseases, today announced that data from ... the drug as a focal treatment for localized prostate ... 26, 2017 at the 32 nd Annual European ...
(Date:3/23/2017)...   Icertis , the leading provider of ... today announced an upgrade to the Icertis Clinical ... clinical trials contract management. Built on the ... speeds up clinical trial contracting while improving collaboration ... "The pharmaceutical industry is under intense ...
Breaking Medicine Technology: