Abstract P007: Sex-Specific Disparities in Risk Factor Control of Patients Undergoing Elective Percutaneous Coronary or Peripheral Intervention

Abstract

Introduction: The American Heart Association (AHA) developed 7 health metrics to define “ideal cardiovascular health” in its 2020 Impact Goal. Sex-specific disparities in attainment of the 7 health metrics in patients undergoing elective percutaneous or peripheral interventions has not been well characterized. Methods: We interviewed 1,517 patients (1,127 males and 390 females) undergoing elective percutaneous coronary or peripheral intervention at a large tertiary care center between November 2010 and March 2015. Survey data was used to reconstruct the 7 health metrics (blood pressure, physical activity, cholesterol, diet, weight, smoking status, and metabolic control). Multivariable linear regression was performed to identify characteristics associated with ideal metric attainment in the overall cohort and when stratified by sex. Results: Overall, males were younger, less likely to be white, more likely to be married, and had higher levels of education and higher prevalence of prior coronary artery disease than females (p<.05 for each). Males achieved fewer ideal health metrics than females (2.0 ± 1.2 vs 2.3 ± 1.1, p<.01), including poorer attainment of the ideal smoking (p<.01), physical activity (p<.01), and diet health metrics (p<.05). Females had poorer attainment of the ideal weight (p<.05) and cholesterol health metrics (p=.01). After multivariable adjustment, males achieved fewer ideal health metrics than females (p<.01; Table). Sex-specific differences are presented in the Table, which includes single marital status and depression as negative predictors of ideal metric attainment in males, and a reduced ejection fraction as a negative predictor in females. Conclusions: Attainment of the 7 AHA ideal health metrics is low in both males and females undergoing elective percutaneous coronary or peripheral intervention. Sex-specific disparities in risk factor control illustrate interesting areas for further exploration into the predictors of behavior that may guide future targeted interventions.