Abstract
Evidence exists that physicians manage coronary heart disease less aggressively in women than in men,*RF 1-3* even though heart disease in women may be more severe.1 We assessed whether thrombolysis is provided on a different basis in men and in women. As part of the Royal College of General Practitioners' myocardial infarction study, 776 general practitioners in Britain supplied information about the management (including the use of thrombolysis) of 2495 patients suspected of having a myocardial infarction. The patients were recruited from March 1991 to September 1992. We examined the use of thrombolysis in hospital among the 1094 patients who had a myocardial infarction that had been confirmed by a hospital and who had no contraindication to thrombolysis. In all, 214 patients (20%) were excluded from the …
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