Gender Differences in the Treatment of Acute Coronary Syndromes: Results From the Epi-Cardio Registry

Abstract

mtsAc, 1 , hernan dov Al mtsAc,1 Results In patients with non ST-segment elevation acute coronary syndromes, women were independently associated with lower in-hospital indication of coronary angiography (OR 0.73, 95% CI 0.65 to 0.82), and lower use of IIb/IIIa inhibitors than men. After adjusted analyses, there were no significant differences between men and women in the use of reperfusion therapy for myocardial infarction or in in-hospital mortality. At discharge, women were significantly less likely than men to receive prescriptions for beta-blockers and statins, and more likely to receive prescriptions for benzodiaz- epines. Conclusions These findings suggest gender bias in the treatment of patients with acute coronary syndromes, evidenced by selection of a more conservative strategy and lower pre- scription of drugs recommended for secondary prevention in women. Differences be- tween genders in the approach of acute coronary syndromes should be studied more deeply, as the underutilization of evidence-based therapies could have an impact on women's clinical outcomes.