Sustained sex-based treatment differences in acute coronary syndrome care: Insights from the American Heart Association Get With The Guidelines Coronary Artery Disease Registry.

ABSTRACT:

Background

Sex-based differences in acute coronary syndrome (ACS) mortality may attenuate with age due to better symptom recognition and prompt care.

Hypothesis

Age is a modifier of temporal trends in sex-based differences in ACS care.

Methods

Among 104 817 eligible patients with ACS enrolled in the AHA Get With the Guidelines-Coronary Artery Disease registry between 2003 and 2008, care and in-hospital mortality were evaluated stratified by sex and age. Temporal trends within sex and age groups were assessed for 2 care processes: percentage of STEMI patients presenting to PCI-capable hospitals with a DTB time ≤ 90 minutes (DTB90) and proportion of eligible ACS patients receiving aspirin within 24 hours.

Results

After adjustment for clinical risk factors and soc

SUBMITTER: Udell JA 

PROVIDER: S-EPMC6490157 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature