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Greater CV, all-cause readmissions after acute MI for younger women vs. men - Healio

Greater CV, all-cause readmissions after acute MI for younger women vs. men - Healio

Greater CV, all-cause readmissions after acute MI for younger women vs. men - Healio
Oct 05, 2022 1 min, 21 secs

Younger women are much more likely than younger men to be readmitted to the hospital after an acute MI for CV or any cause, with data reflecting a higher prevalence of CV risk factors and comorbidities among women compared with men.

In a large observational study using population-linked data in Ontario, Canada, researchers also found that coronary angiography is performed almost universally in younger women with acute MI; however, coronary revascularization is less frequent in women than in men, perhaps reflecting less obstructive disease.

“The increased rate of all-cause readmission is an interesting finding given our angiographic data demonstrating higher rates of normal coronary arteries or nonobstructive disease among women,” Mina Madan, MD, MHS, FRCPC, FSCAI, an academic interventional cardiologist and director of interventional cardiology clinical trials research at Sunnybrook Health Sciences Centre in Toronto, and colleagues wrote in the Canadian Journal of Cardiology.

Researchers compared trends in comorbidities, angiographic findings and revascularization rates in men and women.

Although most patients received coronary angiography (96%), coronary revascularization was less frequent among women vs.

Compared with men, the primary composite endpoint was more frequent in women at 10% vs.

“The lower rate of PCI among younger women may reflect increasing recognition of alternative pathophysiology for acute MI among women in this age group.

Humphries, DSc, MBA, FAHA, the UBC-Heart and Stroke Foundation Professor in Women’s Cardiovascular Health and director of the Cardiovascular Health Program at the University of British Columbia, and colleagues wrote that the findings demonstrate sex differences in acute MI are “diminishing,” the high rates of CV risk factors among younger women requires attention?

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