지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 562 - 568 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Gender-based differences exist in the characteristics, management, and prognosis of acute coronary syndrome (ACS). However, their impact on prognosis remains unclear. We aimed to identify factors causing these differences in Koreans. Materials and Methods: We examined 6,636 ACS patients (66.2% males) visiting 72 Korean hospitals between April-2007 and December-2008. Gender-based differences in clinical demographics, therapy, and outcomes were analyzed over 6 months. Results: Women were older than men [mean (standard deviation, SD) age, 67.6 (9.8) vs. 60.6 (11.2) years; p<0.001]; had higher rates of hypertension, diabetes mellitus,and lack of exercise (p<0.001 for all); and lower rates of obesity, familial history of cardiovascular disease (CVD), and smoking (p<0.05 for all). Atypical symptoms were more common in women (20.5% vs. 15.1% in men, p<0.001), whereas myocardial infarction with ST-segment elevation was less common (17.1% vs. 27.8%, p<0.001). Mean (SD) time lapse from symptom onset to arrival at hospital was longer in women [11.44 (18.19) vs. 8.26 (14.89) hours in men, p<0.001], as was the duration of hospitalization [7.58 (7.61) vs. 7.04 (7.72) days, p=0.007]. Fewer women underwent revascularization procedures, including thrombolytic therapy, balloon angioplasty, stent implantation, and coronary artery bypass grafting (79.4% vs. 83.3% men, p<0.001). No significant differences were observed in CVD-related death, recurrent ACS, stroke, refractory angina, or rehospitalization for angina. Conclusion:Female ACS patients were older than male subjects and had more atypical presentation. They arrived at the hospital later than men and had longer hospital stays, but less often required revascularization therapy. However, no gender-based differences were noted in ACS-related mortality and morbidity.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)
Alfredsson J / 2007 / Gender differences in management and outcome in non-ST-elevation acute coronary syndrome / Heart 93 : 1357 ~ 1362
Anand SS / 2005 / Differences in the management and prognosis of women and men who suffer from acute coronary syndromes / J Am Coll Cardiol 46 : 1845 ~ 1851
Angeja BG / 2002 / Predictors of door-to-balloon delay in primary angioplasty / Am J Cardiol 89 : 1156 ~ 1161
Bakler T / 2004 / Comparison of management and 30-day mortality of acute myocardial infarction in men versus women in Estonia / Acta Cardiol 59 : 275 ~ 281
Alfredsson J / 2007 / Gender differences in management and outcome in non-ST-elevation acute coronary syndrome / Heart 93 : 1357 ~ 1362
Anand SS / 2005 / Differences in the management and prognosis of women and men who suffer from acute coronary syndromes / J Am Coll Cardiol 46 : 1845 ~ 1851
Angeja BG / 2002 / Predictors of door-to-balloon delay in primary angioplasty / Am J Cardiol 89 : 1156 ~ 1161
Bakler T / 2004 / Comparison of management and 30-day mortality of acute myocardial infarction in men versus women in Estonia / Acta Cardiol 59 : 275 ~ 281
이 논문의 저자 정보
최근 본 자료
댓글(0)
0