Sex differences in treatment and prognosis of acute coronary syndrome with interventional management

Objective

Female sex has been associated with differences in diagnostic and management of acute coronary syndrome (ACS). Our aim was to analyze sex differences in ACS with interventional management in a tertiary care hospital.

Methods

Patients with ACS admitted to a Spanish tertiary care referral center were included prospectively and consecutively. All patients included in the study underwent a coronary angiography.

Results

From the total cohort of 1214 patients, 290 (24%) were women. Women were older (71?±?12.8 vs 64?±?13.4?years, p?p?=?0.005; CRUSADE 41?±?19 vs 28?±?17, p?p?=?0.004). In-hospital evolution and one-year mortality were similar between groups.

Conclusions

In our population, there were no gender differences in management and prognosis of ACS. Differences in risk profile among groups could have an influence on antiplatelet therapy.