Younger Women Less Likely to Get Timely ACS Care Than Younger Men — Physician’s First Watch
Younger Women Less Likely to Get Timely ACS Care Than Younger Men
By Kelly Young
Younger women are less likely than younger men to receive prompt treatment for acute coronary syndrome, according to a study in CMAJ, although care among men could also be faster.
Canadian researchers studied roughly 1100 patients (aged 18 to 55) presenting to the emergency department with acute coronary syndrome. Men were more likely than women to receive the following procedures within benchmark times: electrocardiogram, 10 minutes or less (38% vs. 29%) and fibrinolytic therapy, 30 minutes or less (59% vs. 32%).
In addition, men with ST-segment elevation myocardial infarction were more likely than women to undergo primary percutaneous coronary intervention or fibrinolysis (91% vs. 83%), and those with unstable angina or non-ST-segment elevation MI were more likely to receive nonprimary PCI (66% vs. 48%).