Sex-based Differences in Percutaneous Coronary Intervention Outcomes in Patients with Ischaemic Heart Disease
Sambola-Ayala, Antonia (Universitat Autònoma de Barcelona. Departament de Medicina)
Del Blanco, Bruno García (Hospital Universitari Vall d'Hebron)
Kunadian, Vijay (Newcastle University)
Vogel, Birgit (Icahn School of Medicine at Mount Sinai New York)
Chieffo, Alaide (IRCCS San Raffaele Scientific Institute (Milà, Itàlia))
Vidal, María (Hospital Universitari Vall d'Hebron)
Ratcovich, Hanna (Copenhagen University Hospital)
Botti, Giulia (IRCCS San Raffaele Scientific Institute (Milà, Itàlia))
Wilkinson, Chris (Newcastle University)
Mehran, Roxana (Icahn School of Medicine at Mount Sinai (Nova York, Estats Units d'Amèrica))

Data:	2023
Resum:	In high-income countries, ischaemic heart disease is the leading cause of death in women and men, accounting for more than 20% of deaths in both sexes. However, women are less likely to receive guideline-recommended percutaneous coronary intervention (PCI) than men. Women undergoing PCI have poorer unadjusted outcomes because they are older and have greater comorbidity than men, but uncertainty remains whether sex affects outcome after these differences in clinical characteristics are considered. In this paper, we review recent published evidence comparing outcomes between men and women undergoing PCI. We focus on the sex differences in PCI outcomes in different scenarios: acute coronary syndromes, stable angina and complex lesions, including the approach of left main coronary artery. We also review how gender is considered in recent guidelines and offer a common clinical scenario to illustrate the contemporary management strategies an interventional cardiologist should consider when performing PCI on a female patient.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Percutaneous coronary intervention ; Women ; Prognosis
Publicat a:	European Cardiology Review, Vol. 18 (March 2023) , ISSN 1758-3764

DOI: 10.15420/ecr.2022.24
PMID: 37456769

8 p, 2.9 MB

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