Sex differences in the features of coronary artery disease of patients undergoing coronary angiography.

作者: Mohammed S , Sternberg L , Jong P

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摘要: OBJECTIVE To examine sex differences in the features of coronary artery disease (CAD) patients who have undergone angiography. DESIGN Retrospective study which reviewed clinical and angiographic results from eligible underwent angiography under one cardiologist during a consecutive period. SETTING Tertiary referral women's health centre. PATIENTS 515 (167 women, 348 men) for suspected CAD, excluding those with previously known primary valvular disease, replacement, congenital heart nonischemic cardiomyopathy, history cocaine-induced myocardial ischemia or infarction, had angiography, bypass graft percutaneous transluminal angioplasty. MAIN RESULTS Overall, females males presented at similar ages prevalences smoking, diabetes, hypertension, family histories premature albeit women were less likely than men to prior infarction. The observed age difference between was expected (3.3 +/- 2.3 years, 95% confidence limits). At three times more normal arteries. Yet, found there no either severity distribution disease. Women twice as left ventricular function on catheterization. However, when all cases angiograms excluded, multivariate logistic regression analysis showed that, after controlling other important confounding factors, significant CAD dysfunction CONCLUSIONS can develop serious ischemic that is relatively younger described. vulnerability nonelderly needs be emphasized.

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