A community-wide perspective of gender differences and temporal trends in the use of diagnostic and revascularization procedures for acute myocardial infarction

摘要: This study compares the overall use, as well temporal trends, of various diagnostic and revascularization procedures for acute myocardial infarction (AMI) in men women. The sample comprised a total 2,924 1,838 women with validated AMI admitted to any 16 teaching community hospitals Worcester, Massachusetts, metropolitan area during 1975, 1978, 1981, 1984, 1986 1988. During period under there was significant increase use each examined hospitalization both Increasing multiple also seen sexes. After controlling variety demographic clinical factors that might affect utilization rates, were marginally more likely undergo radionuclide ventriculography, significantly Holter monitoring, exercise treadmill testing, cardiac catheterization, percutaneous transluminal coronary angioplasty than However, no gender differences artery bypass grafting. On other hand, less echocardiography. results this multihospital, population-based suggest sex several AMI. These may be attributed physicians' practice patterns, although bias delivery medical care cannot excluded. Temporal trends increased these raise questions about cost-effectiveness need further addressed.