Sex Differences in the Outcomes of Elderly Patients with Acute Coronary Syndrome

• Published in: Cardiology research and practice 2020, Vol.2020 (2020), p.1-8
• Main Authors: Zhou, Shenghua, Guo, Yonghong, Hu, Xin-qun, Fu, Liyao, Tang, Liang, Zhu, Zhaowei, Yang, Hui, Li, Xuping, Tai, Shi, Fang, Zhen-fei
• Format: Article
• Language: English
• Subjects: Acute coronary syndromes; Aged patients; Body mass index; Cardiac arrhythmia; Cardiac patients; China; Cholesterol; Coronary heart disease; Creatinine; Demographics; Diabetes; Gender differences; Heart attacks; Heart failure; Hemoglobin; Hospital administration; Hypertension; Laboratories; Mortality; Older people; Pain; Patient outcomes; Regression analysis; Risk factors; Stroke; Triglycerides; Uric acid; Women
• ISSN: 2090-8016; 2090-0597; 2090-0597
• DOI: 10.1155/2020/5091490

Background. The impact of sex on the outcome of patients with acute coronary syndrome (ACS) has been suggested, but little is known about its impact on elderly patients with ACS. Methods. This study analyzed the impact of sex on in-hospital and 1-year outcomes of elderly (≥75 years of age) patients with ACS hospitalized in our department between January 2013 and December 2017. Results. A total of 711 patients were included: 273 (38.4%) women and 438 (61.6%) men. Their age ranged from 75 to 94 years, similar between women and men. Women had more comorbidities (hypertension (79.5% vs. 72.8%, p=0.050), diabetes mellitus (35.2% vs. 26.5%, p=0.014), and hyperuricemia (39.9% vs. 32.4%, p=0.042)) and had a higher prevalence of non-ST-segment elevation ACS (NSTE-ACS) (79.5% vs. 71.2%, p=0.014) than men. The prevalence of current smoking (56.5% vs. 5.4%, p