Effects of Gender on Prognosis of Patients With Known or Suspected Coronary Artery Disease Undergoing Contrast-Enhanced Dobutamine Stress Echocardiography

Background Gender differences in the predictors of outcome among patients with known or suspected coronary artery disease (CAD) undergoing contrast-enhanced dobutamine stress echocardiography (CE-DSE) have not been completely determined. Methods and Results Follow-up (30±17 months) data for 581 men...

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Bibliographic Details
Published in:Circulation Journal 2007, Vol.71(7), pp.1060-1066
Main Authors: Wake, Ryotaro, Takeuchi, Masaaki, Yoshikawa, Junichi, Yoshiyama, Minoru
Format: Article
Language:English
Subjects:
Aged
Angina, Unstable - etiology
Cohort Studies
Contrast agents
Coronary Artery Disease - complications
Coronary Artery Disease - diagnosis
Coronary Artery Disease - physiopathology
Dobutamine stress echocardiography
Echocardiography, Stress
Female
Follow-Up Studies
Gender gap
Gender Identity
Heart Failure - etiology
Humans
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction - etiology
Predictive Value of Tests
Prognosis
Risk Factors
Survival Rate
Ventricular Dysfunction, Left - physiopathology
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Summary:Background Gender differences in the predictors of outcome among patients with known or suspected coronary artery disease (CAD) undergoing contrast-enhanced dobutamine stress echocardiography (CE-DSE) have not been completely determined. Methods and Results Follow-up (30±17 months) data for 581 men and 309 women with known or suspected CAD who underwent CE-DSE (mean age: 66 years) were obtained. Hard cardiac events included cardiac death and nonfatal myocardial infarction. Total cardiac events included hard cardiac events, unstable angina, congestive heart failure, and late revascularization (>3 months). Cardiac events occurred in 123 male and 50 female patients. Positive results for CE-DSE were associated with worse prognosis in both men and women (2-year total event free rate: 73.5% vs 88.2% in men, p
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.71.1060