DO WOMEN WITH ACUTE MYOCARDIAL-INFARCTION RECEIVE THE SAME TREATMENT AS MEN
DO WOMEN WITH ACUTE MYOCARDIAL-INFARCTION RECEIVE THE SAME TREATMENT AS MEN
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DOI：
10.1136/bmj.309.6954.563
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发表时间：
1994-09-03
影响因子：
105.7
通讯作者：
HAMPTON, JR
中科院分区：
文献类型：
--
作者：
CLARKE, KW;GRAY, D;HAMPTON, JR
目的-确定诺丁汉卫生区患有急性心肌梗死的女性是否接受与男性同行相同的治疗干预措施。设计回顾性研究。地点 - 诺丁汉大学和城市医院。患者 - 1989 年和 1990 年期间因疑似心肌梗塞入院的所有患者。主要结果指标 - 入院途径和时间、入院病房、治疗、住院干预措施和死亡率。结果 - 患有心肌梗塞的女性比男性到达医院的时间更长。他们不太可能被送入冠心病监护室，因此也不太可能接受溶栓治疗。他们似乎有更严重的梗塞，Killip 等级更高，入院期间的死亡率也略高。与男性相比，她们通过出院服用β受体阻滞剂或阿司匹林来接受二级预防的可能性较小。 结论：患有急性心肌梗死的女性在医院内和出院后的生存机会均降低，因为她们没有与男性相同的治疗干预机会。
Objective-To determine whether women with acute myocardial infarction in the Nottingham health district receive the same therapeutic interventions as their male counterparts.Design-Retrospective study. Setting-University and City Hospitals, Nottingham.Patients-All patients admitted with a suspected myocardial infarction during 1989 and 1990.Main outcome measures-Route and timing of admission to hospital, ward of admission, treatment, interventions in hospital, and mortality.Results-Women with myocardial infarction took longer to arrive in hospital than men. They were less likely to be admitted to the coronary care unit and were therefore also less likely to receive thrombolytic treatment. They seemed to have more severe infarcts, with higher Killip classes, and had a slightly higher mortality during admission. They were less likely than men to receive secondary prophylaxis by being discharged taking beta blockers or aspirin.Conclusions-Survival chances both in hospital and after discharge in women with acute myocardial infarction are reduced because they do not have the same opportunity for therapeutic intervention as men.