Ischemic heart disease and primary care: identifying gender-related differences

April 2017

Heart Disease

Country of origin: Spain

Gender-related differences are seen in multiple aspects of both health and illness. Ischemic heart disease (IHD) is a pathology in which diagnostic, treatment and prognostic differences are seen between sexes, especially in the acute phase and in the hospital setting. The objective of a recent study was to analyse whether there are differences between men and women when examining associated cardiovascular risk factors and secondary pharmacological prevention in the primary care setting.

Retrospective descriptive observational study from January to December of 2006, including 1907 patients diagnosed with ischemic heart disease in the city of Lleida, Spain. The clinical data were obtained from computerised medical records and pharmaceutical records of medications dispensed in pharmacies with official prescriptions. Data was analysed using bivariate descriptive statistical analysis as well as logistic regression.

There were no gender-related differences in screening percentages for arterial hypertension, diabetes, obesity, dyslipemia, and smoking. A greater percentage of women were hypertensive, obese and diabetic compared to men. However, men showed a tendency to achieve control targets more easily than women, with no statistically significant differences. In both sexes cardiovascular risk factors control was inadequate, between 10 and 50%. For secondary pharmaceutical prevention, the percentages of prescriptions were greater in men for anticoagulants, beta-blockers, lipid-lowering agents and angiotensin-converting enzyme inhibitors/angiotensin II receptor blockers, with age group variations up to 10%. When adjusting by age and specific diagnoses, differences were maintained for anticoagulants and lipid-lowering agents.

The article concludes that screening of cardiovascular risk factors was similar in men and women with IHD. Although a greater percentage of women were hypertensive, diabetic or obese, their management of risk factors tended to be worse than men. Overall, a poor control of cardiovascular risk factors was noted.

Taken as a whole, more men were prescribed secondary prevention drugs, with differences varying by age group and IHD diagnosis.

The complete article is available online.

Resources

Calculate by QxMD March 2018 Medical calculators come in all different shapes and sizes from traditional paper OB wheels to the more tech-savvy app...
ECG Guide QxMD Medical Software March 2018 QxMD are consistently creating excellent apps aimed squarely at the health professional and have made a few apps that...
Read by QxMD March 2018 There are a few ways to browse journal content. The landing screen is Featured Papers, which presents citations from your...
Orlive Surgical Broadcasts February 2018 Orlive is a trusted world resource in surgical broadcasting for physians, surgeons and caregivers.
Cardiology Advisor app January 2018 The Cardiology Advisor is a free, simple to use, medical app designed to be the essential resource for cardiology...
AnticoagEvaluator January 2018 The updated Anticoag Evaluator helps clinicians make informed decisions on antithrombotic therapy for their non-valvular AF...
Daily dose of beetroot juice improved endurance and blood pressure October 2017 Exercise intolerance -- shortness of breath and fatigue with normal amounts of exertion -- is the primary symptom of HFPEF...
European Heart Journal May 2017 The European Heart Journal is an international, English language, peer-reviewed journal dealing with cardiovascular...
The Healthy Heart Handbook for Women April 2017 This newly revised handbook provides new information on women?s heart disease and practical suggestions for reducing...
BHF The Yoobot To Tackle Childhood Obesity March 2017 The majority of Britain's youngsters are unaware of the devastating effects eating junk food can have, according to a...
Search by Keyword