Key result
Women with NSTE-ACS receive less aggressive care than men and face higher adjusted transfusion rates.
Authors
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“We found that, despite being at higher risk, women who arrive at the hospital with symptoms of a heart attack were less likely to receive recommended medications and procedures than men. Through (this study), we are working to understand the reasons for this disparity so that we can ensure that all patients at risk for a heart attack, female or male, receive care that has been proven to save lives.”
“This is one of the paradoxes that we see in medicine, that the patients who are in greatest need of effective therapies are not receiving them.”
Gender disparities in NSTE-ACS care warrant clinician vigilance; leaves open whether targeted strategies improve outcomes in women.
Observational (n=35,875)
Yes
Absolute Event Rate: 5.6% vs 4.3%
Blomkalns et al. (2005) conducted an observational in non-ST-segment elevation acute coronary syndromes (n=35,875). Female gender vs. Male gender was evaluated on In-hospital death. Women with NSTE ACS were treated less aggressively than men and had higher unadjusted in-hospital mortality (5.6% vs. 4.3%), though only transfusion rates remained higher after adjustment.