Age-related Differences in the Delivery of Cardiac Management to Women Versus Men With Acute Myocardial Infarction in Japan Tokai Acute Myocardial Infarction Study: TAMIS
-
- Hirakawa Yoshihisa
- Departments of Geriatrics, Nagoya University Graduate School of Medicine
-
- Masuda Yuichiro
- Departments of Geriatrics, Nagoya University Graduate School of Medicine
-
- Uemura Kazumasa
- Internal Medicine, Nagoya University Graduate School of Medicine
-
- Kuzuya Masafumi
- Departments of Geriatrics, Nagoya University Graduate School of Medicine
-
- Kimata Takaya
- Departments of Geriatrics, Nagoya University Graduate School of Medicine
-
- Iguchi Akihisa
- Departments of Geriatrics, Nagoya University Graduate School of Medicine
書誌事項
- タイトル別名
-
- <b>Tokai Acute Myocardial Infarction Study: TAMIS </b>
この論文をさがす
抄録
It is of concern that women are more likely to undergo fewer diagnostic tests and receive less treatment for acute myocardial infarction (AMI) than men. However, it is still unclear whether gender differences exist according to age groups. Therefore, we studied the influence of gender on the delivery of cardiac management according to two age groups (< 65, ≥ 65) in Japan. Data from the Tokai Acute Myocardial Infarction Study (TAMIS) sample were used. This is a retrospective study of all consecutive patients admitted to the 13 acute care hospitals in the Tokai region of Japan, which includes Aichi and Shizuoka Prefectures, with a diagnosis of AMI from 1995 to 1997. A total of 143 younger women, 822 younger men, 391 older women, and 611 older men were included. Information concerning patient demographics, in-hospital course, comorbid conditions, electrocardiography (ECG), ultrasound-echocardiography (UCG), treadmill test (TMT), coronary angiography (CAG), percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass graft (CABG), intra-aortic balloon pump (IABP), mechanical ventilation, and in-hospital or discharge medication (thrombolytics, vasopressors, aspirin, β-blockers, angiotensin-converting enzyme (ACE) inhibitors, calcium antagonists, nitrates) were collected. Among the young, after controlling for these baseline variables, women were significantly less likely to undergo PTCA compared to men (OR, 0.54, 95%CI, 0.35-0.82). After controlling for these baseline variables, only lipid-lowering therapy tended to be more frequent in women than in men among the elderly (OR, 2.79, 95%CI, 1.47-2.58). The findings suggest that younger women with AMI are less likely than younger men to undergo PTCA, and that older women with AMI are more likely to receive lipid-lowering therapy. <br>
収録刊行物
-
- International Heart Journal
-
International Heart Journal 46 (6), 939-948, 2005
一般社団法人 インターナショナル・ハート・ジャーナル刊行会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390001205225023488
-
- NII論文ID
- 130000068651
-
- ISSN
- 13493299
- 13492365
-
- 本文言語コード
- en
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可