[ad_1]
According to new research, women are less likely to receive lifesaving treatment for cardiogenic shock than men.
The findings of the research were presented at ESC Acute CardioVascular Care 2022, a scientific congress of the European Society of Cardiology (ESC).
“The women and men in our study had similar clinical characteristics when they developed cardiogenic shock after a heart attack,” said study author Dr Sarah Holle of Copenhagen University Hospital, Rigshospitalet, Denmark. “This was a retrospective study so it is difficult to know why clinicians made certain treatment decisions. But the findings indicate that greater awareness among health professionals that women have heart attacks and may develop cardiogenic shock could be a step towards equitable management and outcomes.”
ALSO READ: Study: Medium chain fatty acid can someday help in treating heart attacks
Cardiogenic shock is a life-threatening condition in which the heart suddenly fails to pump enough blood to supply the body’s organs with sufficient oxygen. It is usually caused by a large heart attack. It is estimated that up to 10 per cent of patients with heart attacks affecting a large area of the heart also develop cardiogenic shock. Only half of the patients who experience cardiogenic shock will survive.
The aim of this study was to investigate differences in treatment and survival between women and men with a heart attack and cardiogenic shock.
The study included all consecutive adults admitted between 2010 and 2017 to two highly specialised centres providing cardiogenic shock care for two-thirds of the Danish population. Data on patient characteristics, treatment and 30-day mortality were extracted from medical records. Long-term mortality data were obtained from the Danish National Patient Registry.
A total of 1,716 heart attack patients with cardiogenic shock were enrolled in the study, of which 438 (26 per cent) were women. The average age of women was 71 years compared with 66 years for men. Patient characteristics were similar between sexes except for hypertension and chronic obstructive pulmonary disease which were more common among women. Women were significantly more likely than men to be initially admitted to a local hospital (41 per cent women versus 30 per cent men), while significantly more men presented with out-of-hospital cardiac arrest (25 per cent women versus 48 per cent men).
When shock occurred, women and men had comparable clinical parameters such as blood pressure, heart rate, plasma lactate (a marker of oxygen levels in the organs) and left ventricular ejection fraction (heart pump function).
Regarding treatments, significantly lower proportions of women received mechanical circulatory support (19 per cent women versus 26 per cent men), minimally invasive or surgical procedures to restore blood flow to blocked arteries (83 per cent women versus 88 per cent men), and mechanical ventilation (67 per cent women versus 82 per cent men). Women were significantly less likely than men to survive in the short and long term. At 30 days after the heart event, just 38 per cent of women were alive compared with 50 per cent of men. At 8.5 years, 27 per cent of women were alive compared with 39 per cent of men.
The researchers performed multivariate analysis to examine whether sex was independently associated with each therapy and with mortality. The analysis was adjusted for age and out-of-hospital cardiac arrest at presentation as both factors affect the outcome in heart attack patients with cardiogenic shock and are known to differ between women and men with the condition. The analysis revealed that female sex was independently associated with lower use of mechanical circulatory support and with worse short- and long-term survival.
Dr Holle said, “There is increasing evidence that women with acute heart problems are more likely than men to have non-specific symptoms such as shortness of breath, nausea, vomiting, coughing, fatigue, and pain in the back, jaw or neck. This might be one reason why more women than men in our study were initially admitted to a local, rather than specialist, hospital. Increased recognition that women may have symptoms other than chest pain could minimise delays in diagnosis and treatment and potentially improve prognosis.”
Dr Holle concluded, “Treatment guidelines are based on studies which primarily enrolled men. Further research is needed to determine whether women and men with cardiogenic shock might benefit from different interventions.”
This story has been published from a wire agency feed without modifications to the text.
[ad_2]
Source link
cheap cialis Mammograms appear to be causing more harm than good
Earlier in the year, around Feb 2017 I had my mammogram and my results was good; negative buying cialis online safely For patients in cardiogenic shock pulmonary edema, hypotension and hypocapnea the goal is to increase the heart s contractility in order to maintain perfusion
buy cialis online in usa Magnesium in prevention and therapy
CONCLUSIONS The results support a neurobiological model of enhanced negative emotional processing, diminished positive emotional processing, and diminished top down control of limbic activity in PMDD during the premenstrual phase can you take viagra daily
Every time you see a new kind of discharge you need to figure out what does it indicate levitra generique arnaque
claritin allergy sinus 12hr costco non drowsy allergy medication canada alternatives to allergy pills
buy deltasone 20mg pills buy prednisone 5mg pill
best medicine in stomach pain cost quinapril 10 mg
prescription medication for severe acne buy omnacortil cheap medications that help with acne
stomach acid medication prescription purchase zidovudine pills
buy generic amoxicillin order amoxil online buy amoxicillin 500mg for sale
buy azithromycin 250mg generic buy azithromycin 500mg order zithromax pill
neurontin 600mg price order neurontin online cheap
buy generic omnacortil order prednisolone 40mg buy prednisolone 40mg
acticlate brand buy acticlate
order ventolin sale order albuterol without prescription albuterol brand
order amoxiclav online generic amoxiclav
levoxyl price synthroid tablets levoxyl oral
order levitra online cheap vardenafil 10mg sale
tizanidine over the counter cost zanaflex buy tizanidine 2mg
order prednisone 40mg sale cost prednisone 20mg buy prednisone 5mg pills
semaglutide cost buy semaglutide generic rybelsus drug
rybelsus order online rybelsus uk buy generic semaglutide for sale
amoxil 500mg tablet amoxil online purchase amoxil
zithromax 500mg without prescription azithromycin without prescription azithromycin order online
synthroid 100mcg canada buy levothyroxine pills for sale levoxyl uk
cheap gabapentin generic order gabapentin 800mg without prescription buy generic gabapentin 600mg
clomid 50mg without prescription serophene ca order clomid sale
furosemide 100mg sale buy lasix generic furosemide 40mg tablet
viagra 100mg ca sildenafil tablet sildenafil tablet
vibra-tabs pill purchase acticlate for sale doxycycline over the counter
order rybelsus 14mg for sale buy semaglutide medication buy semaglutide 14 mg generic
casino games real money real casino slot machine games play roulette online real money
levitra 20mg oral buy vardenafil generic buy vardenafil 10mg generic
pregabalin 150mg tablet order pregabalin 150mg order lyrica 75mg
buy generic plaquenil 200mg plaquenil buy online purchase plaquenil pill
aristocort canada aristocort 10mg usa buy triamcinolone 10mg generic
tadalafil over the counter cialis 20mg without prescription order tadalafil 10mg generic
desloratadine 5mg for sale clarinex for sale online desloratadine 5mg pills
order cenforce without prescription cenforce without prescription cenforce 100mg tablet
order loratadine for sale purchase claritin without prescription generic loratadine 10mg
oral aralen 250mg chloroquine 250mg generic order aralen 250mg sale
priligy 60mg canada buy cytotec online cheap cytotec canada
buy glucophage for sale glycomet 1000mg drug buy generic glycomet 500mg
purchase metformin pills buy glucophage paypal metformin online
buy xenical diltiazem 180mg generic order diltiazem 180mg pills
order amlodipine amlodipine 10mg uk amlodipine 10mg us
rosuvastatin online order zetia ezetimibe 10mg oral
buy zestril 10mg generic prinivil us order prinivil pills
buy motilium generic buy domperidone 10mg for sale buy generic sumycin over the counter
cyclobenzaprine uk order flexeril 15mg for sale lioresal price
brand lopressor lopressor 100mg generic order metoprolol 50mg pills
ketorolac without prescription ketorolac where to buy how to get colchicine without a prescription
tenormin cheap purchase tenormin pills atenolol 50mg for sale
oral medrol cost buy generic depo-medrol order medrol online cheap
buy propranolol sale buy generic plavix over the counter cheap clopidogrel 150mg
help writing paper write me a essay help with writing a paper
methotrexate 10mg for sale buy methotrexate warfarin for sale online
order esomeprazole 20mg pills buy nexium 20mg pills buy topiramate paypal
buy flomax medication order celecoxib 100mg online cheap buy celecoxib 200mg online cheap
order zocor 10mg generic order generic simvastatin 10mg oral valacyclovir 500mg
buy ciprofloxacin 1000mg sale – buy cephalexin sale augmentin 1000mg price
ciprofloxacin price – amoxicillin 500mg drug
erythromycin 500mg cheap
metronidazole 200mg us – generic amoxicillin buy zithromax paypal
stromectol pills – buy amoxiclav online cheap where to buy tetracycline without a prescription
order valacyclovir 500mg online – order diltiazem 180mg online cheap order zovirax 800mg online
buy acillin for sale penicillin without prescription order amoxil generic
order metronidazole 400mg – brand zithromax 500mg order azithromycin 500mg pills
buy furosemide pills – brand atacand 8mg captopril 25mg uk
buy glucophage 1000mg online – generic cipro 500mg lincocin ca
purchase clozaril pill – clozapine pills pepcid 40mg canada
generic anafranil – abilify tablet brand sinequan 25mg
buy atarax 25mg sale – oral hydroxyzine endep 25mg drug
amoxicillin online – order cefuroxime generic generic ciprofloxacin
azithromycin 500mg usa – buy sumycin cheap buy ciprofloxacin 500 mg generic
best asthma pills – fexofenadine generic order generic theophylline
methylprednisolone generic name – how to buy zyrtec azelastine nasal spray
buy desloratadine 5mg pills – order zaditor 1mg online cheap ventolin 2mg tablet
micronase 5mg over the counter – glyburide 5mg cost buy forxiga for sale
buy cheap glucophage – buy cozaar 25mg generic acarbose 25mg uk
order prandin 2mg sale – order generic prandin 2mg purchase empagliflozin sale
buy rybelsus 14mg generic – purchase semaglutide buy DDAVP generic
buy lamisil generic – buy lamisil 250mg sale purchase grifulvin v pill
buy nizoral 200mg online cheap – order itraconazole 100mg online cheap purchase sporanox for sale
buy famciclovir pill – acyclovir medication buy generic valaciclovir 1000mg