title: [Comparison of the management of non-ST segment elevation myocardial infarction during emergency care according to sex of the patient].
abstract: The atypical characteristics of acute coronary syndrome in women lead to differences in management and treatment. We investigated these differences in the urgent management of non-ST-segment acute myocardial infarction (NSTEMI). Data on 39 variables were collected from 539 patients with NSTEMI treated at 97 Spanish emergency departments. After adjustment for 10 baseline differences, the only significant differences were that time-to-arrival at the emergency department was longer for women (odds ratio [OR]=0.52; 95% confidence interval [CI], 0.28-0.95) and that they received more clopidogrel (OR=1.65; 95% CI, 1.06-2.56). The trend to fewer admissions to coronary or intensive care units (42.9% vs 55.6%) and fewer catheterization procedures (29.7% vs 40.7%) disappeared after adjustment. We conclude that there are virtually no differences in treatment in women with N-STEMI in prehospital and emergency care.
authors.affiliation: Servicio de Urgencias, Hospital Valle del Nalón, Langreo, Asturias, España.
authors.forename: Alba
authors.initials: A
authors.lastname: Riesgo
authors.forename: Oscar
authors.initials: O
authors.lastname: Miró
authors.forename: Esteban
authors.initials: E
authors.lastname: López-de-Sá
authors.forename: Miquel
authors.initials: M
authors.lastname: Sánchez
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology / Q000628:therapy; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003422:Critical Care / Q000706:statistics & numerical data; D004562:Electrocardiography; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000628:therapy*; D017202:Myocardial Ischemia / Q000453:epidemiology / Q000628:therapy; D010808:Physical Examination; D012042:Registries; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology