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DC Field | Value | Language |
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dc.contributor.author | Zaman S. | en |
dc.contributor.author | Duffy S.J. | en |
dc.contributor.author | Burgess S. | en |
dc.contributor.author | Kuhn L. | en |
dc.contributor.author | Gulati M. | en |
dc.contributor.author | Chow C. | en |
dc.contributor.author | Stehli J. | en |
dc.date.accessioned | 2021-05-14T09:02:21Z | en |
dc.date.available | 2021-05-14T09:02:21Z | en |
dc.date.copyright | 2021 | en |
dc.date.created | 20210312 | en |
dc.date.issued | 2021-03-12 | en |
dc.identifier.citation | Heart Lung and Circulation. 30 (1) (pp 18-26), 2021. Date of Publication: January 2021. | en |
dc.identifier.issn | 1443-9506 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/27017 | en |
dc.description.abstract | Women have generally worse outcomes after myocardial infarction (MI) compared to men. The reasons for these disparities are multifactorial. At the beginning is the notion-widespread in the community and health care providers-that women are at low risk for MI. This can impact on primary prevention of cardiovascular disease in women, with lower use of preventative therapies and lifestyle counselling. It can also lead to delays in presentation in the event of an acute MI, both at the patient and health care provider level. This is of particular concern in the case of ST elevation MI (STEMI), where "time is muscle". Even after first medical contact, women with acute MI experience delays to diagnosis with less timely reperfusion and percutaneous coronary intervention (PCI). Compared to men, women are less likely to undergo invasive diagnostic testing or PCI. After being diagnosed with a STEMI, women receive less guideline-directed medical therapy and potent antiplatelets than men. The consequences of these discrepancies are significant-with higher mortality, major cardiovascular events and bleeding after MI in women compared to men. We review the sex disparities in pathophysiology, risk factors, presentation, diagnosis, treatment, and outcomes for acute MI, to answer the question: are they due to biology or bias, or both?Copyright © 2020 | en |
dc.language | en | en |
dc.language | English | en |
dc.publisher | Elsevier Ltd | en |
dc.relation.ispartof | Heart Lung and Circulation | en |
dc.title | Sex Disparities in Myocardial Infarction: Biology or Bias?. | en |
dc.type | Review | en |
dc.type.studyortrial | Review article (e.g. literature review, narrative review) | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url= | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.hlc.2020.06.025 | en |
dc.publisher.place | United Kingdom | en |
dc.identifier.pubmedid | 32861583 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32861583] | en |
dc.identifier.source | 2007606135 | en |
dc.identifier.institution | (Stehli, Kuhn) Monash University, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Vic, Australia (Duffy) Department of Cardiology, Alfred Hospital, Melbourne, Vic, Australia (Duffy) Centre of Cardiovascular Research and Education in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia (Burgess) Department of Medicine, The University of New South Wales, Sydney, NSW, Australia (Burgess) Department of Cardiology, Nepean Hospital, Sydney, NSW, Australia (Gulati) Division of Cardiology, University of Arizona-College of Medicine, Phoenix, AZ, United States (Chow) Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia (Chow) Westmead Applied Research Centre, The University of Sydney, Sydney, Australia (Zaman) Monash Cardiovascular Research Centre, Monash University, Melbourne, Vic, Australia (Zaman) MonashHeart, Monash Health, Melbourne, Vic, Australia | en |
dc.description.address | S. Zaman, Monash Heart, Monash Medical Centre, 246 Clayton Rd, Clayton, Vic 3168, Australia. E-mail: sarah.zaman@monash.edu | en |
dc.description.publicationstatus | Embase | en |
dc.rights.statement | Copyright 2021 Elsevier B.V., All rights reserved. | en |
dc.subect.keywords | Gender discrepancies Myocardial infarction Sex discrepancies Women | en |
dc.identifier.authoremail | Zaman S.; sarah.zaman@monash.edu | en |
dc.description.grant | Organization: (Abbott) *Abbott Laboratories* Organization No: 100001316 Country: United States Organization: (MU) *Monash University* Organization No: 501100001779 Country: Australia Organization: *Abbott Vascular* Organization No: 100011949 Country: United States Organization: *Medtronic* Organization No: 100004374 Country: United States No: 101993 Organization: *National Heart Foundation of Australia* Organization No: 501100001030 Country: Australia No: 1111170 Organization: (NHMRC) *National Health and Medical Research Council* Organization No: 501100000925 Country: Australia | en |
dc.identifier.affiliationext | (Stehli, Kuhn) Monash University, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Vic, Australia | - |
dc.identifier.affiliationext | (Duffy) Department of Cardiology, Alfred Hospital, Melbourne, Vic, Australia | - |
dc.identifier.affiliationext | (Duffy) Centre of Cardiovascular Research and Education in Therapeutics, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia | - |
dc.identifier.affiliationext | (Burgess) Department of Medicine, The University of New South Wales, Sydney, NSW, Australia | - |
dc.identifier.affiliationext | (Burgess) Department of Cardiology, Nepean Hospital, Sydney, NSW, Australia | - |
dc.identifier.affiliationext | (Gulati) Division of Cardiology, University of Arizona-College of Medicine, Phoenix, AZ, United States | - |
dc.identifier.affiliationext | (Chow) Department of Cardiology, Westmead Hospital, Sydney, NSW, Australia | - |
dc.identifier.affiliationext | (Chow) Westmead Applied Research Centre, The University of Sydney, Sydney, Australia | - |
dc.identifier.affiliationext | (Zaman) Monash Cardiovascular Research Centre, Monash University, Melbourne, Vic, Australia | - |
dc.identifier.affiliationmh | (Zaman) MonashHeart, Monash Health, Melbourne, Vic, Australia | - |
item.fulltext | No Fulltext | - |
item.cerifentitytype | Publications | - |
item.openairetype | Review | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
crisitem.author.dept | Cardiology (MonashHeart & Victorian Heart Institute) | - |
Appears in Collections: | Articles |
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