Medical and Health Science Journal

  Previous Article | Back to Volume | Next Article
  Abstract | References | Citation | Download | Preview | Statistics
Volume 5
Issue 1
Online publication date 2011-03-01
Title Clinical course, management and in-hospital outcomes of acute coronary syndrome in Central Asian women
Author Aleksey Nikishin, Ravshanbek Kurbanov, Mahmudjon Pirnazarov
Abstract

The paper describes features history, risk factors and hospital management of acute coronary syndrome (ACS) in women of the Central Asia (829 ACS patients are included), and also comparison of hospital outcomes of ACS in groups of men and women.

ACS in women in the Central Asia comprises features as more non Q-wave myocardial infarction frequency, smaller adherence to treatment of dyslipidemia, more obesity degrees. Women arrive to hospital average in 4 hours after men; have more percent of the atypical form. In-hospital outcomes in men and women significantly did not differ because of general tendency to late arriving to the hospital and small quantity of revascularization procedures. The reasons of differences between men and women in the region are mostly connected to social sphere (late arriving, non-treated dyslipidemia) than to physiological peculiarities.
Citation
References
Alfredsson, J., Stenestrand, U., Wallentin, L., 2007. “Gender differences in management and outcome in non-ST-elevation acute coronary syndrome,” Heart, Vol.93, pp.1357-362

Gupta, R., Gupta, V., 1996. “Meta-analysis of coronary heart disease prevalence in India,” Indian Heart J., Vol.48, pp.241-45

Hemingway, H., Langenberg, C., Damant, J., 2008. “Prevalence of angina in women versus men a systematic review and meta-analysis of international variations across 31 countries,” Circulation, Vol.117, pp.1526-536

Hochman, J., Tamis, J., Thompson, T. et al., 1999. “Sex, clinical presentation, and outcome in patients with acute coronary syndromes,” N Engl J Med, Vol.341, pp.226-32

Jiang, S., Ji, X., Zhang, C., Wang, X. et al., 2006. “Impact of Chinese guidelines for management of patients with acute myocardial infarction on outcomes of hospitalized patients,” Chinese Medical Journal, Vol.119(1), pp.26-31

Rathore, S., Wang, Y., Radford, M. et al., 2002. “Sex differences in cardiac catheterization after acute myocardial infarction: the role of procedure appropriateness,” Ann Iintern Med., Vol.137, pp.487-93

Shaw, L., Bairey, M., Pepine, C. et al., 2006. “Insights from the NHLBI-Sponsored Women’s Ischemia Syndrome Evaluation (WISE) Study: Part I: gender differences in traditional and novel risk factors, symptom evaluation, and gender-optimized diagnostic strategies,” J Am Coll Cardiol., Vol. 47, pp.S4-S20

Sheifer, S., Canos, M., Weinfurt, K., Arora U. et al., 2000. “Sex differences in coronary artery size assessed by intravascular ultrasound,” Am Heart J., Vol.139, pp.649-53

Vaccarino, V., Parsons, L., Every, N., Barron, H., Krumholz, H., 1999. “Sex-based differences in early mortality after myocardial infarction,” N Engl J Med., Vol.341, pp.217-25

Volkov, V., Isaeva, A., 2010. “Diagnostic and prognostic significance of well-defined evaluation of pain syndrome in women with cardiac ischemia,” Liki Ukrainin., Vol.2(138), pp.77-80

Yusuf, S, Ounpuu, S, Anand, S., 1998. “Global burden of cardiovascular disease: A review of evidence,” in: Coronary Artery Disease in Indians: A Global Perspective, Mumbai: Cardiological Society of India, pp.11-25

Zaman, J., Junghans, C., Sekhri, N., 2008 “Presentation of stable angina pectoris among women and South Asian people,” CMAJ., 179(7), pp.659-67

Keywords Acute coronary syndrome, in-hospital outcomes, risk factors, Central Asian women
DOI http://dx.doi.org/10.15208/mhsj.2011.74
Pages 10-15
Download Full PDF Download
  Previous Article | Back to Volume | Next Article
Share
Search in articles
Statistics
Journal Published articles
MHSJ 940
Journal Hits
MHSJ 2213240
Journal Downloads
MHSJ 16957
Total users online -