Cardiology Medical News about women; coronary artery disease; secondary prevention

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Elevated Risk Profile of Women in Secondary Prevention of Coronary Artery Disease: A 6-Year Survey of 117,913 Patients
Journal of Women's Health, 07/30/09

Reibis RK et al. – Although control of cardiovascular risk factors has improved in both genders, over a recent 6–year period, female patients compared with males were less likely to achieve target values for blood pressure, fasting glucose, and lipid values in the early period after acute coronary events.

Methods

After acute coronary syndrome (ACS), 117,913 patients (30.7% female) were enrolled in two large–scale German registries from 2000 to 2005 during phase II cardiac rehabilitation
Demographic parameters, reperfusion strategies, cardiovascular risk factors, exercise capacity, and medication use at admission and discharge were assessed

Results

Target blood pressure <140/90mm Hg at discharge was obtained in a smaller proportion of women than men (81.0 vs. 83.0%, p<0.001)
Low–density lipoprotein cholesterol (LDL–C) levels at discharge were significantly higher in female patients (95.0 vs. 93.2 mg/dL, p<0.001)
80.9% of female vs. 83.8% of male patients achieved a target fasting glucose <126mg/dL during the CR (p<0.001)

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