Many studies conclude that women presenting with acute coronary syndrome are treated less intensively in the acute phase. Consequently, poor in-hospital and long term prognosis are found in female category.
To study differences between women and men in the management and outcomes of Non-ST-Elevation Acute Coronary Syndrome (NSTE-ACS).
Cohort study of 340 consecutive patients admitted for NSTE-ACS in cardiology B department. Follow-up at 3 years was reported. We studied sex difference in invasive strategy and long-term mortality.
One hundred thirty six patients (40%) were women. Compared to men, they were older (66.2±3.6 versus 62.1±4.5years, P=0.03). In women group, artery hypertension and diabetes were more frequent while myocardial infarction and coronary revascularization were less found. Conservative strategy was adopted in 25% of women compared to 14.7% of men, P=0.017. Coronary revascularisation was performed more often in men (63.5%, 48.5%; P=0.01). Three -year- mortality was higher in women16.8% versus 14.5%, P=0.04. In multi variate analysis, female gender was not independently associated to a higher 3-yearmortality (OR=1.8, IC 0.8–5.4, P=0.4).
Although women are less treated by invasive procedures there is no gender difference in long term mortality after NSTE-ACS.
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Publié par Elsevier Masson SAS.