Increased Mortality among Middle-Aged Women after Myocardial Infarction: Searching for Mechanisms and Solutions
Authors: John Z. Ayanian
Journal: Annals of Internal Medicine (2001)

Editorials6 February 2001Increased Mortality among Middle-Aged Women after Myocardial Infarction: Searching for Mechanisms and SolutionsJohn Z. Ayanian, MD, MPPJohn Z. Ayanian, MD, MPPDr. Ayanian: Harvard Medical School; Boston, MA 02115Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-3-200102060-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Public and professional recognition of the prevalence and clinical impact of coronary heart disease in women has risen over the past decade, fueled in part by studies showing disparities in the use of cardiac procedures between women and men (1-4). Reacting to the previously established view of coronary heart disease as primarily a male malady (5), researchers and clinicians have increased their attention to the mechanisms, treatment, and consequences of this condition in women. Some hospitals have developed new clinical programs specifically for women with heart disease. Recent evidence has suggested that sex disparities in treatment of myocardial infarction have ...References1. Tobin JN, Wassertheil-Smoller S, Wexler JP, Steingart RM, Budner N, Lense L, et al . Sex bias in considering coronary bypass surgery. Ann Intern Med. 1987;107:19-25. LinkGoogle Scholar2. Khan SS, Nessim S, Gray R, Czer LS, Chaux A, Matloff J. Increased mortality of women in coronary artery bypass surgery: evidence for referral bias. Ann Intern Med. 1990;112:561-7. LinkGoogle Scholar3. Ayanian JZ, Epstein AM. Differences in the use of procedures between women and men hospitalized for coronary heart disease. N Engl J Med. 1991;325:221-5. CrossrefMedlineGoogle Scholar4. Steingart RM, Packer M, Hamm P, Coglianese ME, Gersh B, Geltman EM, et al . Sex differences in the management of coronary artery disease. Survival and Ventricular Enlargement Investigators. N Engl J Med. 1991;325:226-30. 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CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Dr. Ayanian: Harvard Medical School; Boston, MA 02115Grant Support: By the Agency for Healthcare Research and Quality (R01 HS08071 and R01 HS09718). Dr. Ayanian is an Associate of the John D. and Catherine T. MacArthur Foundation Research Network on Successful Midlife Development.Corresponding Author: John Z. Ayanian, MD, MPP, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115; e-mail, [email protected]med.harvard.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSex Differences in 2-Year Mortality after Hospital Discharge for Myocardial Infarction Viola Vaccarino , Harlan M. Krumholz , Jorge Yarzebski , Joel M. Gore , and Robert J. Goldberg Sex Differences in Long-Term Mortality after Myocardial Infarction Ernest H. 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Friedman, MDTreatment of Hypertension in Type 2 Diabetes 6 February 2001Volume 134, Issue 3Page: 239-241KeywordsAcute myocardial infarctionCardiovascular therapyCoronary heart diseaseDeath ratesDiabetes mellitusDrugsLongitudinal studiesMortalityMyocardial infarctionPatients ePublished: 6 February 2001 Issue Published: 6 February 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...