Featured Research

from universities, journals, and other organizations

New research shows discrepancies in quality of care, mortality among women and men who suffer heart attacks

Date:
August 22, 2012
Source:
NYU Langone Medical Center
Summary:
A new study found there was significantly lower quality of care and worse outcomes in women compared to men – particularly young women under age 35 who had heart attack symptoms.

A new study published recently in the American Journal of Medicine, conducted by researchers in the Cardiac and Vascular Institute at NYU Langone Medical Center, found there was significantly lower quality of care and worse outcomes in women compared to men -- particularly young women under age 35 who had heart attack symptoms.

Related Articles


The analysis included more than 30,000 patients enrolled in the American Heart Association's "Get With the Guidelines-Coronary Artery Disease" (GWTG-CAD) registry and shows the need for more education among physicians who treat patients with signs of a heart attack.

"These findings are significant because they show specific areas for improvement in the treatment of patients at risk for heart attacks and the exact patient populations that may receive lower quality of care," said lead author Sripal Bangalore, MD, assistant professor in the Department of Medicine, the Leon H. Charney Division of Cardiology. "In younger people and specifically young women, symptoms of heart attacks are often overlooked or attributed to other causes. This can have dire consequences because if these patients aren't treated immediately, they are at risk for complications and even death."

The study was designed to determine if the quality of care and in-hospital outcomes differed in older and younger patients (under 45 years) who arrived at a hospital with signs of a severe heart attack, or ST-segment elevation myocardial infarction (STEMI). STEMI is indicative of a blockage in the coronary artery by a blood clot and is measured by changes on a patient's electrocardiogram (ECG). STEMI is relatively uncommon in younger patients and only about 10 percent of the GWTG-CAD registry presented with it, which is similar to the rates in the general population.

Traditionally, patients who suffer from heart attacks have other cardiovascular disease risk factors such as hypertension, diabetes and high cholesterol. However, results from the study found that compared to patients older than 45, younger patients were less likely to suffer from these risk factors, which may have contributed to lower quality of care outcomes in younger patients.

"It's an easier diagnosis when an older patient presents with STEMI and they have all the traditional risk factors that physicians generally associate with heart attacks. This means you can quickly take action," said Dr. Bangalore. "In a younger patient, who is often missing these risk factors, diagnosis of serious cardiovascular events may be delayed. When diagnosis and treatment aren't immediate, patients suffer. Physicians are not traditionally trained to associate heart attacks with younger patients, especially women. This needs to change so we can improve outcomes in young patients and ensure they are treated as aggressively as older patients."

In the study, which is the largest assessment of outcomes in young patients with STEMI to date, young patients under age 45 accounted for 10.3 percent of all STEMI patients analyzed. Results showed young women were the least likely to receive all six quality of care measures studied in the analysis, including receiving angiotensin-converting enzyme inhibitors/angiotensin receptor blockers at discharge, lipid lowering therapy, having a blood pressure of less than 140/90 mm Hg at discharge, and receiving stents.

"We need to work on improving outcomes and updating our systems of care for these patients. Young people shouldn't be dying because clear signs of heart attacks aren't recognized and treated," said Bangalore. "In cases like this, delay can be deadly."

Co-authors of the study include Gregg C. Fonarow, MD, of Ahmanson-UCLA Cardiomyopathy Center; Eric D. Peterson, MD, MPH, Anne S. Hellkamp, MD, Adrian F. Hernandez, MD, of Duke Clinical Research Institute; Warren Laskey, MD, of the University of New Mexico; W. Frank Peacock, MD, of Cleveland Clinic; Christopher P. Cannon, MD, of the TIMI Study Group; Lee H. Schwamm, MD, of Massachusetts General Hospital; and Deepak L. Bhatt, MD, MPH, of the VA Boston Healthcare System, Brigham and Women's Hospital and Harvard Medical School.


Story Source:

The above story is based on materials provided by NYU Langone Medical Center. Note: Materials may be edited for content and length.


Cite This Page:

NYU Langone Medical Center. "New research shows discrepancies in quality of care, mortality among women and men who suffer heart attacks." ScienceDaily. ScienceDaily, 22 August 2012. <www.sciencedaily.com/releases/2012/08/120822154620.htm>.
NYU Langone Medical Center. (2012, August 22). New research shows discrepancies in quality of care, mortality among women and men who suffer heart attacks. ScienceDaily. Retrieved March 31, 2015 from www.sciencedaily.com/releases/2012/08/120822154620.htm
NYU Langone Medical Center. "New research shows discrepancies in quality of care, mortality among women and men who suffer heart attacks." ScienceDaily. www.sciencedaily.com/releases/2012/08/120822154620.htm (accessed March 31, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, March 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins