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Women are receiving less aggressive treatment for chest pain and heart attacks than men, study finds

WASHINGTON, D.C.--Women with one of a group of heart problems known as acute coronary syndromes (ACS) are almost one-third less likely to receive invasive treatments when compared with men with the same conditions, according to data from an international study of more than 12,000 people. Consequently, women are about one-sixth more likely than men to suffer additional chest pain or other recurrent heart problems, reports the new paper, to be published in the Nov. 15 issue of the Journal of the American College of Cardiology.

"The results of our study showed that women, especially high-risk women, aren't receiving the recommended treatment for patients with acute coronary syndromes," said Sonia S. Anand, MD, PhD, FRCPc, associate professor of medicine at McMaster University in Hamilton, Ontario, Canada, and lead author of the paper. "All women should be considered for these types of procedures, as are men, when they come to the hospital with these conditions."

Dr. Anand, who holds the May Cohen Eli Lilly Chair in Women's Health Research at McMaster, spoke today at the American Medical Association's 24th annual Science Reporters Conference in Washington, D.C. She and her coauthors analyzed data from the Clopidogrel in Unstable Angina Evaluation (CURE) trial, a study of 4,836 women and 7,726 men with ACS, a group of conditions that includes angina, or chest pain, and certain types of heart attacks.

The patients, from 28 countries, were recruited between December 1998 and September 2000. Dr. Anand and her research team assessed their status when they were discharged, one month later, and then one to three more times at three-month intervals.

The problem started, Dr. Anand said, when women with ACS weren't sent for diagnostic tests, such as coronary angiography, during which physicians use a catheter to inject dye into the arteries to identify blockages. Overall, 15 percent fewer women underwent angiography, and 20 percent fewer high-ris
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Contact: Susan Emigh
emighs@mcmaster.ca
905-525-9140 x22555
American Medical Association
10-Nov-2005


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