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CPC 2018
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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
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0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Quality of care and 30-day mortality of women and men with acute myocardial infarction
Session:
Posters 2 - Écran 01 - Isquemia/SCA
Speaker:
Carla Araújo
Congress:
CPC 2018
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Carla Araújo; Olga Laszczynska; Marta Viana; Paula Dias; Maria Júlia Maciel Barbosa; Ilidio Moreira; Ana Azevedo
Abstract
<p><strong>Introduction: </strong>Despite greater awareness of disparities in care and outcomes of women and men with acute myocardial infarction (AMI), no consistent attenuation of these differences over last decade has been observed. We aimed to identify differences by sex in management and 30-day mortality using the European Society of Cardiology Acute Cardiovascular Care Association quality indicators (QI) for AMI.</p> <p><strong>Methods:</strong> The 20 QIs proportions and standard errors were calculated for 771 patients with AMI who were admitted to the cardiology department of two tertiary hospitals in Portugal between August 2013 and December 2014. The association between the composite QI and 30-day mortality was derived from logistic regression.</p> <p><strong>Results:</strong> Significantly fewer eligible women received timely reperfusion, were discharged on dual antiplatelet therapy, on high intensity statins and were referred to cardiac rehabilitation than men. Women less often received recommended interventions (59.6% vs 65.2%, p<0.001) and also had a higher mean GRACE 2.0 risk score adjusted 30-day mortality (3.0% vs 1.7%, p<0.001). An inverse association between the composite QI and crude 30-day mortality (Figure 1) was observed for both sexes (odds ratio [OR] 0.08, 95% confidence interval [95% CI] 0.01-0.64 for the highest performance tertile compared to the lowest).</p> <p><strong>Conclusions:</strong> Performance in AMI management is lower in women compared to men and is associated with higher 30-day mortality, still worse for women. Objective and guideline supported QIs in constant assessment of practice´s quality have the potential to improve healthcare delivery and prognosis in overall AMI population and also to bridge the gap between women and men. </p>
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