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0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
Congresso Português de Cardiologia 2025 (CPC2025)
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
P. Other
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
0 Resources
Abstract
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Wonder Woman after an acute coronary syndrome
Session:
Posters - E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Speaker:
Diana De Campos
Congress:
CPC 2021
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:
Diana Decampos; Carolina Saleiro; João Lopes; Ana Rita m Gomes; Luís Puga; Luis Pedro Abreu; Rogério Teixeira; Ana Botelho; Lino Gonçalves
Abstract
<p>Background: Patients an acute coronary syndrome (ACS) have a higher risk of further major adverse cardiovascular events (MACE). The aim of this study was to evaluate sex-specific differences in MACE and coronary events after an ACS episode.</p> <p> </p> <p>Methods: ACS patients admitted to a single coronary unit between 2009 and 2016 were included. Cox proportional hazards models were used to compare time-to-event outcomes stratified by sex. For the follow-up, major adverse cardiovascular cerebrovascular events (MACE; all-cause death, myocardial infarction, revascularization and stroke) were documented.</p> <p> </p> <p>Results: A total of 1544 patients were enrolled (29.9% women [n=462]). Women were older (73.6±12.2 vs. 65.1±12.9 years; p < 0.001) and more likely to have diabetes mellitus (<em>P</em>=0.012), hypertension, and chronic kidney disease (<em>P</em>< 0.001). Prior coronary artery disease was reported less frequently in women (24.9% vs. 34.2%; P<0.000). Percentage of hyperlipidemia were comparable, although more women were under statin therapy (59.7% vs 49.2%, P<0.000). Pre-treatment with anti-thrombotic therapy was comparable between sexes. Over a median follow-up of 47 months, women had a lower risk of all-cause death (unadjusted hazard ratio: 0.65; 95% confidence interval: 0.54 to 0.79; <em>P</em>< 0.000). In contrast, risk for MACE, re-infarction and further revascularization were not different by sex.</p> <p> </p> <p>Conclusions: Women with an ACS are at lower risk for all-cause mortality but risk for re-infarction and future revascularization was similar between sexes. Further understanding of the dissociation between basal cardiovascular profile risk and subsequent events is warranted.</p>
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