Muhammad Ramzan, Muhammad Kashif Javed, Fawad Qadir, Muhammad Zubair.
Assessment of Gender variations in the patients with Acute Coronary Syndromes subjected to Percutaneous Coronary Intervention.
Isra Med J Jan ;13(2):123-6.

Objective: To evaluate the impact of gender on intravenous procedural characteristics among the patients with acute coronary syndrome and to compare the outcomes of the patients undergoing percutaneous coronary intervention between both genders Study Design: A Cross-sectional observational study Place and Duration: At Chaudhry Pervaiz Elahi Institute of Cardiology, Multan from March 03, 2020 to August 03, 2020. Methodology: Information about patients diagnosed with unstable angina, ST-segment elevation myocardial infarction, and non-STsegment elevation myocardial infarction from data registry of the hospital. In-hospital data concerning patient`s demographics, treatment procedures, and post-treatment complications were collected for each disease status. Results: Out of 425, predominantly 54.1% females were diagnosed with various coronary artery diseases. Women were relatively younger, with a mean age of 58.2 years, while men had a mean age of 64.32 years. Experts found a significant difference in intravenous treatment protocols between the two genders. Except for the rot ablation technique and drug-eluting stents, all the assessed techniques were practiced more on male patients than female patients. Similarly, women had significantly higher post-PCI complications, including vascular events (3.2% in women vs 1.6% in men), bleeding episodes (1.5% vs 0.8%), cardiogenic shock (1.7% vs 1.2%), renal failure (0.6% vs 0.2%), and coronary perforation (1.3% vs 0.5%). However, no significant difference in mortality rate was observed. Conclusion: The study concludes that generally, younger women suffer from acute coronary syndrome than men. Moreover, women are less likely to undergo procedural intervention and are more prone to post-treatment complications.

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