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Titolo:
Sex differences in investigation results and treatment in subjects referred for investigation of chest pain
Autore:
Wong, Y; Rodwell, A; Dawkins, S; Livesey, SA; Simpson, IA;
Indirizzi:
Southampton Gen Hosp, Wessex Reg Cardiac Unit, Southampton SO16 6YD, Hants, England Southampton Gen Hosp Southampton Hants England SO16 6YD D, Hants, England
Titolo Testata:
HEART
fascicolo: 2, volume: 85, anno: 2001,
pagine: 149 - 152
SICI:
1355-6037(200102)85:2<149:SDIIRA>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; BYPASS-SURGERY; HEART-DISEASE; WOMEN; BIAS; MANAGEMENT; MORTALITY;
Keywords:
sex differences; exercise test; chest pain;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Simpson, IA Southampton Gen Hosp, Wessex Reg Cardiac Unit, Tremona Rd, Southampton SO16 6YD, Hants, England Southampton Gen Hosp Tremona Rd Southampton Hants England SO16 6YD
Citazione:
Y. Wong et al., "Sex differences in investigation results and treatment in subjects referred for investigation of chest pain", HEART, 85(2), 2001, pp. 149-152

Abstract

Objective-To evaluate differences in investigation results and treatment between men and women referred for diagnostic treadmill exercise testing andcoronary arteriography. Design-Cohort study. Setting-Tertiary cardiology centre. Subjects-1522 subjects referred by primary care physicians to an open access chest pain clinic for initial investigation of chest pain, of whom 485 were subsequently referred for coronary arteriography; and a similar cohort of 107 subjects referred directly by secondary care physicians for diagnostic coronary arteriography. Main outcome measures-Rates of positive exercise tests and rates for referral for arteriography and revascularisation according to sex. Results-Overall, women were less likely to be referred for arteriography and revascularisation than men. However, men were more likely to have positive exercise tests, and for various exercise test diagnostic end points men were also more likely to have significant coronary artery disease. After taking this into account, there was no sex difference in referral rates for arteriography or revascularisation. Conclusions-There was no evidence of a sex bias resulting in inappropriateunderinvestigation or undertreatment of women. However, the positive predictive value of treadmill exercise testing is low for women and further research is needed into how best to investigate women with chest pain.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 16:02:52