Science

Women with cardiac problems in the Emergency Department

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Of the total of 6,042 consultations analyzed, 59 percent correspond to women.

A study presented at the SEC22 Congress of the Cardiovascular healththe annual congress of the Spanish Society of Cardiology (SEQ), analyzes the impact of gender on the reason for consultation and patient care in Cardiology. As it explains Lourdes Vincent, lead author of the research, there are differences between the sexes in the patterns of use of Cardiology consultations and in the evolution of patients in the follow-up after the visit to the cardiologist. “Exist differences in the reasons for consulting the cardiologist between men and women. In the follow-up, women go more to the emergency room, but they enter less in Cardiology”, he details.

This is a descriptive study that has used administrative health data and the electronic medical record of patients in the care area of ​​a tertiary hospital (Hospital Universitario 12 de Octubre) during the years 2017 and 2018. “We have included the consultations of patients referred since Primary Care in a first consultation and analyzed the most common reasons for consultation, the basic sociodemographic variables and the profile of use of health resources by sex and age”, explains Lourdes Vicent.

Of the total of 6,042 queries analyzedthe 59 percent belong to womenthose who are older: 64 years average vs. 59 years in the case of mens. They also recorded a higher number of visits to the emergency room during follow-up: 54.9 percent compared to 47.7 percent of men. However, only 6.6 per cent of women end up in hospital versus 8.8 per cent of them.

The higher frequency of emergency visits in women can be explained by a greater awareness of illness or a major concern for the cardiovascular symptoms in them. In contrast, the lower frequency of hospital admissions in women may be due to a least concern for a serious illness by the doctors who treat these patients, based on the symptoms for which the women consult”, points out the specialist in Cardiology.

Palpitations and dyspnea, consultations of women

The most common reasons for consultation in women are palpitations (19 percent), especially in young women under 40, and the dyspnoea (18 percent), in this case more common in elderly women. On the contrary, men consult to a greater extent due to alterations in the electrocardiogram (23 percent) and chest pain (19 percent).

Regarding the requests for complementary tests requested in the Cardiology consultation, the men who present chest pain are more commonly subjected to coronary angiography that the women. The transthoracic echocardiogram in the imaging unit it is more requested in men, possibly due to greater concern about underlying heart disease in men. Men in the age group over 65 years of age are followed up in cardiology clinics more often than women (42% of men versus 37% of women).

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. We recommend the reader that any questions related to health be consulted with a health professional.

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