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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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Gender-Based Clinical, Therapeutic Strategies and Prognosis Differences in Atrial Fibrillation
Aurelio Quesada1,2, Javier Quesada-Ocete1,2, Blanca Quesada-Ocete1,2
1Arrhythmia Unit, Cardiology Service, General University Hospital Consortium of Valencia, 46014 Valencia, Spain.
Journal of Cardiovascular Development and Disease
|October 27, 2023
Summary
Gender disparities exist in atrial fibrillation (AF) care, with women receiving less cardiac evaluation and cardioversion, and experiencing more heart failure hospitalizations despite similar mortality rates.
Area of Science:
- Cardiology
- Clinical Medicine
- Health Equity
Background:
- Limited data exists on gender-based differences in atrial fibrillation (AF) treatment and prognosis.
- Investigating gender-related disparities in emergency department (ED) care and long-term outcomes for AF patients is crucial.
Purpose of the Study:
- To examine gender differences in medical attention during emergency department (ED) visits for atrial fibrillation (AF).
- To determine gender-related variations in clinical characteristics, treatment strategies, and long-term adverse events in AF patients.
Main Methods:
- Retrospective observational study of 2013 patients presenting to a tertiary hospital ED with AF from 2010-2015.
- Minimum one-year follow-up (FU) data collected on medical attention, mortality, and adverse outcomes.
Main Results:
- Women (60%) were less likely than men to receive cardiologist evaluation in the ED (11.5% vs. 16.6%) and less likely to be admitted.
- Men underwent more electrical cardioversions, despite women having lower AF recurrence rates (9.9% vs. 18.1%).
- Women experienced higher rates of heart failure hospitalizations during FU (26.2% vs. 16.1%).
Conclusions:
- Significant gender differences observed in AF clinical outcomes, medical attention, and treatment strategies.
- Women received fewer cardioversion attempts and less cardiologist evaluation, but had higher heart failure hospitalization rates.
- Addressing these inequities is essential for improving care for all AF patients.
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