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Gender gap in risk factor control of coronary patients far from closing : results from the European Society of Cardiology EUROASPIRE V registry

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Abstract
Aims This study aims to provide an overview on contemporary gender differences in the risk factor control of coronary heart disease (CHD) patients. Methods and results Analyses were based on the cross-sectional ESC (European Society of Cardiology) EORP (EurObservational Research Programme) EUROASPIRE V (European Survey of Cardiovascular Disease Prevention and Diabetes) survey including data on CHD patients across 27 European countries. Men and women between 18 and 80 years old, hospitalized for a first or recurrent coronary event were included in the study. Data were available for 8261 patients of which 25.8% women. Overall, women had a worse risk factor control compared with men. Whereas women were more likely to be non-smokers (79.3% vs. 87.2%; P < 0.001), they were less likely to reach recommended levels of physical activity (36.8% vs. 27.5%; P < 0.001), and they were less likely to be non-obese (65.1% vs. 54.3%; P < 0.001). There is indication that risk factors such as smoking behaviour and obesity differed depending on country income level. No gender differences could be observed in blood pressure on target (P > 0.05). Moreover, a lower proportion of women reached low-density lipoprotein cholesterol (LDL-C) target levels (31.4% vs. 22.1%; P < 0.001), and they were less likely to reach glycated haemoglobin (HbA1c) targets if having self-reported diabetes (56.7% vs. 48.6%; P < 0.001). Conclusion The risk factor control of CHD women is substantial worse compared with men despite little gender differences in cardiovascular medication intake. Further actions are needed to increase the awareness of the worse risk factor control in female CHD patients.
Keywords
EUROASPIRE, Gender, Risk factors, Coronary heart disease, Secondary prevention, HEART-DISEASE PATIENTS, MYOCARDIAL-INFARCTION, SEX-DIFFERENCES, CARDIOVASCULAR-DISEASE, SECONDARY PREVENTION, YOUNG-PATIENTS, MANAGEMENT, OUTCOMES, INSIGHTS, WOMEN

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MLA
Vynckier, Pieter, et al. “Gender Gap in Risk Factor Control of Coronary Patients Far from Closing : Results from the European Society of Cardiology EUROASPIRE V Registry.” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, vol. 29, no. 2, 2022, pp. 344–51, doi:10.1093/eurjpc/zwaa144.
APA
Vynckier, P., Ferrannini, G., Rydén, L., Jankowski, P., De Backer, T., Gevaert, S., … De Smedt, D. (2022). Gender gap in risk factor control of coronary patients far from closing : results from the European Society of Cardiology EUROASPIRE V registry. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 29(2), 344–351. https://doi.org/10.1093/eurjpc/zwaa144
Chicago author-date
Vynckier, Pieter, Giulia Ferrannini, Lars Rydén, Piotr Jankowski, Tine De Backer, Sofie Gevaert, Dirk De Bacquer, and Delphine De Smedt. 2022. “Gender Gap in Risk Factor Control of Coronary Patients Far from Closing : Results from the European Society of Cardiology EUROASPIRE V Registry.” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY 29 (2): 344–51. https://doi.org/10.1093/eurjpc/zwaa144.
Chicago author-date (all authors)
Vynckier, Pieter, Giulia Ferrannini, Lars Rydén, Piotr Jankowski, Tine De Backer, Sofie Gevaert, Dirk De Bacquer, and Delphine De Smedt. 2022. “Gender Gap in Risk Factor Control of Coronary Patients Far from Closing : Results from the European Society of Cardiology EUROASPIRE V Registry.” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY 29 (2): 344–351. doi:10.1093/eurjpc/zwaa144.
Vancouver
1.
Vynckier P, Ferrannini G, Rydén L, Jankowski P, De Backer T, Gevaert S, et al. Gender gap in risk factor control of coronary patients far from closing : results from the European Society of Cardiology EUROASPIRE V registry. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY. 2022;29(2):344–51.
IEEE
[1]
P. Vynckier et al., “Gender gap in risk factor control of coronary patients far from closing : results from the European Society of Cardiology EUROASPIRE V registry,” EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, vol. 29, no. 2, pp. 344–351, 2022.
@article{8686921,
  abstract     = {{Aims This study aims to provide an overview on contemporary gender differences in the risk factor control of coronary heart disease (CHD) patients. Methods and results Analyses were based on the cross-sectional ESC (European Society of Cardiology) EORP (EurObservational Research Programme) EUROASPIRE V (European Survey of Cardiovascular Disease Prevention and Diabetes) survey including data on CHD patients across 27 European countries. Men and women between 18 and 80 years old, hospitalized for a first or recurrent coronary event were included in the study. Data were available for 8261 patients of which 25.8% women. Overall, women had a worse risk factor control compared with men. Whereas women were more likely to be non-smokers (79.3% vs. 87.2%; P < 0.001), they were less likely to reach recommended levels of physical activity (36.8% vs. 27.5%; P < 0.001), and they were less likely to be non-obese (65.1% vs. 54.3%; P < 0.001). There is indication that risk factors such as smoking behaviour and obesity differed depending on country income level. No gender differences could be observed in blood pressure on target (P > 0.05). Moreover, a lower proportion of women reached low-density lipoprotein cholesterol (LDL-C) target levels (31.4% vs. 22.1%; P < 0.001), and they were less likely to reach glycated haemoglobin (HbA1c) targets if having self-reported diabetes (56.7% vs. 48.6%; P < 0.001). Conclusion The risk factor control of CHD women is substantial worse compared with men despite little gender differences in cardiovascular medication intake. Further actions are needed to increase the awareness of the worse risk factor control in female CHD patients.}},
  author       = {{Vynckier, Pieter and Ferrannini, Giulia and Rydén, Lars and Jankowski, Piotr and De Backer, Tine and Gevaert, Sofie and De Bacquer, Dirk and De Smedt, Delphine}},
  issn         = {{2047-4873}},
  journal      = {{EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY}},
  keywords     = {{EUROASPIRE,Gender,Risk factors,Coronary heart disease,Secondary prevention,HEART-DISEASE PATIENTS,MYOCARDIAL-INFARCTION,SEX-DIFFERENCES,CARDIOVASCULAR-DISEASE,SECONDARY PREVENTION,YOUNG-PATIENTS,MANAGEMENT,OUTCOMES,INSIGHTS,WOMEN}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{344--351}},
  title        = {{Gender gap in risk factor control of coronary patients far from closing : results from the European Society of Cardiology EUROASPIRE V registry}},
  url          = {{http://dx.doi.org/10.1093/eurjpc/zwaa144}},
  volume       = {{29}},
  year         = {{2022}},
}

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