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Have recent efforts to improve care for acute myocardial infarction lessened sex disparities in treatment? To answer this question, researchers analyzed data from the Get With The Guidelines–Coronary Artery Disease registry for 78,254 patients who were hospitalized with AMI at 420 U.S. hospitals from 2001 to 2006.
Overall, 39% of patients were women. Women were older than men, were less likely to be white, had more comorbidities, and were less likely to present with ST-segment-elevation MI (STEMI). Women were less likely than men to receive early aspirin therapy (odds ratio, 0.86), early β-blocker treatment (OR, 0.90), and reperfusion therapy (OR, 0.75). Women also were less likely to undergo cardiac catheterization (OR, 0.91), percutaneous …