Women go to the emergency room more for heart problems but are admitted less

Las mujeres van más a Urgencias por problemas cardiacos pero ingresan menos

Out of a total of 6,042 consultations analyzed, 59% 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 care in Cardiology. As he explains Lourdes-Vincent, lead author of the research, there are gender differences in the patterns of use of cardiology consultations and in the evolution of patients in the follow-up after the visit to the cardiologist. “To exist differences in the reasons for consultation of the cardiologist between men and women. In the follow-up, women go more to the emergency room, but they enter cardiology less”, he explains.

Se trata de a descriptive study that ha empleado datos administrativos sanitarios y de la historia clinical electrónica de patients del área de attention de un hospital terciario (Hospital Universitario 12 de Octubre) duringe los años 2017 y 2018. “Hemos incluido las consultations de patients remitidos from First aid in a first consultation and analyzed the most frequent reasons for consultation, the basic socio-demographic variables and the profile of use of health resources according to gender and age”, explains Lourdes Vicent.

Of the total of 6,042 queries analyzedthe 59 percent To belong to womenthose who are older: 64 years old medium against 59 years old in the case of Men’s. They also had a higher number of emergency room visits at follow-up: 54.9% compared to 47.7% of men. However, only 6.6% of women end up in hospital compared to 8.8% of them.

The higher frequency of emergency room visits among women may be explained by a greater awareness of the disease or a greater worry for the cardiovascular symptoms in them. On the other hand, the lower frequency of hospitalizations among women may be due to a less worry for a serious illness by the doctors who treat these patients, depending on the symptoms for which the women consult”, points out the specialist in Cardiology.

Palpitations and dyspnoea, women’s consultations

The most frequent reasons for consultation among women are palpitations (19%), especially among young women under 40, and dyspnea (18 percent), in this case more common in older women. On the contrary, men consult more because of alterations in electrocardiogram (23%) and chest pain (19 percent).

Concerning the requests for additional examinations requested in Cardiology consultation, men who present chest pain are more often subjected to coronary angiography than women. The transthoracic echocardiography in the imaging unit, it is more in demand among men, perhaps due to greater concern about underlying heart disease in men. Men over 65 are more often seen in cardiology clinics than women (42% of men versus 37% of women).

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