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2001 DEC 27 - (NewsRx.com & NewsRx.net) -- Regardless of the gender of the physician, women are less likely than men to undergo cardiac catheterization following a heart attack, according to a new study.
Saif S. Rathore, MPH, from the Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, and colleagues analyzed data (from the Cooperative Cardiovascular Project, a retrospective medical record review) for 104,231 patients (52% women) over age 65 hospitalized for heart attack between January 1994 and February 1995. The authors sought to determine whether gender differences in use of cardiac catherization within 60 days of admission for AMI (acute myocardial infarction [heart attack]) were greater when patients were treated by male attending physicians compared with patients treated by female attending physicians.
The authors found that, "women underwent fewer cardiac catheterizations than men when treated by either male physicians (38.6% vs. 50.8%) or female physicians (34.8% vs. 45.8%). Sex differences in procedure use were not greater when a patient and physician were of different sexes," they write. "These results suggest that factors other than sexual bias by male physicians toward women account for sex differences in cardiac procedure use."
The possible reasons for gender differences in referral for cardiac catherization, according to the authors, may be:
* women are less likely to report typical angina (chest pain) symptoms or report them consistently
* lower income or wealth and a lack of supplemental insurance to cover the costs of ...
Source: HighBeam Research, Fewer Women Undergo Cardiac Catheterizations After Heart Attacks.