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TREATMENT OF ACUTE MYOCARDIAL INFARCTION AND 30-DAY MORALITY AMONG WOMEN AND MEN
Women receive less aggressive treatment during early management of acute myocardial infarction than do men. However, since many of these differences are small, there is no apparent effect on early mortality. The study is based on data from the charts of 138,956 Medicare beneficiaries (49% women) who had an acute myocardial infarction in 1994 or 1995. Women of all ages were less likely than men to undergo diagnostic catheterization. This difference was especially pronounced in women 85 years and older. Women were less likely than men to receive thrombolytic therapy within 60 minutes or to get aspirin within 24 hours after arrival at the hospital. They were equally likely to receive beta blockers and more likely to receive angiotensin-converting-enzyme inhibitors. In comparison to men, women were more likely to have a do-not-resuscitate order in their charts (adjusted relative risk 1.26; 95% confidence interval,1.22 to 1.29).
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