Gender differences in risk factor management and pharmacological treatment among CHD patients: Belgian results of the EUROASPIRE IV and EUROASPIRE V surveys.

Vynckier, Pieter;De Sutter, Johan;De Pauw, Michel;Vandekerckhove, Hans;EUROASPIRE IV;et.al.
(2023) Acta Cardiologica : an international journal of cardiology — Vol. 78, n° 5, p. 607-613 (2023)

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Authors
  • Vynckier, Pieter
    Author
  • De Sutter, Johan
    Author
  • De Pauw, Michel
    Author
  • Vandekerckhove, Hans
    Author
  • Persu, Alexandreorcid-logoUCLouvain
    Author
  • Chenu, PatrickUCLouvain
    Author
  • EUROASPIRE IV
    Collaborator
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Abstract
AIMS: The aim of this study was to provide an up-to-date overview of gender differences or similarities in risk factor control and medical management in the Belgian CHD population. METHODS: All analyses are based on the ESC EORP EUROASPIRE IV and EUROASPIRE V (European Survey Of Cardiovascular Disease Prevention And Diabetes) surveys. Patients between 18 and 80 years old, hospitalised for a first or recurrent coronary event, were included in the survey. RESULTS: Data were available for 10,519 patients, of which 23.9% were women. Women had a worse risk factor profile compared to men. Women were more physical inactive (OR = 1.31, 95% CI = 1.19-1.44), had a higher prevalence of obesity (OR = 1.37, 95% CI = 1.25-1.50) and had a worse LDL-C control (OR = 1.52, 95% CI = 1.36-1.70). Moreover, women were less likely to use ACE-I/ARBs (OR = 0.84, 95% CI = 0.76-0.94) and statins (OR = 0.79, 95% CI = 0.70-0.90). In addition, little gender differences were found in patients' risk factor awareness, except on cholesterol awareness. Women were more aware about their total cholesterol levels (OR = 1.37, 95% CI = 1.21-1.56). CONCLUSION: Despite little to no gender differences in the management of CHD patients, women still have a worse risk factor profile, both in Belgian and in other European high-income countries.
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Vynckier, P., De Sutter, J., De Pauw, M., Vandekerckhove, H., De Backer, G., Vervaet, P., Deweerdt, N., Dendale, P., Persu, A., Janssen, A., Chenu, P., Kotseva, K., Gevaert, S., De Bacquer, D., & De Smedt, D. (2023). Gender differences in risk factor management and pharmacological treatment among CHD patients: Belgian results of the EUROASPIRE IV and EUROASPIRE V surveys. Acta Cardiologica : an international journal of cardiology, 78(5), 607-613. https://doi.org/10.1080/00015385.2023.2169439 (Original work published 2023)