Department of Internal Medicine 3/Cardiology, University Hospital St. Pölten, St. Pölten, Austria.
Karl Landsteiner University of Health Sciences, Krems, Austria.
Wien Klin Wochenschr. 2023 Dec;135(23-24):663-666. doi: 10.1007/s00508-023-02302-4. Epub 2023 Nov 23.
Significant sex-specific differences were described in the presentation, management and outcome of acute coronary syndrom (ACS) patients. Female ACS patients more often presented with noncardiac symptoms, which lead to significant time delays between symptom onset and treatment. Furthermore, multiple studies from various countries described that women with ACS were less likely to receive the medical or reperfusion therapy recommended by the respective guidelines, resulting in higher in-hospital mortality rates.The treating physicians and the patients need to be more aware of the described differences to ensure the best possible medical care for ACS patients, irrespective of sex.
急性冠状动脉综合征 (ACS) 患者的临床表现、治疗和预后存在显著的性别差异。女性 ACS 患者更常出现非心脏症状，导致症状出现与治疗之间存在显著的时间延迟。此外，来自不同国家的多项研究表明，ACS 女性接受推荐指南规定的医疗或再灌注治疗的可能性较低，导致住院死亡率较高。治疗医生和患者需要更加意识到这些差异，以确保 ACS 患者得到尽可能好的医疗护理，而不论其性别如何。
