DÄ internationalArchive44/2008Mortality Following Myocardial Infarction in Women and Men: Death Risk of Younger Women Does Not Differ Significantly From That of Older Women

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Mortality Following Myocardial Infarction in Women and Men: Death Risk of Younger Women Does Not Differ Significantly From That of Older Women

Dtsch Arztebl Int 2008; 105(44): 763. DOI: 10.3238/arztebl.2008.0763a
by Priv.-Doz. Dr. med. Günther Heller, Dr. P. H. Birgit Babitsch, Dipl. Math. Christian Günster, Priv.-Doz. Dr. med. Martin Möckel in volume 15/2008

Dören, M

LNSLNS We welcome a sex specific analysis of the data from hospital stays, so as to analyze possible existing inequalities in the quality of medical care.

The authors state that 1 year mortality in women is lower than in men (age adjusted odds ratio 0.93; 95% confidence interval 0.91 to 0.96; table 2). On the other hand they say that in some forms of transmural infarctions of the posterior wall, mortality in women is raised "to a low extent and non-significantly", but the confidence interval includes 1 (1.08; 0.95 to 1.23; figure 1). 30 day mortality in women <50 years of age is supposedly slightly raised, but the confidence interval in this setting also includes 1, as in other age groups. The confidence intervals are inversely related (figure 2). As I understand it, no reliable statistical results of the analyzed data sets are available to demonstrate obvious deficits in the care of women after myocardial infarction. Obviously, not even myocardial infarction registers such as MONICA/KORA contain robust data to suggest that women experience care of a lesser quality. However, why in this southern German region, more myocardial infarctions were diagnosed in younger women aged 25 to 54 in 2001 to 2003 than in 1985 to 1987, whereas infarction rates dropped in older women (55 to 74 years of age)is unclear.

Possibly, risk factor profiles have changed to different degrees over time and across age groups; maybe even an increased awareness among doctors in dealing with heart diseases has had an influence.
DOI: 10.3238/arztebl.2008.763a


Prof. Dr. med. Martina Dören
Charité – Universitätsmedizin Berlin
Campus Benjamin Franklin
Hindenburgdamm 30, 12200 Berlin, Germany
Martina.Doeren@charite.de

Conflict of interest statement
The author is a member of an advisory working group for the internet portal "Women's health and health promotion“ (BZgA:[Bundeszentrale für gesundheitliche Aufklärung]).
1.
Löwel H, Meisinger C, Heier M, Hörmann A, von Scheidt W: Herzinfarkt und koronare Sterblichkeit in Süddeutschland. Dtsch Arztebl 2006; 103 (10): A 616–22. VOLLTEXT
1. Löwel H, Meisinger C, Heier M, Hörmann A, von Scheidt W: Herzinfarkt und koronare Sterblichkeit in Süddeutschland. Dtsch Arztebl 2006; 103 (10): A 616–22. VOLLTEXT
2. Robert-Koch-Institut, Statistisches Bundesamt (Hrsg): Löwel H: Koronare Herzkrankheit und akuter Myokardinfarkt, Heft 33, 2006.

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