Acute coronary syndrome (ACS) refers to a spectrum of clinical presentations such as a heart attack (myocardial infarction) or unstable angina.
Gender and racial disparities persist in the emergency department (ED) when it comes to the
evaluation of chest pain with the potential for acute coronary syndrome
(ACS); however, not in the way many would expect. That is the main
finding of a study to be published in the February 2017 issue of Academic Emergency Medicine, a journal of the Society of Academic Emergency Medicine.
People Adhere To Medication Better After Being Hospitalized For Acute Coronary Syndrome
A study finds that patients better adhered to their medication regimens in the year following hospitalization for acute coronary syndrome (ACS).
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‘Physicians' subjective estimation of acute coronary syndrome (ACS) risk was consistently lower for both females and minorities in agreement with calculated objective pretest assessments.’
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The study, authored by researchers at the Indiana University School of Medicine, found evidence that physicians' subjective estimation of ACS risk was consistently lower for both females and minorities in agreement with calculated objective pretest assessments. Surprisingly and contrary to expectations based upon these assessments, there does not appear to be any significant decrease in the subsequent evaluation of these perceived lower-risk groups when radiation exposure and costs are taken into account.
These findings suggest that the ED evaluation of chest pain has
become protocolized to the point that it is immune to the unconscious
and/or systemic bias which have been shown to influence the evaluation
and care of many other conditions in healthcare. Further research and
effort is needed to understand why physicians either tend to
underestimate ACS risk in women and minorities or do not match their
level of subsequent testing to level of risk they assigned.
![Young Women With Acute Coronary Syndrome Do As Well As Men]( "Young Women With Acute Coronary Syndrome Do As Well As Men")
The rate of death among young to middle-aged adults has increased due to increasing prevalence of abdominal obesity, diabetes, and hypertension.
First author and co-researcher Paul Musey, Jr., assistant professor at Indiana University School of Medicine, added, "This is quite surprising because we would have expected physicians to remain intellectually congruent and offer less testing to the patients they perceived to be at lower risk of ACS (women and minorities).
"Analysis by gender is vital to research performed by emergency physicians; in particular, this topic is very germane to practicing clinicians. It is consistent with the research priorities for examining the influence of sex and gender on diagnostic choices established recently by our specialty at the AEM consensus conference on Gender-Specific Research in Emergency Care and is in line with expectations of the NIH," said Marna Rayl Greenberg, Director of EM Research, Lehigh Valley Hospital and co-chair of the 2014 Academic Emergency Medicine Consensus Conference on Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.
Source: Eurekalert
Young Women With Acute Coronary Syndrome Do As Well As Men
The rate of death among young to middle-aged adults has increased due to increasing prevalence of abdominal obesity, diabetes, and hypertension.
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First author and co-researcher Paul Musey, Jr., assistant professor at Indiana University School of Medicine, added, "This is quite surprising because we would have expected physicians to remain intellectually congruent and offer less testing to the patients they perceived to be at lower risk of ACS (women and minorities).
"Analysis by gender is vital to research performed by emergency physicians; in particular, this topic is very germane to practicing clinicians. It is consistent with the research priorities for examining the influence of sex and gender on diagnostic choices established recently by our specialty at the AEM consensus conference on Gender-Specific Research in Emergency Care and is in line with expectations of the NIH," said Marna Rayl Greenberg, Director of EM Research, Lehigh Valley Hospital and co-chair of the 2014 Academic Emergency Medicine Consensus Conference on Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes.
Source: Eurekalert
In Patients With Acute Coronary Syndrome Perceived Control Affects Complication Rates
According to research, patients admitted to a hospital with obstructed heart arteries were three times more likely to experience complications.
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 Optimising Appropriate Medical Therapies may Reduce Acute Coronary SyndromesOptimising appropriate medical therapies may reduce Acute coronary syndromes thereby decreasing mortality rate. | Advertisement
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