RT-241
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Is there a gender-difference in
pacemaker implantations?
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Heinz S. Weber, Peter Kaindl,
Harald Prohaska, Franz Sellner.
5th Medical Dptm. and Surgical Dptm., Kaiser Franz Josef Spital, Vienna, Austria
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Introduction
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It is true, that middle aged men are more affected
than women with a higher incidence of morbiditiy and mortality of coronary artery disease
(CAD). Latest in the postmenopausal period women have an equal morbidity and incidence of
acute myocardial infarction (AMI) with a higher mortality than men. Despite that women
with typical symptoms are less likely to be referred to appropriate investigations than
man1. In women the likelyhood to undergoe heart
catheterisation, PTCA or CABG was significantly less (27-45%) than in men despite
adjustment of age, left ventricular function or severity of CAD2,3.
There seemed to be a gender - bias in the different revascularisation procedures, which
disappeared after over all adjustment of different parameters4.
Nevertheless suspicious facts remained that there is a gender difference in selecting
different therapeutic strategies in CAD.
Aim of this retrospective study was to evaluate, wether there is also a gender
difference in the indication for pacemaker-implantation (PM) and selection of the PM type.
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