CPR | Women less likely to receive procedures for cardiac arrest

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CPR Women less likely to receive
procedures for cardiac arrest
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Women cardiac arrest patients are less likely
than men to receive potentially lifesaving
procedures to look for and open blocked coronary
arteries, according to new research in Journal of
the American Heart Association. Procedures such
as angiography and angioplasty help boost cardiac
arrest survival rates, but women tend to get
less immediate care when time is essential, said
Luke Kim, M.D., study lead author and assistant
professor of medicine in the cardiology division
of Weill Cornell Medical College in New
York. The study is the first on sex-based
disparities across a representative spectrum of
cardiac arrest patients.
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Cardiac arrest occurs when the heart abruptly
stops functioning due to malfunction of its
electrical system. In 2014, about 356,500 people
in the United States suffered out-of-hospital
cardiac arrests only 12 percent of those treated
by emergency medical services survived. During
the 10-year study involving more than 1,000 U.S.
hospitals nationally, death rates fell for both
sexes. But 64 percent of women treated for
cardiac arrest in the hospital died compared to
61 percent of men. Using a database of hospital
discharge records known as the Nationwide
Inpatient Sample, researchers analyzed more than
1.4 million cases in which cardiac arrest
patients were transported alive to acute-care
hospitals in 2003-12. During that time, the
number of cardiac arrests increased by 14 percent.
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• Adjusting for factors including patient age,
  health, hospital characteristics and previous
  cardiac procedures, researchers also found that
  women who had a cardiac arrest from a shockable
  rhythm were
• 25 percent less likely to receive coronary
  angiography.
• 29 percent less likely to have angioplasty, also
  known as percutaneous coronary intervention.
• 19 percent less likely to be treated with
  therapeutic hypothermia, in which body
  temperature is lowered to help improve odds of
  survival and reduce risk of brain damage.
• In the study, women were older than men and less
  likely to have been previously diagnosed with
  coronary artery disease. They were more likely to
  have other health problems, such as congestive
  heart failure, high blood pressure, obesity and
  other issues, and to have cardiac arrest caused
  by problems other than a blood vessel blockage,
  such as pulmonary embolism.

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More people taught about cardiac arrest, how to
perform CPR and how to use defibrillators could
improve survival rates, Kim said. Unlike some of
the other disorders, cardiac arrest is one of
the few medical emergencies where theres a huge
impact due to how the public responds to it, Kim
said. If someone can get to a patient right away
and do CPR, that patient has a chance. Learn
more about CPR. Bergenfield, NJ, Jersey City, NJ,
Livingston, NJ, and Queens, New York and
Gainesville, FL. Source https//newsarchive.hear
t.org
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