Coronary disease & ACS

Time Trends in Major Adverse Cardiovascular Events After Percutaneous Coronary Intervention: Meta-Analysis on Sex Differences

JACC AdvPublished meta-analysis

Authors' conclusion

In the meta-analysis of PCI-related trials in ACS, women have a higher risk of adverse cardiovascular outcomes compared with men.

Study context

Population
Patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI)32 trials
Comparison
Women compared with men
Outcome
major adverse cardiovascular events (MACE) and its components
Follow-up
Short-term (within 1 month after PCI), mid-term (within 1 year), and long-term (within >1 year)
Methodological detailsrandom effects model
  • Random effects model

Pooled result

As reported in the abstract

women vs menRelative risk (95% CI)
MACE, short-term
1.43(1.10–1.86)
All-cause mortality, short-term
2.51(1.70–3.71)
Myocardial infarction, short-term
1.33(1.00–1.77)
MACE, long-term
1.11(1.01–1.22)
All-cause mortality, long-term
1.29(1.17–1.42)
Cardiovascular mortality, long-term
1.30(1.11–1.52)

Original publication

Time Trends in Major Adverse Cardiovascular Events After Percutaneous Coronary Intervention: Meta-Analysis on Sex Differences. JACC Adv. Published 8 January 2025. doi:10.1016/j.jacadv.2024.101526

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