{"id":103,"date":"2017-08-16T05:18:26","date_gmt":"2017-08-16T05:18:26","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/?p=103"},"modified":"2017-08-16T06:30:51","modified_gmt":"2017-08-16T06:30:51","slug":"sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2017\/08\/16\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\/","title":{"rendered":"Sex differences in cardiovascular events and procedures in people with and without diabetes"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" width=\"784\" height=\"568\" class=\"aligncenter wp-image-105 size-full\" src=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/files\/2017\/08\/Card_Diab.gif\" alt=\"\" \/><\/p>\n<p>An article published in the journal\u00a0<a href=\"https:\/\/cardiab.biomedcentral.com\/articles\/10.1186\/s12933-017-0580-0\">Cardiovascular Diabetology<\/a>\u00a0examines gender differences in hospital admissions for major cardiovascular events and procedures in people with and without diabetes.<\/p>\n<p>Secondary prevention of cardiovascular disease (CVD) has improved immensely during the past few decades but controversies persist about the cardiovascular benefits among women with diabetes. We investigated 11-year trends in hospital admission rates for acute myocardial infarction (AMI), stroke, percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) in people with and without diabetes by gender in England.<\/p>\n<p>We found that diabetes-related admission rates remained unchanged for AMI, increased for stroke by 2% and for PCI by 3%; and declined for CABG by 3% annually. Trends did not differ significantly by diabetes status. Women with diabetes had significantly lower rates of AMI and stroke compared with men with diabetes. However, gender differences in admission rates for AMI attenuated in diabetes compared with the non-diabetic group.<\/p>\n<p>While diabetes tripled admission rates for AMI in men, it increased it by over four-fold among women. Furthermore, while the presence of diabetes was associated with a three-fold increase in rates for PCI and a five-fold increase in rates for CABG in men; among women, diabetes was associated with a 4.4-fold increased admission rates for PCI and 6.2-fold increased rates for CABG. Proportional changes in rates were similar in men and women for all study outcomes, leaving the relative risk of admissions largely unchanged.<\/p>\n<p>We concluded that diabetes still confers a greater increase in risk of hospital admission for AMI in women relative to men. However, the absolute risk remains higher in men. These results call for intensified CVD risk factor management among people with diabetes, consideration of gender-specific treatment targets, and treatment intensity to be aligned with levels of CVD risk.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1186\/s12933-017-0580-0\">https:\/\/doi.org\/10.1186\/s12933-017-0580-0<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>An article published in the journal\u00a0Cardiovascular Diabetology\u00a0examines gender differences in hospital admissions for major cardiovascular events and procedures in people with and without diabetes. Secondary prevention of cardiovascular disease (CVD) has improved immensely during the past few decades but controversies persist about the cardiovascular benefits among women with diabetes. We investigated 11-year trends in hospital [&hellip;]<\/p>\n","protected":false},"author":1115,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[404],"tags":[11215,131],"class_list":["post-103","post","type-post","status-publish","format-standard","hentry","category-health","tag-cardiovascular-disease","tag-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sex differences in cardiovascular events and procedures in people with and without diabetes - Medical Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2017\/08\/16\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sex differences in cardiovascular events and procedures in people with and without diabetes - Medical Centre\" \/>\n<meta property=\"og:description\" content=\"An article published in the journal\u00a0Cardiovascular Diabetology\u00a0examines gender differences in hospital admissions for major cardiovascular events and procedures in people with and without diabetes. Secondary prevention of cardiovascular disease (CVD) has improved immensely during the past few decades but controversies persist about the cardiovascular benefits among women with diabetes. We investigated 11-year trends in hospital [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/2017\/08\/16\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Centre\" \/>\n<meta property=\"article:published_time\" content=\"2017-08-16T05:18:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-08-16T06:30:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.imperial.ac.uk\/medical-centre\/files\/2017\/08\/Card_Diab.gif\" \/>\n<meta name=\"author\" content=\"Azeem Majeed\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Azeem Majeed\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/\"},\"author\":{\"name\":\"Azeem Majeed\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/#\\\/schema\\\/person\\\/b22e0e53db849fda7de9e32c14d3df25\"},\"headline\":\"Sex differences in cardiovascular events and procedures in people with and without diabetes\",\"datePublished\":\"2017-08-16T05:18:26+00:00\",\"dateModified\":\"2017-08-16T06:30:51+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/\"},\"wordCount\":311,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/files\\\/2017\\\/08\\\/Card_Diab.gif\",\"keywords\":[\"Cardiovascular Disease\",\"Diabetes\"],\"articleSection\":[\"Health\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/\",\"url\":\"https:\\\/\\\/blogs.imperial.ac.uk\\\/medical-centre\\\/2017\\\/08\\\/16\\\/sex-differences-in-cardiovascular-events-and-procedures-in-people-with-and-without-diabetes\\\/\",\"name\":\"Sex differences in cardiovascular events and procedures in people with and without diabetes - 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