Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh
Postmenopausal women present with more severe coronary artery disease (CAD) in addition to multiple comorbidities. However, there are limited data available to compare the risk factors, clinical characteristics, and angiographic severity of CAD between pre- and postmenopausal women with the acute co...
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| creator | Siddika, Ayesha Malik, Fazila-Tun-Nesa Kalimuddin, Md Hasan, Nahidul Ahmed, Nazir Badiuzzaman, Mohammad Ahmed, Mir Nesaruddin Dutta, Ashok Ishraquzzaman, Mir Chowdhury, Md Shamim |
| description | Postmenopausal women present with more severe coronary artery disease (CAD) in addition to multiple comorbidities. However, there are limited data available to compare the risk factors, clinical characteristics, and angiographic severity of CAD between pre- and postmenopausal women with the acute coronary syndrome (ACS).
This study aimed to assess and compare the severity of CAD in pre- and postmenopausal women with ACS.
This cross-sectional observational study was conducted at the Department of Cardiology of NHFH RI. A total of 140 female patients with ACS were enrolled and then divided into Group I (premenopausal) and Group II (postmenopausal) on the basis of menopause history. Clinical data and coronary angiographic severity were compared between both groups.
The mean age of the premenopausal group was 41.53 ± 5.45 years, and that of the postmenopausal group was 57.23 ± 7.45 years. Family history of premature CAD was significantly more common in the premenopausal group than in the postmenopausal group (35(50%) vs. 23(32.9%); p=0.017)). DM and smokeless tobacco were more prevalent in the postmenopausal group (48(68.6%) vs. 28(40%); p=0.001 and 14(20%) vs. 2(2.9%); p=0.002). Atypical presentation was more common in the premenopausal group (21(30%) vs. 9(12.9%); p=0.013). Most of the patients in both groups presented with unstable angina followed by NSTEMI and STEMI. Mean left ventricular ejection fraction was lower in the postmenopausal group than in the premenopausal group (50.71 ± 8.38% vs. 53.74 ± 7.46%; p=0.026). Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group (22(31.4%) vs. 12(17.1%); p=0.04) and (22(31.4%) vs. 11(15.7%); p=0.002), whereas triple-vessel disease was more prevalent in the postmenopausal group (34(48.6% vs. 14(20%); p=0.001). The left anterior descending artery was the most commonly involved vessel in the postmenopausal group (67(95.7%) vs. 60(85.7%); p=0.04). Finally, the mean Gensini score was higher in the postmenopausal group than in the premenopausal group (56.1 ± 43.4 vs. 33.5 ± 36.9; p=0.001).
Family history of premature CAD and atypical presentation were common in premenopausal ACS patients. DM and smokeless tobacco use were more prevalent in the postmenopausal group than in the premenopausal group. Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group, and triple-vessel disease was more common in the postmenopausal group. CAD was mor |
| doi_str_mv | 10.7759/cureus.50514 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2914255514</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2920542788</sourcerecordid><originalsourceid>FETCH-LOGICAL-c287t-1dff82fadbeba608379324d27829d9534a094a813fe32c4dbecf43d1f23cd27e3</originalsourceid><addsrcrecordid>eNpdkU1LJDEQhoO4qLjePEvAiwfbzVfbaW_t-DELggOjeGwynYq2dCdjPoT5Df5ps46ry56qinp4q3hfhPYpOamqsv7VJQ8pnJSkpGID7TB6KgtJpdj8p99GeyE8E0IoqRipyBba5pIxRutqB73N4RV8H1fYGTxx3lnlV7jxEXK56AOoAAE3o7OPeOahwMpqPHMhjmDdUqWgBvzg8oAf-viEmy5F-NaZr6z2eXuGGzx1YdlHNRTnWVLjeUx6hXuLz5V9HJSG8PQT_TBqCLD3WXfR_dXl3WRa3Nxe_540N0XHZBULqo2RzCi9gIU6JZJXNWdCs0qyWtclF4rUQknKDXDWiYx1RnBNDeNdpoDvoqO17tK7lwQhtmMfOhgGZcGl0LKaClaW2dKMHv6HPrvkbf4uU4yUIl-VmTpeU513IXgw7dL3YzagpaT9k1O7zqn9yCnjB5-iaTGC_oL_psLfAW1Uj_w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2920542788</pqid></control><display><type>article</type><title>Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh</title><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Siddika, Ayesha ; Malik, Fazila-Tun-Nesa ; Kalimuddin, Md ; Hasan, Nahidul ; Ahmed, Nazir ; Badiuzzaman, Mohammad ; Ahmed, Mir Nesaruddin ; Dutta, Ashok ; Ishraquzzaman, Mir ; Chowdhury, Md Shamim</creator><creatorcontrib>Siddika, Ayesha ; Malik, Fazila-Tun-Nesa ; Kalimuddin, Md ; Hasan, Nahidul ; Ahmed, Nazir ; Badiuzzaman, Mohammad ; Ahmed, Mir Nesaruddin ; Dutta, Ashok ; Ishraquzzaman, Mir ; Chowdhury, Md Shamim</creatorcontrib><description>Postmenopausal women present with more severe coronary artery disease (CAD) in addition to multiple comorbidities. However, there are limited data available to compare the risk factors, clinical characteristics, and angiographic severity of CAD between pre- and postmenopausal women with the acute coronary syndrome (ACS).
This study aimed to assess and compare the severity of CAD in pre- and postmenopausal women with ACS.
This cross-sectional observational study was conducted at the Department of Cardiology of NHFH RI. A total of 140 female patients with ACS were enrolled and then divided into Group I (premenopausal) and Group II (postmenopausal) on the basis of menopause history. Clinical data and coronary angiographic severity were compared between both groups.
The mean age of the premenopausal group was 41.53 ± 5.45 years, and that of the postmenopausal group was 57.23 ± 7.45 years. Family history of premature CAD was significantly more common in the premenopausal group than in the postmenopausal group (35(50%) vs. 23(32.9%); p=0.017)). DM and smokeless tobacco were more prevalent in the postmenopausal group (48(68.6%) vs. 28(40%); p=0.001 and 14(20%) vs. 2(2.9%); p=0.002). Atypical presentation was more common in the premenopausal group (21(30%) vs. 9(12.9%); p=0.013). Most of the patients in both groups presented with unstable angina followed by NSTEMI and STEMI. Mean left ventricular ejection fraction was lower in the postmenopausal group than in the premenopausal group (50.71 ± 8.38% vs. 53.74 ± 7.46%; p=0.026). Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group (22(31.4%) vs. 12(17.1%); p=0.04) and (22(31.4%) vs. 11(15.7%); p=0.002), whereas triple-vessel disease was more prevalent in the postmenopausal group (34(48.6% vs. 14(20%); p=0.001). The left anterior descending artery was the most commonly involved vessel in the postmenopausal group (67(95.7%) vs. 60(85.7%); p=0.04). Finally, the mean Gensini score was higher in the postmenopausal group than in the premenopausal group (56.1 ± 43.4 vs. 33.5 ± 36.9; p=0.001).
Family history of premature CAD and atypical presentation were common in premenopausal ACS patients. DM and smokeless tobacco use were more prevalent in the postmenopausal group than in the premenopausal group. Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group, and triple-vessel disease was more common in the postmenopausal group. CAD was more severe in the postmenopausal group.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.50514</identifier><identifier>PMID: 38222197</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Acute coronary syndromes ; Age groups ; Cardiovascular disease ; Menopause ; Middle age ; Older people ; Vein & artery diseases ; Womens health</subject><ispartof>Curēus (Palo Alto, CA), 2023-12, Vol.15 (12), p.e50514-e50514</ispartof><rights>Copyright © 2023, Siddika et al.</rights><rights>Copyright © 2023, Siddika et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c287t-1dff82fadbeba608379324d27829d9534a094a813fe32c4dbecf43d1f23cd27e3</citedby><cites>FETCH-LOGICAL-c287t-1dff82fadbeba608379324d27829d9534a094a813fe32c4dbecf43d1f23cd27e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38222197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Siddika, Ayesha</creatorcontrib><creatorcontrib>Malik, Fazila-Tun-Nesa</creatorcontrib><creatorcontrib>Kalimuddin, Md</creatorcontrib><creatorcontrib>Hasan, Nahidul</creatorcontrib><creatorcontrib>Ahmed, Nazir</creatorcontrib><creatorcontrib>Badiuzzaman, Mohammad</creatorcontrib><creatorcontrib>Ahmed, Mir Nesaruddin</creatorcontrib><creatorcontrib>Dutta, Ashok</creatorcontrib><creatorcontrib>Ishraquzzaman, Mir</creatorcontrib><creatorcontrib>Chowdhury, Md Shamim</creatorcontrib><title>Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Postmenopausal women present with more severe coronary artery disease (CAD) in addition to multiple comorbidities. However, there are limited data available to compare the risk factors, clinical characteristics, and angiographic severity of CAD between pre- and postmenopausal women with the acute coronary syndrome (ACS).
This study aimed to assess and compare the severity of CAD in pre- and postmenopausal women with ACS.
This cross-sectional observational study was conducted at the Department of Cardiology of NHFH RI. A total of 140 female patients with ACS were enrolled and then divided into Group I (premenopausal) and Group II (postmenopausal) on the basis of menopause history. Clinical data and coronary angiographic severity were compared between both groups.
The mean age of the premenopausal group was 41.53 ± 5.45 years, and that of the postmenopausal group was 57.23 ± 7.45 years. Family history of premature CAD was significantly more common in the premenopausal group than in the postmenopausal group (35(50%) vs. 23(32.9%); p=0.017)). DM and smokeless tobacco were more prevalent in the postmenopausal group (48(68.6%) vs. 28(40%); p=0.001 and 14(20%) vs. 2(2.9%); p=0.002). Atypical presentation was more common in the premenopausal group (21(30%) vs. 9(12.9%); p=0.013). Most of the patients in both groups presented with unstable angina followed by NSTEMI and STEMI. Mean left ventricular ejection fraction was lower in the postmenopausal group than in the premenopausal group (50.71 ± 8.38% vs. 53.74 ± 7.46%; p=0.026). Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group (22(31.4%) vs. 12(17.1%); p=0.04) and (22(31.4%) vs. 11(15.7%); p=0.002), whereas triple-vessel disease was more prevalent in the postmenopausal group (34(48.6% vs. 14(20%); p=0.001). The left anterior descending artery was the most commonly involved vessel in the postmenopausal group (67(95.7%) vs. 60(85.7%); p=0.04). Finally, the mean Gensini score was higher in the postmenopausal group than in the premenopausal group (56.1 ± 43.4 vs. 33.5 ± 36.9; p=0.001).
Family history of premature CAD and atypical presentation were common in premenopausal ACS patients. DM and smokeless tobacco use were more prevalent in the postmenopausal group than in the premenopausal group. Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group, and triple-vessel disease was more common in the postmenopausal group. CAD was more severe in the postmenopausal group.</description><subject>Acute coronary syndromes</subject><subject>Age groups</subject><subject>Cardiovascular disease</subject><subject>Menopause</subject><subject>Middle age</subject><subject>Older people</subject><subject>Vein & artery diseases</subject><subject>Womens health</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkU1LJDEQhoO4qLjePEvAiwfbzVfbaW_t-DELggOjeGwynYq2dCdjPoT5Df5ps46ry56qinp4q3hfhPYpOamqsv7VJQ8pnJSkpGID7TB6KgtJpdj8p99GeyE8E0IoqRipyBba5pIxRutqB73N4RV8H1fYGTxx3lnlV7jxEXK56AOoAAE3o7OPeOahwMpqPHMhjmDdUqWgBvzg8oAf-viEmy5F-NaZr6z2eXuGGzx1YdlHNRTnWVLjeUx6hXuLz5V9HJSG8PQT_TBqCLD3WXfR_dXl3WRa3Nxe_540N0XHZBULqo2RzCi9gIU6JZJXNWdCs0qyWtclF4rUQknKDXDWiYx1RnBNDeNdpoDvoqO17tK7lwQhtmMfOhgGZcGl0LKaClaW2dKMHv6HPrvkbf4uU4yUIl-VmTpeU513IXgw7dL3YzagpaT9k1O7zqn9yCnjB5-iaTGC_oL_psLfAW1Uj_w</recordid><startdate>20231214</startdate><enddate>20231214</enddate><creator>Siddika, Ayesha</creator><creator>Malik, Fazila-Tun-Nesa</creator><creator>Kalimuddin, Md</creator><creator>Hasan, Nahidul</creator><creator>Ahmed, Nazir</creator><creator>Badiuzzaman, Mohammad</creator><creator>Ahmed, Mir Nesaruddin</creator><creator>Dutta, Ashok</creator><creator>Ishraquzzaman, Mir</creator><creator>Chowdhury, Md Shamim</creator><general>Cureus Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20231214</creationdate><title>Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh</title><author>Siddika, Ayesha ; Malik, Fazila-Tun-Nesa ; Kalimuddin, Md ; Hasan, Nahidul ; Ahmed, Nazir ; Badiuzzaman, Mohammad ; Ahmed, Mir Nesaruddin ; Dutta, Ashok ; Ishraquzzaman, Mir ; Chowdhury, Md Shamim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c287t-1dff82fadbeba608379324d27829d9534a094a813fe32c4dbecf43d1f23cd27e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acute coronary syndromes</topic><topic>Age groups</topic><topic>Cardiovascular disease</topic><topic>Menopause</topic><topic>Middle age</topic><topic>Older people</topic><topic>Vein & artery diseases</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Siddika, Ayesha</creatorcontrib><creatorcontrib>Malik, Fazila-Tun-Nesa</creatorcontrib><creatorcontrib>Kalimuddin, Md</creatorcontrib><creatorcontrib>Hasan, Nahidul</creatorcontrib><creatorcontrib>Ahmed, Nazir</creatorcontrib><creatorcontrib>Badiuzzaman, Mohammad</creatorcontrib><creatorcontrib>Ahmed, Mir Nesaruddin</creatorcontrib><creatorcontrib>Dutta, Ashok</creatorcontrib><creatorcontrib>Ishraquzzaman, Mir</creatorcontrib><creatorcontrib>Chowdhury, Md Shamim</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siddika, Ayesha</au><au>Malik, Fazila-Tun-Nesa</au><au>Kalimuddin, Md</au><au>Hasan, Nahidul</au><au>Ahmed, Nazir</au><au>Badiuzzaman, Mohammad</au><au>Ahmed, Mir Nesaruddin</au><au>Dutta, Ashok</au><au>Ishraquzzaman, Mir</au><au>Chowdhury, Md Shamim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-12-14</date><risdate>2023</risdate><volume>15</volume><issue>12</issue><spage>e50514</spage><epage>e50514</epage><pages>e50514-e50514</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Postmenopausal women present with more severe coronary artery disease (CAD) in addition to multiple comorbidities. However, there are limited data available to compare the risk factors, clinical characteristics, and angiographic severity of CAD between pre- and postmenopausal women with the acute coronary syndrome (ACS).
This study aimed to assess and compare the severity of CAD in pre- and postmenopausal women with ACS.
This cross-sectional observational study was conducted at the Department of Cardiology of NHFH RI. A total of 140 female patients with ACS were enrolled and then divided into Group I (premenopausal) and Group II (postmenopausal) on the basis of menopause history. Clinical data and coronary angiographic severity were compared between both groups.
The mean age of the premenopausal group was 41.53 ± 5.45 years, and that of the postmenopausal group was 57.23 ± 7.45 years. Family history of premature CAD was significantly more common in the premenopausal group than in the postmenopausal group (35(50%) vs. 23(32.9%); p=0.017)). DM and smokeless tobacco were more prevalent in the postmenopausal group (48(68.6%) vs. 28(40%); p=0.001 and 14(20%) vs. 2(2.9%); p=0.002). Atypical presentation was more common in the premenopausal group (21(30%) vs. 9(12.9%); p=0.013). Most of the patients in both groups presented with unstable angina followed by NSTEMI and STEMI. Mean left ventricular ejection fraction was lower in the postmenopausal group than in the premenopausal group (50.71 ± 8.38% vs. 53.74 ± 7.46%; p=0.026). Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group (22(31.4%) vs. 12(17.1%); p=0.04) and (22(31.4%) vs. 11(15.7%); p=0.002), whereas triple-vessel disease was more prevalent in the postmenopausal group (34(48.6% vs. 14(20%); p=0.001). The left anterior descending artery was the most commonly involved vessel in the postmenopausal group (67(95.7%) vs. 60(85.7%); p=0.04). Finally, the mean Gensini score was higher in the postmenopausal group than in the premenopausal group (56.1 ± 43.4 vs. 33.5 ± 36.9; p=0.001).
Family history of premature CAD and atypical presentation were common in premenopausal ACS patients. DM and smokeless tobacco use were more prevalent in the postmenopausal group than in the premenopausal group. Normal coronary angiogram and single-vessel disease were more prevalent in the premenopausal group, and triple-vessel disease was more common in the postmenopausal group. CAD was more severe in the postmenopausal group.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>38222197</pmid><doi>10.7759/cureus.50514</doi><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Acute coronary syndromes Age groups Cardiovascular disease Menopause Middle age Older people Vein & artery diseases Womens health |
| title | Severity of Coronary Artery Diseases Among Pre- and Postmenopausal Women With Acute Coronary Syndrome: A Hospital-Based Study in Bangladesh |
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