Sex-Related Differences in the Risk Factor Profile and Medications of Patients With Atrial Fibrillation Recruited in J-TRACE

Background: Clinical characteristics, including risk factors for thromboembolism, and medications differ between men and women with atrial fibrillation (AF) in Western countries. Whether such a difference exists for Japanese patients with AF is unclear, so data from J-TRACE were used to investigate...

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Veröffentlicht in:Circulation Journal 2010, Vol.74(4), pp.650-654
Hauptverfasser: Inoue, Hiroshi, Nozawa, Takashi, Hirai, Tadakazu, Goto, Shinya, Origasa, Hideki, Shimada, Kazuyuki, Uchiyama, Shinichiro, Hirabayashi, Takayuki, Koretsune, Yukihiro, Ono, Shiro, Hasegawa, Tooru, Sasagawa, Yasuo, Kaneko, Yoshiaki, Ikeda, Yasuo, Investigators, J-TRACE
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container_end_page 654
container_issue 4
container_start_page 650
container_title Circulation Journal
container_volume 74
creator Inoue, Hiroshi
Nozawa, Takashi
Hirai, Tadakazu
Goto, Shinya
Origasa, Hideki
Shimada, Kazuyuki
Uchiyama, Shinichiro
Hirabayashi, Takayuki
Koretsune, Yukihiro
Ono, Shiro
Hasegawa, Tooru
Sasagawa, Yasuo
Kaneko, Yoshiaki
Ikeda, Yasuo
Investigators, J-TRACE
description Background: Clinical characteristics, including risk factors for thromboembolism, and medications differ between men and women with atrial fibrillation (AF) in Western countries. Whether such a difference exists for Japanese patients with AF is unclear, so data from J-TRACE were used to investigate this issue. Methods and Results: A total of 2,892 patients (2,028 men, 864 women; 70.3 years old) with AF were analyzed for the respective prevalences of risk factors and medications. CHADS2 score was calculated to determine thromboembolic risk level. Women were older (P
doi_str_mv 10.1253/circj.CJ-09-0802
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Whether such a difference exists for Japanese patients with AF is unclear, so data from J-TRACE were used to investigate this issue. Methods and Results: A total of 2,892 patients (2,028 men, 864 women; 70.3 years old) with AF were analyzed for the respective prevalences of risk factors and medications. CHADS2 score was calculated to determine thromboembolic risk level. Women were older (P&lt;0.001), and more frequently had heart failure (P&lt;0.001), and hypertension (P=0.051) than men. The proportion of subjects aged 75 years or older was higher among women than among men (P&lt;0.001). CHADS2 score was therefore significantly higher in women than in men (2.05±1.29 vs 1.88±1.33, P&lt;0.001). Sex-related differences were not observed for the prevalence of diabetes mellitus, myocardial infarction or ischemic stroke, nor did warfarin usage differ between men and women. Conclusions: Sex-related differences were observed in the risk factor profile and medications of Japanese patients with AF. CHADS2 score was higher in women than in men. 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Whether such a difference exists for Japanese patients with AF is unclear, so data from J-TRACE were used to investigate this issue. Methods and Results: A total of 2,892 patients (2,028 men, 864 women; 70.3 years old) with AF were analyzed for the respective prevalences of risk factors and medications. CHADS2 score was calculated to determine thromboembolic risk level. Women were older (P&lt;0.001), and more frequently had heart failure (P&lt;0.001), and hypertension (P=0.051) than men. The proportion of subjects aged 75 years or older was higher among women than among men (P&lt;0.001). CHADS2 score was therefore significantly higher in women than in men (2.05±1.29 vs 1.88±1.33, P&lt;0.001). Sex-related differences were not observed for the prevalence of diabetes mellitus, myocardial infarction or ischemic stroke, nor did warfarin usage differ between men and women. Conclusions: Sex-related differences were observed in the risk factor profile and medications of Japanese patients with AF. CHADS2 score was higher in women than in men. (Circ J 2010; 74: 650-654)</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aspirin</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - complications</subject><subject>CHADS2 score</subject><subject>Clinical characteristics</subject><subject>Female</subject><subject>Humans</subject><subject>Hypoglycemic Agents</subject><subject>Japan</subject><subject>Male</subject><subject>Medications</subject><subject>Middle Aged</subject><subject>Platelet Aggregation Inhibitors</subject><subject>Prescription Drugs</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Sex Characteristics</subject><subject>Sex differences</subject><subject>Thromboembolism - epidemiology</subject><subject>Thromboembolism - prevention &amp; control</subject><subject>Warfarin</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM9v0zAUgC3ExMbgzgn5xsnj-Ufi5FiFlVFt2lSGOFqu80xd0mTYrgTS_niSttsu9jt877P1EfKBwwUXhfzsQnSbi2bBoGZQgXhFzrhUmqlKwOv9XLK6UvKUvE1pAyBqKOo35FQA11ICPyOP3_EvW2JnM7b0S_AeI_YOEw09zWuky5B-07l1eYj0Lg4-dEht39IbbIOzOQx9ooOnd-OIfU70Z8hrOssx2I7OwyqGrttTdIku7sL0ymhesPvlrLl8R0687RK-P97n5Mf88r65Yte3X781s2vmVC0zE2pV81KLFRbgFaKXbVFbxKpAx7kGXeqirISvAArBW12i5lBwpwVUSiglz8mng_chDn92mLLZhuRw_FqPwy6ZsUU1teIjCQfSxSGliN48xLC18Z_hYKbkZp_cNAsDtZmSjysfj_Ldaovt88JT4xGYH4BNyvYXPgM25uA6PBq1Mmo6XswvwNpGg738D9q5lcM</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Inoue, Hiroshi</creator><creator>Nozawa, Takashi</creator><creator>Hirai, Tadakazu</creator><creator>Goto, Shinya</creator><creator>Origasa, Hideki</creator><creator>Shimada, Kazuyuki</creator><creator>Uchiyama, Shinichiro</creator><creator>Hirabayashi, Takayuki</creator><creator>Koretsune, Yukihiro</creator><creator>Ono, Shiro</creator><creator>Hasegawa, Tooru</creator><creator>Sasagawa, Yasuo</creator><creator>Kaneko, Yoshiaki</creator><creator>Ikeda, Yasuo</creator><creator>Investigators, J-TRACE</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Sex-Related Differences in the Risk Factor Profile and Medications of Patients With Atrial Fibrillation Recruited in J-TRACE</title><author>Inoue, Hiroshi ; Nozawa, Takashi ; Hirai, Tadakazu ; Goto, Shinya ; Origasa, Hideki ; Shimada, Kazuyuki ; Uchiyama, Shinichiro ; Hirabayashi, Takayuki ; Koretsune, Yukihiro ; Ono, Shiro ; Hasegawa, Tooru ; Sasagawa, Yasuo ; Kaneko, Yoshiaki ; Ikeda, Yasuo ; Investigators, J-TRACE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-24b91672be50f4eef3d59aee85ec11707675682f800521d76e71051c720842443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aspirin</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - complications</topic><topic>CHADS2 score</topic><topic>Clinical characteristics</topic><topic>Female</topic><topic>Humans</topic><topic>Hypoglycemic Agents</topic><topic>Japan</topic><topic>Male</topic><topic>Medications</topic><topic>Middle Aged</topic><topic>Platelet Aggregation Inhibitors</topic><topic>Prescription Drugs</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Sex Characteristics</topic><topic>Sex differences</topic><topic>Thromboembolism - epidemiology</topic><topic>Thromboembolism - prevention &amp; control</topic><topic>Warfarin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Hiroshi</creatorcontrib><creatorcontrib>Nozawa, Takashi</creatorcontrib><creatorcontrib>Hirai, Tadakazu</creatorcontrib><creatorcontrib>Goto, Shinya</creatorcontrib><creatorcontrib>Origasa, Hideki</creatorcontrib><creatorcontrib>Shimada, Kazuyuki</creatorcontrib><creatorcontrib>Uchiyama, Shinichiro</creatorcontrib><creatorcontrib>Hirabayashi, Takayuki</creatorcontrib><creatorcontrib>Koretsune, Yukihiro</creatorcontrib><creatorcontrib>Ono, Shiro</creatorcontrib><creatorcontrib>Hasegawa, Tooru</creatorcontrib><creatorcontrib>Sasagawa, Yasuo</creatorcontrib><creatorcontrib>Kaneko, Yoshiaki</creatorcontrib><creatorcontrib>Ikeda, Yasuo</creatorcontrib><creatorcontrib>Investigators, J-TRACE</creatorcontrib><creatorcontrib>J-TRACE Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Hiroshi</au><au>Nozawa, Takashi</au><au>Hirai, Tadakazu</au><au>Goto, Shinya</au><au>Origasa, Hideki</au><au>Shimada, Kazuyuki</au><au>Uchiyama, Shinichiro</au><au>Hirabayashi, Takayuki</au><au>Koretsune, Yukihiro</au><au>Ono, Shiro</au><au>Hasegawa, Tooru</au><au>Sasagawa, Yasuo</au><au>Kaneko, Yoshiaki</au><au>Ikeda, Yasuo</au><au>Investigators, J-TRACE</au><aucorp>J-TRACE Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex-Related Differences in the Risk Factor Profile and Medications of Patients With Atrial Fibrillation Recruited in J-TRACE</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2010</date><risdate>2010</risdate><volume>74</volume><issue>4</issue><spage>650</spage><epage>654</epage><pages>650-654</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Clinical characteristics, including risk factors for thromboembolism, and medications differ between men and women with atrial fibrillation (AF) in Western countries. Whether such a difference exists for Japanese patients with AF is unclear, so data from J-TRACE were used to investigate this issue. Methods and Results: A total of 2,892 patients (2,028 men, 864 women; 70.3 years old) with AF were analyzed for the respective prevalences of risk factors and medications. CHADS2 score was calculated to determine thromboembolic risk level. Women were older (P&lt;0.001), and more frequently had heart failure (P&lt;0.001), and hypertension (P=0.051) than men. The proportion of subjects aged 75 years or older was higher among women than among men (P&lt;0.001). CHADS2 score was therefore significantly higher in women than in men (2.05±1.29 vs 1.88±1.33, P&lt;0.001). Sex-related differences were not observed for the prevalence of diabetes mellitus, myocardial infarction or ischemic stroke, nor did warfarin usage differ between men and women. Conclusions: Sex-related differences were observed in the risk factor profile and medications of Japanese patients with AF. CHADS2 score was higher in women than in men. (Circ J 2010; 74: 650-654)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>20173301</pmid><doi>10.1253/circj.CJ-09-0802</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Aspirin
Atrial fibrillation
Atrial Fibrillation - complications
CHADS2 score
Clinical characteristics
Female
Humans
Hypoglycemic Agents
Japan
Male
Medications
Middle Aged
Platelet Aggregation Inhibitors
Prescription Drugs
Registries
Risk Factors
Sex Characteristics
Sex differences
Thromboembolism - epidemiology
Thromboembolism - prevention & control
Warfarin
title Sex-Related Differences in the Risk Factor Profile and Medications of Patients With Atrial Fibrillation Recruited in J-TRACE
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