Table 2.
Gender differences in the clinical management of angina pectoris in primary care, N = 1,162 (a male:female odds ratio greater than one favours the clinical management of male angina)
Men | Women | Unadjusted | Adjusted* | ||||
(n = 610) | % | (n = 552) | % | Odds Ratio | Odds Ratio | 95%CI | |
Risk Factor Recording | |||||||
Smoking habit | 562 | 92 | 493 | 89 | 1.40 | 1.12 | 0.74 to 1.71 |
Cholesterol | 545 | 89 | 453 | 82 | 1.83 | 1.46 | 1.02 to 2.07 |
BP previous 12 months | 537 | 88 | 484 | 88 | 1.03 | 0.99 | 0.69 to 1.43 |
Body Mass Index | 456 | 75 | 381 | 69 | 1.33 | 1.18 | 0.90 to 1.54 |
All 4 risk factors recorded | 393 | 64 | 302 | 50 | 1.50 | 1.35 | 1.06 to 1.73 |
Secondary Prevention | |||||||
Aspirin | 527 | 86 | 447 | 81 | 1.49 | 1.35 | 0.97 to 1.86 |
Statin | 344 | 56 | 290 | 53 | 1.17 | 0.92 | 0.72 to 1.18 |
Beta Blocker | 231 | 38 | 155 | 28 | 1.56 | 1.43 | 1.10 to 1.86 |
Aspirin+Statin+Beta Blocker | 138 | 23 | 80 | 14 | 1.73 | 1.47 | 1.07 to 2.02 |
Beta Blocker (prior MI, n = 402) ** | 106 | 40 | 34 | 25 | 2.02 | 1.83 | 1.12 to 3.00 |
Investigation | |||||||
Exercise Electrocardiograph | 332 | 54 | 231 | 42 | 1.66 | 1.31 | 1.02 to 1.68 |
Coronary Angiography | 228 | 37 | 123 | 22 | 2.08 | 1.61 | 1.23 to 2.12 |
Thallium Scan | 15 | 2.5 | 10 | 1.8 | 1.37 | 1.12 | 0.48 to 2.63 |
Revascularisation | |||||||
PCI or CABG or Both | 152 | 25 | 66 | 12 | 2.44 | 1.93 | 1.39 to 2.68 |
CABG | 96 | 16 | 38 | 7 | 2.53 | 2.02 | 1.33 to 3.06 |
PCI | 70 | 11 | 34 | 6 | 1.97 | 1.59 | 1.02 to 2.49 |
Adjusted odds ratios based on 1,161 complete cases (one patient lacked date of diagnosis for angina); 95%CI, 95% confidence interval; BP, blood pressure; PCI, percutaneous coronary intervention; CABG, coronary artery bypass grafting.
* Odds Ratios adjusted (AOR) for age, duration of angina and previous MI using multiple logistic regression.
** Previous Myocardial Infarction (MI), n = 402 (265 men; 137 women): odds ratio adjusted for age and duration of angina.