Sex Differences in Outcomes After Cardiac Catheterization

Abstract
Sex differences in cardiac care and outcomes have been widely investigated since Steingart et al1 stimulated clinicians to consider sex-based biases in care practices. Investigators have examined sex differences in access to cardiac procedures and outcomes after myocardial infarction (MI) or the diagnosis of coronary artery disease (CAD).2-18 Many studies have suggested that women have less access to care or poorer outcomes,2-9 whereas others have concluded that there are few or no differences10-17 or, under particular circumstances, that women fare better than men.16 After more than a decade of investigation, however, consistent findings are wanting, perhaps because of unavailability of detailed clinical data, variability of patient samples, and variability of follow-up times.