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Gender differences in the implementation of cardiovascular prevention measures after an acute coronary event
  1. Jean Dallongevillle1,
  2. Dirk De Bacquer2,
  3. Jan Heidrich3,
  4. Guy De Backer2,
  5. Christoph Prugger3,
  6. Kornelia Kotseva4,
  7. Michèle Montaye1,
  8. Philippe Amouyel1 on behalf of the EUROASPIRE Study Group
  1. 1MONICA Lille project, Institut Pasteur de Lille, INSERM U744, Lille, France
  2. 2Department of Public Health, Ghent University, Ghent, Belgium
  3. 3Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany
  4. 4Cardiovascular Medicine, National Heart and Lung Institute, Imperial College London, UK
  1. Correspondence to Dr Jean Dallongeville, Department of Epidemiology and Public Health, INSERM U744, Institut Pasteur de Lille, 1 rue du Pr Calmette, 59019 Lille, France; jean.dallongeville{at}


Objective To compare gender-related lifestyle changes and risk factor management after hospitalisation for a coronary event or revascularisation intervention in Europe.

Method The EUROASPIRE III survey was carried out in 22 European countries in 2006–2007. Consecutive patients having had a coronary event or revascularisation before the age of 80 were identified. A total of 8966 patients (25.3% women) were interviewed and underwent clinical and biochemical tests at least 6 months after hospital admission. Trends in cardiovascular risk management were assessed on the basis of the 1994–1995, 1999–2000 and 2006–2007 EUROASPIRE surveys.

Results Female survey participants were generally older and had a lower educational level than male participants (p<0.0001). The prevalences of obesity (p<0.0001), high blood pressure (BP) (p=0.001), elevated low-density lipoprotein (LDL)-cholesterol (p<0.0001) and diabetes (p<0.0001) were significantly higher in women than in men, whereas current smoking (p<0.0001) was significantly more common in men. The use of antihypertensive and antidiabetic drugs (but not that of other drugs) was more common in women than in men. However, BP (p<0.0001), LDL-cholesterol (p<0.0001) and HbA1c (p<0.0001) targets were less often achieved in women than in men. Between 1994 and 2007, cholesterol control improved less in women than in men (interaction: p=0.009), whereas trends in BP control (p=0.32) and glycaemia (p=0.36) were similar for both genders.

Conclusion The EUROASPIRE III results show that despite similarities in medication exposure, women are less likely than men to achieve BP, LDL-cholesterol and HbA1c targets after a coronary event. This gap did not appear to narrow between 1994 and 2007.

  • Women health
  • gender
  • smoking
  • cholesterol
  • blood pressure
  • diabetes
  • cardiovascular prevention measures
  • coronary artery disease (cad)
  • community cardiology
  • epidemiology
  • public health

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  • Funding The EUROASPIRE survey was supported with the aid of unrestricted educational grants, given to the European Society of Cardiology by the following companies: MainsSponsors: AstraZeneca, Bristol-Myers Squibb, GlaxoSmithKline, Pfizer, Sanofi-Aventis, Servier; Sponsors: Merck/Schering-Plough, Novartis.

  • Competing interests None.

  • Ethics approval This study was conducted with the approval of the ethics committee in each country.

  • Provenance and peer review Not commissioned; externally peer reviewed.