Abstract
Acute Coronary Syndrome (ACS) remains a significant global health concern, with a growing recognition of its impact on young adults, particularly young females. While gender-related factors, defined as a social construct that encompasses four distinct dimensions (gender roles, gender identity, gender relations, and institutionalized gender) are undoubtedly relevant across age groups, young females with ACS face specific challenges and disparities in outcomes compared to other populations. This narrative review examines the role of gender-related factors - specifically gender roles, gender identity, gender relations, and institutionalized gender - in influencing objective and subjective ACS outcomes in young females. In the five manuscripts identified, the objective outcomes included hospital readmission, door-to-ECG time, and coronary atherosclerosis progression. Subjective outcomes such as physical and mental functional status, quality of life, physical limitations, and vital exhaustion were also examined. Employment status, a gender role, emerged as a protective factor against hospital readmission. Gender identity factors like depression and stress correlated with negative outcomes, while anxiety influenced door-to-ECG times. Institutional factors, including income disparities, affected readmission likelihood. Strong social support improved physical limitations post-ACS, whereas financial challenges and lower education negatively impacted quality of life and vital exhaustion. These findings underscore the intricate interplay of gender dimensions in shaping ACS outcomes among young females. Integrating these insights into clinical practice and research can enhance care, mitigate disparities, and foster improved cardiovascular health in this vulnerable population.
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@article{Angarita-Fonseca2023,
title = {Gender-related Factors Associated with Outcomes of Acute Coronary Syndrome in Young Females},
author = {A. Angarita-Fonseca and A. Peebles and L. Pilote},
doi = {10.1016/j.cjco.2023.11.019},
issn = {2589-790X},
year = {2024},
date = {2024-01-01},
journal = {CJC Open},
volume = {6},
issue = {2},
pages = {370-379},
publisher = {Elsevier BV},
abstract = {Acute Coronary Syndrome (ACS) remains a significant global health concern, with a growing recognition of its impact on young adults, particularly young females. While gender-related factors, defined as a social construct that encompasses four distinct dimensions (gender roles, gender identity, gender relations, and institutionalized gender) are undoubtedly relevant across age groups, young females with ACS face specific challenges and disparities in outcomes compared to other populations. This narrative review examines the role of gender-related factors - specifically gender roles, gender identity, gender relations, and institutionalized gender - in influencing objective and subjective ACS outcomes in young females. In the five manuscripts identified, the objective outcomes included hospital readmission, door-to-ECG time, and coronary atherosclerosis progression. Subjective outcomes such as physical and mental functional status, quality of life, physical limitations, and vital exhaustion were also examined. Employment status, a gender role, emerged as a protective factor against hospital readmission. Gender identity factors like depression and stress correlated with negative outcomes, while anxiety influenced door-to-ECG times. Institutional factors, including income disparities, affected readmission likelihood. Strong social support improved physical limitations post-ACS, whereas financial challenges and lower education negatively impacted quality of life and vital exhaustion. These findings underscore the intricate interplay of gender dimensions in shaping ACS outcomes among young females. Integrating these insights into clinical practice and research can enhance care, mitigate disparities, and foster improved cardiovascular health in this vulnerable population.},
keywords = {2024, Cardiology and Cardiovascular Medicine, Cardiovascular Diseases, First Author, Risk Factors, Women's health},
pubstate = {published},
tppubtype = {article}
}