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Antonio González-Hermosillo, J.; Baños-González, Manuel A.; Guevara-Valdivia, Milton E.; Vázquez-Acosta, Jorge A.; de los Ríos Ibarra, Manuel Odín; Aguilar-Linares, Kulio A.; Cantú-Brito, Carlos; Leiva-Pons, José L.; Pozas-Garza, Gerardo; Favela-Pérez, Eddie A.; Márquez, Manlio F.; Santos, María Sangeado; Aguilar, César González; Flores, Jorge Gómez; Escobar, Karim Yarek Juárez; Bastidas, Samantha Rodríguez; de los Ríos Ibarra, José Raúl; Lama, Carmen Summerson; Cruz, José Paz Marcelo Jiménez; Flores, Enrique Martínez; Hernández, Norberto Matadamas; Carmona, Vanesa Esperanza Matadamas; Mancilla, Candelaria; Casillas, Rocío Camacho; González, José Refugio Ramírez; Magaña, Reynaldo Magaña; Calvillo, Jorge Carrillo; Martínez, Ulises Rojel; Gamba, Marco Antonio Alcocer; Saldaña, Héctor Francisco Fernández; Barrón, Laura Reséndiz; Vaca, Susano Lara; Salazar, Edgar Alfredo Rodríguez; Reyes, Humberto Rodríguez; Gálvez, Marco Aurelio Islava; Zelaya, José Salvador Lainez; Hernández, Lidia Evangelina Betancourt; Jiménez, Yoloxochitl García; Rendon, Sadoc Marín; Reyes, Nicolás Reyes; de Lara, Luis Gerardo Molina Fernández; González, Carlos Gutiérrez; Silva, Fernando Flores; Velasco, Alberto Zenón Baños; Gámez, Miguel Ernesto Beltrán; Ojeda, Amanda Castelán; Serna, César Iván Vázquez; Rivera, Miguel Ángel Negrete; del Campo, Alejandro Lechuga Martín; García, Demetrio Kosturakis; Santaló, Ramón Miguel Esturau; Del Valle, José Luis Novelo; Leal, Luis Delgado; Muñoz, Luis Ángel Trujillo; Díaz, José Fabián Hernández; Guerra, Mariano Miguel; Márquez, Raúl Isaac; Ramírez, María Isabel Sánchez; Robledo, Marcos; Muñoz, José Manuel Enciso; Fragoso, Juan Carlos Núñez; Flores, Saúl
International journal of cardiology. Heart & vasculature, 03/2019, Letnik: 22Journal Article
Atrial Fibrillation (AF) is associated with an increased risk of stroke and systemic embolism. Several studies have suggested that female AF patients could have a greater risk for stroke. There is scarce information about clinical characteristics and use of antithrombotic therapies in Latin American patients with nonvalvular AF. To describe the gender differences in clinical characteristics, thromboembolic risk, and antithrombotic therapy of patients with nonvalvular AF recruited in Mexico, an upper middle-income country, into the prospective national CARMEN-AF Registry. A total of 1423 consecutive patients, with at least one thromboembolic risk factor were enrolled in CARMEN-AF Registry during a three-year period (2014–2017). They were categorized according to Gender. Overall, 48.6% were women, mean age 70 ± 12 years. Diabetes, smoking, alcoholism, non-ischemic cardiomyopathy, coronary artery disease, and obstructive sleep apnea were higher in men. Most women were found with paroxysmal AF (40.6%), and most men with permanent AF (44.0%). No gender differences were found in the use of vitamin K antagonists (VKA) (30.5% in women vs. 28.0% in men). No gender differences were found in the use of direct oral anticoagulants (DOAC) (33.8% women vs 35.4% men). CARMEN-AF Registry demonstrates that in Mexico, regardless of gender, a large proportion of patients remain undertreated. No gender differences were found in the use of VKA or DOAC.
