{"id":"https://openalex.org/W3098601461","doi":"https://doi.org/10.1161/circ.142.suppl_3.15212","title":"Abstract 15212: Long-term Outcomes Between Genders Are Similar Despite Gender Disparities in High-intensity Statin Use in a Contemporary Cohort of Patients Diagnosed With Nonobstructive Coronary Artery Disease by Invasive Coronary Angiography","display_name":"Abstract 15212: Long-term Outcomes Between Genders Are Similar Despite Gender Disparities in High-intensity Statin Use in a Contemporary Cohort of Patients Diagnosed With Nonobstructive Coronary Artery Disease by Invasive Coronary Angiography","publication_year":2020,"publication_date":"2020-11-17","ids":{"openalex":"https://openalex.org/W3098601461","doi":"https://doi.org/10.1161/circ.142.suppl_3.15212","mag":"3098601461"},"language":"en","primary_location":{"id":"doi:10.1161/circ.142.suppl_3.15212","doi":"https://doi.org/10.1161/circ.142.suppl_3.15212","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.142.suppl_3.15212","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035956790","display_name":"Edwin Lu","orcid":"https://orcid.org/0000-0003-1671-9733","observed_orcids":["https://orcid.org/0000-0003-1671-9733"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I1333535994","display_name":"University of North Carolina Health Care","ror":"https://ror.org/00qz24g20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1333535994"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Edwin Lu","raw_affiliation_strings":["Dept of Medicine, Univ of North Carolina Med Cntr, Chapel Hill, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dept of Medicine, Univ of North Carolina Med Cntr, Chapel Hill, NC","institution_ids":["https://openalex.org/I114027177","https://openalex.org/I1333535994"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038754840","display_name":"Christopher A. Hanson","orcid":"https://orcid.org/0000-0002-8002-6213","observed_orcids":["https://orcid.org/0000-0002-8002-6213"]},"institutions":[{"id":"https://openalex.org/I2799765794","display_name":"University of Virginia Health System","ror":"https://ror.org/00wn7d965","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799765794"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher A Hanson","raw_affiliation_strings":["Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA","institution_ids":["https://openalex.org/I2799765794","https://openalex.org/I51556381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042646076","display_name":"Saad Sultan Ghumman","orcid":"https://orcid.org/0000-0001-9497-6706","observed_orcids":["https://orcid.org/0000-0001-9497-6706"]},"institutions":[{"id":"https://openalex.org/I2799765794","display_name":"University of Virginia Health System","ror":"https://ror.org/00wn7d965","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799765794"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Saad Sultan Ghumman","raw_affiliation_strings":["Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA","institution_ids":["https://openalex.org/I2799765794","https://openalex.org/I51556381"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107558866","display_name":"George A. Beller","orcid":"https://orcid.org/0000-0003-2073-7360","observed_orcids":["https://orcid.org/0000-0003-2073-7360"]},"institutions":[{"id":"https://openalex.org/I2799765794","display_name":"University of Virginia Health System","ror":"https://ror.org/00wn7d965","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799765794"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"George Beller","raw_affiliation_strings":["Univ of Virginia Health System, Charlottesville, VA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ of Virginia Health System, Charlottesville, VA","institution_ids":["https://openalex.org/I2799765794"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040097341","display_name":"Jamieson MacDonald Bourque","orcid":"https://orcid.org/0000-0003-0727-199X","observed_orcids":["https://orcid.org/0000-0003-0727-199X"]},"institutions":[{"id":"https://openalex.org/I2799765794","display_name":"University of Virginia Health System","ror":"https://ror.org/00wn7d965","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799765794"]},{"id":"https://openalex.org/I51556381","display_name":"University of Virginia","ror":"https://ror.org/0153tk833","country_code":"US","type":"education","lineage":["https://openalex.org/I51556381"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jamieson M Bourque","raw_affiliation_strings":["Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiovascular Div and the Cardiovascular Imaging Cntr, Dept of Medicine, Univ of Virginia Health System, Charlottesville, VA","institution_ids":["https://openalex.org/I2799765794","https://openalex.org/I51556381"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"142","issue":"Suppl_3","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10394","display_name":"Lipoproteins and Cardiovascular Health","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10394","display_name":"Lipoproteins and Cardiovascular Health","score":0.9839000105857849,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13252","display_name":"Sex and Gender in Healthcare","score":0.008799999952316284,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10193","display_name":"Coronary Interventions and Diagnostics","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/non-obstructive-coronary-artery-disease","display_name":"non-obstructive coronary artery disease","score":0.9340000152587891},{"id":"https://openalex.org/keywords/high-intensity-statins","display_name":"high-intensity statins","score":0.8069999814033508},{"id":"https://openalex.org/keywords/gender-disparities","display_name":"gender disparities","score":0.8140000104904175},{"id":"https://openalex.org/keywords/long-term-outcomes","display_name":"long-term outcomes","score":0.7889999747276306},{"id":"https://openalex.org/keywords/cardiovascular-mortality","display_name":"cardiovascular mortality","score":0.5080000162124634},{"id":"https://openalex.org/keywords/myocardial-infarction","display_name":"myocardial infarction","score":0.9340000152587891},{"id":"https://openalex.org/keywords/late-revascularization","display_name":"late revascularization","score":0.8980000019073486},{"id":"https://openalex.org/keywords/atorvastatin","display_name":"atorvastatin","score":0.7749999761581421},{"id":"https://openalex.org/keywords/rosuvastatin","display_name":"rosuvastatin","score":1.0},{"id":"https://openalex.org/keywords/coronary-stenosis","display_name":"coronary artery stenosis","score":0.6579999923706055},{"id":"https://openalex.org/keywords/invasive-coronary-angiography","display_name":"invasive coronary angiography","score":0.7649999856948853},{"id":"https://openalex.org/keywords/ldl-cholesterol","display_name":"LDL cholesterol","score":0.7120000123977661},{"id":"https://openalex.org/keywords/aspirin","display_name":"aspirin","score":0.5600000023841858},{"id":"https://openalex.org/keywords/beta-blockers","display_name":"beta-blockers","score":0.984000027179718},{"id":"https://openalex.org/keywords/women-s-cardiovascular-health","display_name":"women's cardiovascular health","score":0.5429999828338623},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.4099999964237213}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9643449783325195},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.7664186358451843},{"id":"https://openalex.org/C2778213512","wikidata":"https://www.wikidata.org/wiki/Q844935","display_name":"Coronary artery disease","level":2,"score":0.7477239370346069},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.7322953939437866},{"id":"https://openalex.org/C2776839432","wikidata":"https://www.wikidata.org/wiki/Q954845","display_name":"Statin","level":2,"score":0.6524006128311157},{"id":"https://openalex.org/C2780499067","wikidata":"https://www.wikidata.org/wiki/Q415159","display_name":"Rosuvastatin","level":2,"score":0.6410432457923889},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5924681425094604},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.5469167828559875},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.5449250936508179},{"id":"https://openalex.org/C2777628954","wikidata":"https://www.wikidata.org/wiki/Q18216","display_name":"Aspirin","level":2,"score":0.5229007601737976},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.2492971122264862}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.142.suppl_3.15212","doi":"https://doi.org/10.1161/circ.142.suppl_3.15212","is_oa":false,"landing_page_url":"https://doi.org/10.1161/circ.142.suppl_3.15212","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.4000000059604645,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"sustainable_development_goals_aurora":[{"score":0.5899999737739563,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4384945376","https://openalex.org/W4401108767","https://openalex.org/W2605753467","https://openalex.org/W4410850049","https://openalex.org/W1987985912","https://openalex.org/W2908909730","https://openalex.org/W3026725644","https://openalex.org/W2346623028","https://openalex.org/W4389957040","https://openalex.org/W3214205672"],"abstract_inverted_index":{"Introduction:":[0],"In":[1],"current":[2],"practice,":[3],"high":[4,222,259,305],"intensity":[5,223,260,306],"statins":[6,261,307],"are":[7,20,302],"prescribed":[8],"for":[9,48,54,72,85,195,216,289,328,336],"patients":[10,41,81,238,265,343],"diagnosed":[11],"with":[12,23,239,266,299,304,344],"CAD.":[13,346],"However,":[14],"studies":[15],"have":[16],"shown":[17],"that":[18,296],"women":[19,163,298],"commonly":[21],"undertreated":[22],"statins.":[24],"We":[25,109,127],"compared":[26,139,308],"long-term":[27],"outcomes":[28,112,279,318],"and":[29,117,131,138,160,331],"medication":[30],"usage":[31,140,209,257],"patterns":[32],"related":[33,145],"to":[34,146,309],"gender":[35,147,211],"in":[36,123,141,158,162,177,188,203,221,237,256,264,316,341],"a":[37,166,253],"contemporary":[38],"cohort":[39,77],"of":[40,51,69,78,170,243,247,258,270,274,338],"who":[42,82],"underwent":[43,83],"invasive":[44],"coronary":[45,93],"angiography":[46],"(ICA)":[47],"index":[49],"evaluation":[50,71],"suspected":[52,86],"CAD":[53,87,99,105,190,197,241,268,301],"an":[55,64,175,334],"abnormal":[56],"stress":[57],"test,":[58],"stable":[59],"or":[60,66,103,206,229],"unstable":[61],"angina,":[62],"following":[63],"NSTEMI,":[65],"as":[67,90],"part":[68],"their":[70,310],"heart":[73],"failure.":[74],"Methods:":[75],"A":[76],"850":[79],"consecutive":[80],"ICA":[84],"was":[88,174,233,252],"classified":[89],"having":[91],"normal/near-normal":[92],"arteries":[94],"(\u226420%":[95],"stenosis,":[96,101,107],"n=264),":[97],"nonobstructive":[98,196,267,300,345],"(21-49%":[100],"n=114),":[102],"obstructive":[104,189,240],"(\u226550%":[106],"n=472).":[108],"prospectively":[110],"determined":[111],"(cardiac":[113],"death,":[114],"nonfatal":[115],"MI,":[116],"late":[118],"revascularization)":[119],"via":[120],"Kaplan-Meier":[121],"analysis":[122],"these":[124],"3":[125,143],"groups.":[126],"also":[128],"obtained":[129],"baseline":[130,182],"follow":[132,168,186],"up":[133,169,187],"data":[134],"on":[135],"statin":[136,178,208,224],"use,":[137],"the":[142,326],"groups":[144,214,287],"by":[148,210],"Chi-square":[149],"analysis.":[150],"Results:":[151],"Baseline":[152],"mean":[153],"LDL":[154],"values":[155],"were":[156,200,280],"103":[157],"men":[159,244,271],"113":[161],"(p<0.001).":[164],"At":[165],"median":[167],"6.0":[171],"years,":[172],"there":[173,251],"increase":[176],"use":[179,225],"(51.5%":[180],"at":[181,185],"vs":[183,193,245,272],"85.0%":[184],"group;":[191],"54.0%":[192],"67.3%":[194],"group).":[198],"There":[199],"no":[201],"differences":[202],"aspirin,":[204],"beta-blocker,":[205],"overall":[207],"across":[212,284],"all":[213,217,285,290],"(p>0.05":[215,288],"medications).":[218],"No":[219],"difference":[220,255],"(atorvastatin":[226],"40/80":[227],"mg":[228],"rosuvastatin":[230],"20/40":[231],"mg)":[232],"seen":[234],"between":[235,262,282,321],"genders":[236,263,283],"(61.4%":[242],"62.9%":[246],"women,":[248,275],"p=0.78).":[249],"Interestingly,":[250],"significant":[254],"(63.9%":[269],"26.8%":[273],"p":[276],"=0.001).":[277],"Yet,":[278],"similar":[281,320],"stenosis":[286],"groups).":[291],"Conclusions:":[292],"Our":[293],"study":[294,330],"shows":[295],"fewer":[297],"treated":[303],"male":[311],"cohorts.":[312],"Despite":[313],"this":[314],"disparity":[315],"treatment,":[317],"remained":[319],"genders.":[322],"This":[323],"discrepancy":[324],"warrants":[325],"need":[327],"further":[329],"could":[332],"represent":[333],"area":[335],"optimization":[337],"medical":[339],"therapy":[340],"female":[342]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2020-11-23T00:00:00"}
