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The sex of patients has been shown to influence the management of
cardiovascular disorders. Schüppel et al evaluated the effect of sex
on doctors' choice of pacemaker in a large German database (p 1492).
Women were more likely to receive single chamber pacemakers and less
likely to receive dual chamber or rate responsive systems than men.
This remained true even after demographic and clinical variables were
controlled for. The reason for the apparent discrimination could not be
determined from the study.