Women may not be receiving most effective pacemakers

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.


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Relevant Article

Sex differences in selection of pacemakers: retrospective observational study
Reinhart Schüppel, Gisela Büchele, Lothar Batz, and Wolfgang Koenig
BMJ 1998 316: 1492-1495. [Abstract] [Full Text] [PDF]




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