Lower Rates of Intervention for Symptomatic Carotid Stenosis in Women Than in Men Reflect Differences in Disease Incidence | Zendy

Lars Marquardt | Zendy; J.F. Fairhead | Zendy; Peter M. Rothwell | Zendy

Open Access

Lower Rates of Intervention for Symptomatic Carotid Stenosis in Women Than in Men Reflect Differences in Disease Incidence

Author(s) -

Lars Marquardt,

J.F. Fairhead,

Peter M. Rothwell

Publication year - 2009

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.109.564120

Subject(s) - medicine , carotid endarterectomy , stenosis , stroke (engine) , incidence (geometry) , relative risk , carotid stenting , population , cardiology , rate ratio , vascular disease , surgery , confidence interval , mechanical engineering , physics , environmental health , optics , engineering

Although there is little sex difference in the age-specific incidence of transient ischemic attack (TIA) and stroke, substantially more men than women undergo endarterectomy/stenting for symptomatic carotid stenosis. Sexism in referral for investigation or intervention has been proposed as an explanation; however, a lower incidence of carotid disease in women or reluctance to undergo intervention might also be responsible.

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