Out-of-hospital cardiac arrests and cardiopulmonary resuscitation. Is there a difference between genders?

Sudden Cardiac Death (SCD) is almost twice as common in men as in women. The leading cause in both groups is Coronary Artery Disease (CAD), but most women who present with SCD have no prior history of heart disease, are asymptomatic, or have been considered low-risk subjects for SCD. Prevention of S...

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Detalles Bibliográficos
Publicado en:	Cardiovascular & Metabolic Science Vol. 37; no. 2; pp. 85 - 94
Autores principales:	de la Cadena-Sillas, Jorge Álvarez, Fuente, Enrique Asensio-La, García-Jiménez, Yoloxóchitl, Borrayo-Sánchez, Gabriela, Mijangos-Chávez, Janet, Hernández-García, Lillian
Formato:	Artículo
Publicado:	Cardiovascular & Metabolic Science, Asociacion Nacional de Cardiologos de Mexico A.C. (ANCAM) Apr-Jun2026
Materias:	Sexual dimorphism Cardiopulmonary resuscitation Coronary artery disease Survival rate Bystander CPR Disease risk factors Cardiac arrest
Acceso en línea:	Ver este registro en EBSCOhost

Descripción
Sumario:	Sudden Cardiac Death (SCD) is almost twice as common in men as in women. The leading cause in both groups is Coronary Artery Disease (CAD), but most women who present with SCD have no prior history of heart disease, are asymptomatic, or have been considered low-risk subjects for SCD. Prevention of SCD in women is more difficult, although control of risk factors for CAD has been demonstrated to reduce the incidence of SCD. Women suffering from SCD are generally older, have more comorbidities, and are less likely to die in public spaces. They also receive less bystander Cardiopulmonary Resuscitation (CPR) than men. They usually present with an initial non-shockable rhythm and are less likely to survive an Out-Of-Hospital Cardiac Arrest (OHCA) and be discharged from the hospital. The present work reviews significant differences concerning risk factors, treatment, and outcomes that must prompt collective actions to reduce the mortality burden of cardiac arrest in women. La muerte súbita cardiaca (MSC) es casi el doble de frecuente en hombres que en mujeres. La principal causa en ambos grupos es la enfermedad arterial coronaria (EAC), pero la mayoría de las mujeres que presentan MSC no tienen antecedentes de cardiopatía, son asintomáticas o se han considerado sujetos de bajo riesgo de MSC. La prevención de la MSC en mujeres es más difícil, aunque se ha demostrado que el control de los factores de riesgo de la EAC reduce la incidencia de MSC. Las mujeres que sufren MSC suelen ser mayores, presentan más comorbilidades y tienen menos probabilidades de fallecer en espacios públicos. También reciben menos reanimación cardiopulmonar (RCP) por parte de testigos que los hombres. Generalmente presentan un ritmo inicial no desfibrilable y tienen menos probabilidades de sobrevivir a un paro cardiaco extrahospitalario (PCEH) y ser dadas de alta del hospital. El presente trabajo revisa las diferencias significativas en cuanto a factores de riesgo, tratamiento y resultados que deben impulsar acciones colectivas para reducir la carga de mortalidad por paro cardiaco en mujeres.