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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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
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr-Jun2026
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        atl: Out-of-hospital cardiac arrests and cardiopulmonary resuscitation. Is there a difference between genders?
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          de la Cadena-Sillas, Jorge Álvarez
          Fuente, Enrique Asensio-La
          García-Jiménez, Yoloxóchitl
          Borrayo-Sánchez, Gabriela
          Mijangos-Chávez, Janet
          Hernández-García, Lillian
        affil:
          Cardiologist. Instituto de Corazón de Querétaro, Querétaro, Mexico. Práctica privada en San Miguel Allende, Guanajuato, Mexico. Coordinator of the Cardiac Arrest Chapter, Sudden Death, and CPR of the Asociación Nacional de Cardiólogos de México (ANCAM)
          Cardiologist and electrophysiologist. Instituto de Corazón de Querétaro. Querétaro, Mexico
          Cardiologist. Ex president of the ANCAM
          Interventional cardiologist, Unidad Médica de Alta Especialidad, Hospital de Especialidades No. 14 del Centro Médico Nacional (CMN) «Adolfo Ruíz Cortines» del Instituto Mexicano del Seguro Social (IMSS), Veracruz, Mexico. Vice president of the ANCAM
          Cardiologist. Head of the Cardiology Department, Hospital de Especialidades del Centro Médico Nacional La Raza, IMSS. Coordinator of the Heart Disease in Women Chapter, ANCAM
          Private practice physician. San Miguel Allende, Guanajuato, Mexico
      su:
        Sexual dimorphism
        Cardiopulmonary resuscitation
        Coronary artery disease
        Survival rate
        Bystander CPR
        Disease risk factors
        Cardiac arrest
      sug:
        subj:
          Sexual dimorphism
          Cardiopulmonary resuscitation
          Coronary artery disease
          Survival rate
          Bystander CPR
          Disease risk factors
          Cardiac arrest
      keyword:
        cardio-pulmonary resuscitation
        coronary heart disease
        out-ofhospital cardiac arrest
        sudden cardiac death
        women
        cardiopatía coronaria
        muerte súbita cardiaca
        mujeres
        paro cardiaco extrahospitalario
        reanimación cardiopulmonar
      ab:
        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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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      custom: Copyright of Cardiovascular & Metabolic Science is the property of Cardiovascular & Metabolic Science, Asociacion Nacional de Cardiologos de Mexico A.C. (ANCAM) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use.
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      holder: Cardiovascular & Metabolic Science, Asociacion Nacional de Cardiologos de Mexico A.C. (ANCAM)
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