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Methods and results: From April to September , patients hospitalized with AHF were enrolled by 20 hospitals all over Egypt. Women presented with a higher admission systolic blood pressure and resting heart rate. Compared with men, women had a higher body mass index Women were more likely to present with heart failure with preserved ejection fraction Women had more frequent diabetes mellitus There was no significant difference in the primary aetiology of heart failure between both sexes.

ACE inhibitors, beta-blockers, mineralocorticoid receptor antagonists, antiplatelets, statins, and nitrates were less frequently prescribed to women, whereas they more often received digoxin, amiodarone, anticoagulants, and calcium channel blockers. There was no significant difference in in-hospital 5. Conclusions: Men and women with AHF differ significantly in baseline clinical characteristics and management but not in adverse outcomes.

These findings emphasize the importance of individualized management and need for more comprehensive recruitment of women in clinical trials. Keywords: Egypt; Gender differences; Heart failure.

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