Comparison of differences between male and female patients with acute myocardial infarction
Authors:
A. Tomášek 1; S. Janoušek 1; R. Adámková 1; J. Tůmová 2; Z. Čermáková 2; J. Špinar 1
Authors place of work:
Interní kardiologická klinika FN Brno
1; Oddělení klinické biochemie FN Brno
2
Published in the journal:
Kardiol Rev Int Med 2008, 10(3): 96-101
Summary
We studied the correlation between gender, clinical course, treatment methods and prognosis in patients with acute myocardial infarction admitted to the coronary care unit during a period of 2 years. Women accounted for only 35,5 % of the total of 889 patients, they were on average 7 years older than men, had a higher incidence of hypertension, diabetes or chronic angina pectoris, and presented more often with heart failure and atrial fibrillation. A statistically nonsignificant trend to less frequent use of coronarography or intervention methods was observed in women. During hospitalization, women were at a higher risk of acute he art or respiratory failure, the incidence of life- threatening bradycardias or cardiopulmonary resuscitati on. Their in‑hospital mortality was statistically higher than that of men, but there were no differences in long‑term mortality. There seems to be a significant link between women’s prognosis and their higher mean age and the related higher co-morbidity. These factors influence the use of catheterization diagnostic or treatment methods which have major implications for further prognosis of female patients.
Key words:
acute myocardial infarction – gender differences – prognosis
Zdroje
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Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2008 Číslo 3
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