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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‘ workplace: Interní kardiologická klinika FN Brno 1;  Oddělení klinické biochemie FN Brno 2
Published in: Kardiol Rev Int Med 2008, 10(3): 96-101

Overview

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


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Paediatric cardiology Internal medicine Cardiac surgery Cardiology
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