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Gender disparity in early death after ST-elevation myocardial infarction
Alternative TitleGender disparity in early death after ST-elevation myocardial infarction
Zhang Bo1; Zhang Wei2; Huang Rongchong1; Zhang Yan1; Liu Jun1; Zheng Zhengguo1; Jiang Daming3; Sun Yujiao4; Ren Lina4; Zhou Xuchen1; Qi Guoxian4
2013
Source PublicationCHINESE MEDICAL JOURNAL
ISSN0366-6999
Volume126Issue:18Pages:3481-3485
AbstractBackground Females with acute myocardial infarction (AMI) have a higher risk of adverse outcomes because of receiving less evidence-based medical care. Our aim was to investigate the gender disparity in early death after ST-elevation myocardial infarction (STEM!) in the current era.
Other AbstractBackground Females with acute myocardial infarction (AMI) have a higher risk of adverse outcomes because of receiving less evidence-based medical care. Our aim was to investigate the gender disparity in early death after ST-elevation myocardial infarction (STEMI) in the current era. Methods A total of 1429 consecutive patients with STEMI in the Liaoning district were analyzed. We compared hospital care and cardiac event data by sex for in-patients with acute STEMI within 24 hours of symptom onset. Results In the emergency reperfusion group (n=754), in-hospital mortality occurred in 4.2% of the males and 11.2% of the females (P=0.001). In the non-emergency reperfusion group (n=675), in-hospital mortality occurred in 13.0% of the males and 22.9% of the females (P=0.001). Multivariate Logistic regression analysis revealed female sex as an independent risk factor of death for STEMI patients during hospitalization (OR=1.691, P=0.007). After controlling for patients who died within 24 hr after admission, female sex was no longer an independent risk factor (OR=1.409, P=0.259). Conclusion Female sex was an independent risk factor for in-hospital mortality of STEMI patients, which is explained by an excess of very early deaths.
KeywordPERCUTANEOUS CORONARY INTERVENTION HEART-DISEASE SEX-DIFFERENCES WOMEN MEN OUTCOMES THERAPY CHINA EPIDEMIOLOGY MULTICENTER myocardial infarction gender reperfusion mortality
Indexed ByCSCD
Language英语
Funding Project[Science and Technology Planning Project of Liaoning Province, China]
CSCD IDCSCD:4928333
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Document Type期刊论文
Identifierhttp://ir.imr.ac.cn/handle/321006/141657
Collection中国科学院金属研究所
Affiliation1.Dalian Med University, Dept Cardiol, Affiliated Hosp 1, Dalian 116011, Liaoning, Peoples R China
2.Dalian Med University, Dept Geriatr, Affiliated Hosp 1, Dalian 116011, Liaoning, Peoples R China
3.Dandong Ctr Hosp Dandong, Department Cardiol, Liaoning 118000, Peoples R China
4.中国科学院金属研究所
Recommended Citation
GB/T 7714
Zhang Bo,Zhang Wei,Huang Rongchong,et al. Gender disparity in early death after ST-elevation myocardial infarction[J]. CHINESE MEDICAL JOURNAL,2013,126(18):3481-3485.
APA Zhang Bo.,Zhang Wei.,Huang Rongchong.,Zhang Yan.,Liu Jun.,...&Qi Guoxian.(2013).Gender disparity in early death after ST-elevation myocardial infarction.CHINESE MEDICAL JOURNAL,126(18),3481-3485.
MLA Zhang Bo,et al."Gender disparity in early death after ST-elevation myocardial infarction".CHINESE MEDICAL JOURNAL 126.18(2013):3481-3485.
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