Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China

IMR OpenIR

	Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China
其他题名	Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China
	Zhang Bo 1; Jiang Daming 2; Zhou Xuchen 1; Liu Jun 1; Zhang Wei 3; Sun Yujiao 4; Ren Lina 4; Zhang Zhihong 4; Gao Yuan 4; Li Yuze 4; Shi Jingpu 4; Qi Guoxian 4
	2012
发表期刊	CHINESE MEDICAL JOURNAL
ISSN	0366-6999
卷号	125 期号:11 页码:1915-1919
摘要	Background In cardiology, it is controversial whether gender influences prognosis after acute myocardial infarction (MI). We examined the 30-day and 1-year prognosis for female patients with ST-elevation myocardial infarction (STEMI) in Liaoning province, and we analyzed factors that influenced these outcomes.
其他摘要	Background In cardiology, it is controversial whether gender influences prognosis after acute myocardial infarction (MI). We examined the 30-day and 1-year prognosis for female patients with ST-elevation myocardial infarction (STEMI) in Liaoning province, and we analyzed factors that influenced these outcomes. Methods This was a prospective, multicenter, observational study in which patient data were collected by questionnaire at the time of diagnosis and at approximately 30 days and 1 year later by telephone inquiries. Patients were diagnosed with STEMI between June 1, 2009 and June 1, 2010 at any of the 20 hospitals that gave treatment representative of current STEMI treatment in Liaoning Province. Unified follow-up questionnaire was used to visit the STEMI patients. Results We analyzed data from a total of 1429 consecutive patients with STEMI in Liaoning province. Female patients were older (70.0 vs. 60.3, P <0.001) and were less likely to receive emergency reperfusion therapy than male ones (39.2% vs. 58.0%, P <0.001). Female gender was associated with higher unadjusted 30-day mortality rates (HR=2.118, 95%CI: 1.572-2.854, P <0.001) and higher unadjusted 1-year mortality rates (HR=2.174, 95%CI: 1.659-2.848, P <0.001). Multivariate Cox regression analysis showed that female gender was not an independent predictor of 30-day mortality rates (HR=1.273, 95%CI: 0.929-1.745, P=0.133) nor of 1-year mortality rates (HR=1.112, 95%CI: 0.831-1.487, P=0.475). Conclusions Women with STEMI appear to be at increased risk of 30-day and 1-year mortality compared with male STEMI patients, but this difference may be explained by older age and less frequent receipt of reperfusion therapy among the women.
关键词	PERCUTANEOUS CORONARY INTERVENTION GENDER-BASED DIFFERENCES WOMEN ANGIOPLASTY REGISTRY DEATH myocardial infarction female reperfusion mortality
收录类别	CSCD
语种	英语
资助项目	[Science and Technology Planning Project of Liaoning Province, China]
CSCD记录号	CSCD:4550374
引用统计	被引频次：3[CSCD] [CSCD记录]
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/146198
专题	中国科学院金属研究所
作者单位	1.Dalian Med University, Affiliated Hosp 1, Dept Cardiol, Dalian 116011, Liaoning, Peoples R China 2.Dandong Ctr Hosp, Department Cardiol, Dandong 118000, Liaoning, Peoples R China 3.Dalian Med University, Affiliated Hosp 1, Dept VIP, Dalian 116011, Liaoning, Peoples R China 4.中国科学院金属研究所
推荐引用方式 GB/T 7714	Zhang Bo,Jiang Daming,Zhou Xuchen,et al. Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China[J]. CHINESE MEDICAL JOURNAL,2012,125(11):1915-1919.
APA	Zhang Bo.,Jiang Daming.,Zhou Xuchen.,Liu Jun.,Zhang Wei.,...&Qi Guoxian.(2012).Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China.CHINESE MEDICAL JOURNAL,125(11),1915-1919.
MLA	Zhang Bo,et al."Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China".CHINESE MEDICAL JOURNAL 125.11(2012):1915-1919.