Gender disparity in early death after ST-elevation myocardial infarction
查看参考文献25篇
|
文摘
|
Background 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. |
|
来源
|
Chinese Medical Journal
,2013,126(18):3481-3485 【核心库】
|
|
DOI
|
10.3760/cma.j.issn.0366-6999.20130381
|
|
关键词
|
myocardial infarction
;
gender
;
reperfusion
;
mortality
|
|
地址
|
1.
Department of Cardiology, First Affiliated Hospital, Dalian Medical University, Liaoning, Dalian, 116011
2.
Department of Geriatrics, First Affiliated Hospital, Dalian Medical University, Liaoning, Dalian, 116011
3.
Department of Cardiology, Dandong Center Hospital, Liaoning, Dandong, 118000
4.
Department of Cardiology, First Affiliated Hospital, China Medical University, Liaoning, Shenyang, 110001
|
|
语种
|
英文 |
|
文献类型
|
研究性论文 |
|
ISSN
|
0366-6999 |
|
学科
|
内科学 |
|
基金
|
supported by a grant from Science and Technology Planning Project of Liaoning Province, China
|
|
文献收藏号
|
CSCD:4928333
|
参考文献 共
25
共2页
|
|
1.
Bello N. Epidemiology of coronary heart disease in women.
Prog Cardiovasc Dis,2004,46:287-295
|
被引
7
次
|
|
|
|
|
2.
Khaw K T. Epidemiology of coronary heart disease in women.
Heart,2006,92(Suppl 3):iii2-iii4
|
被引
2
次
|
|
|
|
|
3.
He J. Major causes of death among men and women in China.
N Engl J Med,2005,353:1124-1134
|
被引
253
次
|
|
|
|
|
4.
Becker R C. Comparison of clinical outcomes for women and men after acute myocardial infarction. The Thrombolysis in Myocardial Infarction Investigators.
Ann Intern Med,1994,120:638-645
|
被引
1
次
|
|
|
|
|
5.
Vaccarino V. National registry of myocardial infarction investigators. Sex and racial differences in the management of acute myocardial infarction, 1994 through 2002.
N Engl J Med,2005,353:671-682
|
被引
2
次
|
|
|
|
|
6.
Andersen H R. DANAMI-2 Investigators. A comparison of coronary angioplasty with fibrinolytic therapy in acute myocardial infarction.
N Engl J Med,2003,349:733-742
|
被引
17
次
|
|
|
|
|
7.
Zhang B. Prospective multi-center study of female patients with ST-elevation myocardial infarction in Liaoning province, China.
Chin Med J,2012,125:1915-1919
|
被引
3
次
|
|
|
|
|
8.
Zhang B. The role of gender difference on the prognosis of ST-segment elevation myocardial infarction (STEMI) in patients treated with primary percutaneous coronary intervention.
Chin J Epidemiol (Chin),2012,33:92-98
|
被引
1
次
|
|
|
|
|
9.
Jneid H. Get with the guidelines steering committee and investigators. Sex differences in medical care and early death after acute myocardial infarction.
Circulation,2008,118:2803-2810
|
被引
19
次
|
|
|
|
|
10.
Milcent C. Gender differences in hospital mortality and use of percutaneous coronary intervention in acute myocardial infarction: microsimulation analysis of the 1999 nationwide French hospitals database.
Circulation,2007,115:833-839
|
被引
9
次
|
|
|
|
|
11.
Malacrida R. The Third International Study of Infarct Survival Collaborative Group. A comparison of the early outcome of acute myocardial infarction in women and men.
N Engl J Med,1998,338:8-14
|
被引
1
次
|
|
|
|
|
12.
Park J S. Korean Acute Myocardial Infarction Registry (KAMIR) Group. Gender differences in clinical features and in-hospital outcomes in ST-segment elevation acute myocardial infarction: from the Korean Acute Myocardial Infarction Registry (KAMIR) study.
Clin Cardiol,2010,33:E1-E6
|
被引
9
次
|
|
|
|
|
13.
Simon T. Impact of age and gender on in-hospital and late mortality after acute myocardial infarction: increased early risk in younger women: results from the French nation-wide USIC registries.
Eur Heart J,2006,27:1282-1288
|
被引
2
次
|
|
|
|
|
14.
Chambless L E. Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: the Atherosclerosis Risk in Communities (ARIC) Study, 1987-1993.
Am J Epidemiol,1997,146:483-494
|
被引
34
次
|
|
|
|
|
15.
Nguyen J T. Gender disparity in cardiac procedures and medication use for acute myocardial infarction.
Am Heart J,2008,155:862-868
|
被引
2
次
|
|
|
|
|
16.
MacIntyre K. Gender and survival: a population-based study of 201114 men and women following a first acute myocardial infarction.
J Am Coll Cardiol,2001,38:729-735
|
被引
2
次
|
|
|
|
|
17.
Grazia Modena M. Acute myocardial infarction--are women different.
Int J Clin Pract,2005,59:2-5
|
被引
2
次
|
|
|
|
|
18.
Shi J. Male and female adult population health status in China: a cross-sectional national survey.
BMC Public Health,2008,8:277
|
被引
1
次
|
|
|
|
|
19.
Bolego C. Smoking and gender.
Cardiovasc Res,2002,53:568-576
|
被引
2
次
|
|
|
|
|
20.
Liu H W. Impact of emergency percutaneous coronary intervention on outcomes of ST-segment elevation myocardial infarction patients complicated by out-of-hospital cardiac arrest.
Chin Med J,2012,125:1405-1409
|
被引
4
次
|
|
|
|
|
了解气象卫星更多信息，请访问