Gender Differences in Patients with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention.
10.4266/kjccm.2012.27.4.230
- Author:
Sukwon HAHN
1
Author Information
1. Department of Nursing, Baekseok Culture University, Cheonan, Korea. hahnpro@gmail.com
- Publication Type:Original Article
- Keywords:
angioplasty;
comorbidity;
gender;
mortality;
myocardial infarction
- MeSH:
Angioplasty;
Cause of Death;
Comorbidity;
Female;
Heart Ventricles;
Humans;
Hypertension;
Incidence;
Korea;
Male;
Multivariate Analysis;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Risk Factors;
Smoke;
Smoking
- From:The Korean Journal of Critical Care Medicine
2012;27(4):230-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Limited data are available for gender-based differences among patients with acute myocardial infarction (AMI) undergoing coronary revascularization in Korea. The purpose of this study is to identify gender-based differences in clinical characteristics, risk factors and outcomes among Korean patients undergoing percutaneous coronary intervention (PCI). METHODS: Patients with AMI undergoing PCI between Jan 2009 and Sep 2011 were included (n = 457) in the study. Clinical characteristics and cardiovascular risk factors as well as major adverse cardiac events (MACE), including death after PCI, were compared between women (n = 134) and men (n = 323). RESULTS: Women were older (69.8 +/- 10.7 vs. 60.0 +/- 11.7 years, p < .001) and had more comorbidities, such as diabetes (44.0% vs. 32.8%, p = .025) and hypertension (64.9% vs. 48.9%, p = .002) compared to men. Women were less likely to have a smoking history (p < .001). There were no significant differences in all causes of death and in MACE between women and men. By the multivariate analysis, age, HDL-cholesterol and left ventricle ejection fraction are associated with mortality and MACE. CONCLUSIONS: In this study, women did not emerge as an independent predictor for MACE; however, they were older and had a higher incidence of hypertension and diabetes than men.
