047: Gender difference in mortality after ST-segment elevation myocardial infarction in the Registre d’Infarctus Maine-Anjou (RIMA) - 01/07/14
Résumé |
Background |
A greater mortality in women versus men in ST-segment elevation myocardial infarction (STEMI) is now well documented but remains unexplained.
Methods |
We compared outcomes for STEMI in the “Registre d’Infarctus Maine-Anjou” (RIMA) from 2003 to 2009 between men and women.
Results |
We analyzed data from 390 women (29%) and 962 men (71%) admitted for STEMI. Women were older, 72.93±14.21 versus 61.70±14.14 years old (p<0.001) and have more hypertension history (68.7% vs. 43.3%; p<0.001). Women received less percutaneous coronary intervention and thrombolysis than men, respectively 51.5% vs. 64.6% (p<0.001) and 9.5% vs. 22.1% (p<0.001). Admission delay was longer in women. In univariate analysis, in-hospital mortality was higher in women (13.59% vs. 6.13%; p<0.001), post-discharge mortality until one year was also higher in women (8.9% vs. 3.88%; p<0.001). No differences were observed for in-hospital mortality and post-discharge mortality in age-adjusted Odds Ratio (OR) (OR=0.77 [0.5-1.77]; p=0.127 and OR=0.78 [0.45-1.35]; p=0.38 respectively).
Conclusion |
Our study suggests that older age in women explains most of the mortality difference.
Le texte complet de cet article est disponible en PDF.
Vol 5 - N° 1
P. 16 - janvier 2013 Retour au numéro
Article précédent
- 046: Use of drug eluting stents: impact of french recommendations on the rate of clinical restenosis at two years
- Mouhamed Cherif Mboup, Benoit Moquet, Amer Zabalawi, Regis Delauney
- 048: Is primary PCI feasible in nonagenarians?
- Thibaut Petroni, Emmanuel Berman, Olivier Barthélémy, Johanne Silvain, Rémi Choussat, Claude Le Feuvre, Gérard Helft
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?