Gender-related features of reperfusion therapy in patients with ST segment elevation myocardial infarction

Abstract

Aim. To investigate the gender differences in reperfusion therapy use among patients with ST segment elevation myocardial infarction (STEMI). Material and methods. The in-hospital therapy was assessed in 343 men and 186 women with STEMI. Results. There were significant differences in reperfusion rates among male and female patients. In total, reperfusion was performed in 265 men (77,2%) and 105 women (56,4%; р<0,05). Over 50% of the male patients underwent percutaneous coronary intervention (55,6%), in contrast with 39,2% of the female patients (р<0,05). The reason for this difference could be not gender per se, but co-existing diabetes mellitus, late diagnostics of acute coronary syndrome (ACS), and older age (over 70 years), which were more prevalent in women. Conclusion. Women with ACS are in need for more effective diagnostics and treatment.

Keywords

• острый коронарный синдром
• коронароангиография
• гендерные различия