[Long-term follow-up after direct PTCA in women with acute myocardial infarction].
METHODS
Long-term follow-up of 204 consecutive and unselected women vs 577 men after direct PTCA for acute myocardial infarction.


RESULTS
Women were older, had more significant comorbidity, and had a longer prehospital phase. Direct PTCA of the infarct artery was angiographically successful in 95% of women and in 94% of men. Total cumulative mortality during 4 years of follow-up was 12.5%, 14.5% 18%, and 23% in women, respectively, vs 9%, 10.5%, 12%, and 15%, respectively, in men (p=ns through year 3, p<0.05 thereafter). After multivariate analysis, gender was no independent risk factor of increased mortality. Major cardiac events and need for target vessel revascularization were unrelated to gender.


CONCLUSIONS
There are no gender-specific differences in mortality after direct PTCA for acute myocardial infarction.
Waldecker
B
B
Medizinische Klinik I, Zentrum Innere Medizin, Justus-Liebig-Universität ,Klinikstr. 36, 35392 Giessen, Germany. Bernd.Waldecker@ innere.med.uni-giessen.de
Grempels
E
E
Waas
W
W
Voss
R
R
Wiecha
J
J
Tillmanns
H
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D012307:Risk Factors; D012737:Sex Factors; D015996:Survival Rate; D016896:Treatment Outcome