title: Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute Myocardial Infarction Registry.
abstract: OBJECTIVE
  The first on-line prospective, open and observational registration, Korea Acute Myocardial Infarction Registry (KAMIR), has been carried out throughout 41 primary percutaneous coronary intervention (PCI) centers by the support of the Korean Circulation Society (KCS) in the memorandum of the 50th Anniversary of the KCS.
  
  
  METHODS
  Between Nov 2005 and Aug 2006, 5624 enrolled patients (3925 male, 1699 female; age=64.0+/-13.0 years) were analyzed. The treatment strategy of acute myocardial infarction (AMI) was analyzed according to the sex differences in the field of acute ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI).
  
  
  RESULTS
  In the initial selection of treatment strategy, invasive treatment was more commonly performed in males than females with both STEMI and NSTEMI (82.0% vs. 78.7%, p=0.001; 50.4% vs. 43.7%, p=0.004). Severe heart failure was the most important predictor of invasive treatment after multivariate adjustment. During hospital stay, PCI regardless of its subtype was more frequently performed in males than in females with both STEMI and NSTEMI (STEMI: 89.5% vs. 84.7%, p<0.001; NSTEMI: 77.0% vs. 66.7%, p<0.001). Success rate of PCI in STEMI was not different between the sexes (95.8% vs. 93.8%, p=0.075), but that of NSTEMI was higher in males than females (96.8% vs. 95.6%, p=0.005). Major adverse cardiac events (MACE) developed more frequently in women than men with both STEMI (9.2% vs. 17.0%, p<0.001) and NSTEMI (7.3% vs. 12.0%, p<0.001) during 1 month clinical follow-up.
  
  
  CONCLUSIONS
  In the initial treatment of AMI in Korea, there is no gender difference for invasive treatment. However, success rate of PCI in NSTEMI was lower and 1 month MACE was higher in females than males in Korea.
authors: Ki Hong
authors: KH
authors: Lee
authors: Myung Ho
authors: MH
authors: Jeong
authors: Young Keun
authors: YK
authors: Ahn
authors: Jong Hyun
authors: JH
authors: Kim
authors: Shung Chull
authors: SC
authors: Chae
authors: Young Jo
authors: YJ
authors: Kim
authors: Seung Ho
authors: SH
authors: Hur
authors: In Whan
authors: IW
authors: Seong
authors: Taek Jong
authors: TJ
authors: Hong
authors: Donghoon
authors: D
authors: Choi
authors: Myeong Chan
authors: MC
authors: Cho
authors: Chong Jin
authors: CJ
authors: Kim
authors: Ki Bae
authors: KB
authors: Seung
authors: Wook Sung
authors: WS
authors: Chung
authors: Yang Soo
authors: YS
authors: Jang
authors: Jeong Gwan
authors: JG
authors: Cho
authors: Seung Jung
authors: SJ
authors: Park
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000401:mortality* / Q000639:trends*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007723:Korea / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality* / Q000628:therapy*; D011446:Prospective Studies; D012042:Registries; D012727:Sex Characteristics