[Lucky National Registry (Luxembourg Acute Myocardial Infarction Registry). Are women much better taken care of than men?].
The national LUCKY registry (Luxembourg Acute Myocardial Infarction Registry) confirms for Luxembourg that transfer of patients with acute myocardial infarction for primary percutaneous coronary intervention (PCI) is very effective. However, while mortality is low after PCI, a third of the patients with acute myocardial infarction develop severe left ventricular dysfunction. This may in part be explained by relatively long time delays between onset of symptoms and opening of the infarct-related artery, despite short distances between hospitals (time is myocardium). Surprisingly, in comparison with men, women are younger, have a higher body mass index and receive less evidence-based therapies such as statins before and after myocardial infarction. In conclusion, PCI has substantially improved the treatment of acute myocardial infarction in Luxembourg, but all actors including the patient have to keep efforts high to minimize time delays.
Oprea
Irina
I
INCCI, Luxembourg.
Vaillant
Michel
M
Hesse
Malou
M
Jacobs
Loredana
L
Beissel
Jean
J
Wagner
Daniel R
DR
D000328:Adult; D017677:Age Distribution; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008189:Luxembourg / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000628:therapy*; D010146:Pain / Q000209:etiology; D012042:Registries; D012727:Sex Characteristics; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000453:epidemiology