title: Analysis of myocardial infarction time course in women compared with men in Upper Silesia population in 30 day follow-up.
abstract: The aim of the study was to compare the course of myocardial infarction in women versus men in Upper Silesia, an industrial region in the south of Poland. The study comprised 1003 patients with either ST-elevation myocardial infarction (STEMI) or non-ST-elevation myocardial infarction (NSTEMI). The patients were divided into group 1 (300 females) and group 2 (control, 703 males). The groups differed significantly with respect to age, incidence of hypertension, diabetes, and smoking. In group 1 STEMI occurred significantly less frequently than NSTEMI. Taking this into account, we divided the studied cohort into group A (STEMI patients) and group B (NSTEMI patients), each subdivided into women and men. In the 30 day long follow-up, group 1 patients had significantly lower creatine kinase activity, higher occurrence of ventricular tachycardia, lower percentage of intra-aortic balloon pump use, and longer hospital stay compared with group 2. Group 1 was characterized by significantly higher mortality and target lesion reocclusion (TLR). The medical course of myocardial infarction in women is similar to that in men, as is the treatment of acute coronary syndrome. In our study, patients from both groups underwent invasive examination with consecutive interventional treatment with similar frequency. However, this finding is not reflected in the outcomes. Women had higher risks of death and TLR in 30 day follow-up. Taking this into consideration, we should attempt to identify the factors responsible for this situation by expanding the analysis to a larger population to allow firm conclusions to be drawn.
authors: 2nd Department of Cardiology, Zabrze, Medical University of Silesia, Katowice, Poland.
authors: Damian
authors: D
authors: Kawecki
authors: Andrzej Robert
authors: AR
authors: Tomasik
authors: Beata
authors: B
authors: Morawiec
authors: Wojciech
authors: W
authors: Jachec
authors: Celina
authors: C
authors: Wojciechowska
authors: Renata
authors: R
authors: Rybczyk
authors: Wojciech
authors: W
authors: Milejski
authors: Izabela
authors: I
authors: Switalska-Janiczek
authors: Brygida
authors: B
authors: Przywara-Chowaniec
authors: Ewa
authors: E
authors: Nowalany-Kozielska
mesh_terms: D000368:Aged; D003402:Creatine Kinase / Q000097:blood; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D007902:Length of Stay; D008297:Male; D009203:Myocardial Infarction / Q000401:mortality / Q000503:physiopathology* / Q000628:therapy; D011044:Poland; D012008:Recurrence; D012737:Sex Factors; D017180:Tachycardia, Ventricular / Q000209:etiology
chemical_list: D003402:Creatine Kinase