title: [Clinical presentation and hospital outcome of patients with ST-elevation myocardial infarction -- Hungarian Myocardial Infarction Registry data].
abstract: BACKGROUND
  There are only very few data on gender differences in patients with ST-elevation myocardial infarction.
  
  
  OBJECTIVE
  To compare the clinical data and prognosis of patients with ST-elevation myocardial infarction in the Hungarian Myocardial Infarction Registry database.
  
  
  METHODS
  Between January 1, 2010 and December 31, 2011 4981 patients (3038 men) were included in the database.
  
  
  RESULTS
  Women were significantly older (67.7±13.5 vs. 60.5±12.5 years; p<0.001). Hypertension, diabetes, and stroke were more frequent among women, whereas smoking and previous myocardial infarction were found more often among men. Percutaneous coronary intervention was significantly more frequently performed in men than in women (82.4% vs. 75.3%; p<0.001), and the time between the onset of pain and arrival of patients to the site of percutaneous coronary intervention was longer in women than in men. Hospital mortality was higher among women than men (7.5% vs. 4.4%; p<0.001).
  
  
  CONCLUSIONS
  At present women have a poorer hospital outcome than men. By increasing the revascularization treatment ratio in women an improvement may be achieved in the prognosis.
authors.affiliation: Gottsegen György Országos Kardiológiai Intézet Budapest Haller utca 29. 1096. janosi.andras@kardio.hu
authors.forename: András
authors.initials: A
authors.lastname: Jánosi
authors.forename: Péter
authors.initials: P
authors.lastname: Ofner
authors.forename: László
authors.initials: L
authors.lastname: Voith
mesh_terms: D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000706:statistics & numerical data / Q000639:trends; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology*; D017052:Hospital Mortality; D006801:Humans; D006814:Hungary; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D012042:Registries; D017678:Sex Distribution; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D020521:Stroke / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome