Age-related sex differences in clinical presentation, management, and outcomes in ST-segment–elevation myocardial infarction: Pooled analysis of 15,532 patients from 7 Arabian Gulf registries
Journal of the American Heart Association Feb 28, 2020
Shehab A, Bhagavathula AS, Alhabib KF, et al. - In this pooled analysis with patients who were hospitalized for ST-segment–elevation myocardial infarction (STEMI) in the Arabian Gulf region from 2005 to 2017, researchers assessed the link between gender disparities and presenting features, revascularization procedures, and in-hospital mortality after accounting for age. Overall 31,620 patients with acute coronary syndrome, selected from 7 Arabian Gulf registries, were included. In the age-stratified analysis, the likelihood of seeking acute medical care was more among younger women (aged <65 years) with STEMI than men. Findings also revealed less likelihood of receiving guideline-recommended pharmacotherapy and revascularization during hospitalization in younger women (aged ≤65 years) with STEMI vs younger men. Also, higher in-hospital and 1-year mortality rates were observed in younger women (aged ≤65 years) with STEMI vs younger men.
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