Temporal trends in treatment of ST-elevation myocardial infarction among men and women in Switzerland between 1997 and 2011.

ABSTRACT:

Background

Few data are available concerning the impact of gender on temporal trends in patients with acute ST-segment elevation myocardial infarction (STEMI).

Methods

All STEMI patients consecutively enrolled in the AMIS (Acute Myocardial Infarction in Switzerland) Plus project from 1997-2011 were included. Temporal trends in presentation, treatment and outcomes were analyzed using multiple logistic regressions with generalized estimations.

Results

Of 21,620 STEMI patients, 5786 were women and 15,834 men from 78 Swiss hospitals. Women were 8.6 years older, presented 48 minutes later with less pain, but more dyspnea, and more frequently had atrial fibrillation (5.5 vs. 3.9%, p<0.001), heart failure (Killip class >2) (9.7 vs. 7.3%, p<0.001), and moderate or severe como

SUBMITTER: Radovanovic D 

PROVIDER: S-EPMC3760536 | biostudies-literature | 2012 Sep

REPOSITORIES: biostudies-literature