Comparison of late cardiac death and myocardial infarction rates in women vs men with ST-elevation myocardial infarction
The American Journal of Cardiology Jul 13, 2020
Burgess SN, Juergens CP, Nguyen TL, et al. - Given that a worse prognosis following ST elevation myocardial infarction (STEMI) is noted in women and patients with incomplete revascularization (IR), but the extent to which IR influences results for women with STEMI vs men is not properly defined, and therefore, researchers assessed late results of 589 consecutive STEMI patients who underwent percutaneous coronary intervention and evaluated SYNTAX scores (SS), both at baseline as well as following all procedures (residual SS). IR was defined by a residual SS >8. Findings revealed substantial outcome differences despite a lower burden of disease at presentation and no variation in rates of IR between men and women. Compared with men with residual SYNTAX score (rSS) >8, women with the same rSS were twice as likely to experience cardiac death or myocardial infarction after STEMI. After risk adjustment, differences continued to be significant.
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