Original scientific paper

https://doi.org/10.21860/medflum2018_192880

Gender differences in the clinical presentation, treatment and outcomes of acute myocardial infarction

Davor Horvat orcid.org/0000-0003-2360-5793 ; Department of internal medicine, General Hospital Karlovac, Karlovac, Croatia
Josip Vincelj ; Department of Cardiology, University Hospital Dubrava, Zagreb, Croatia
Kristina Bakale ; Department of internal medicine, General Hospital Karlovac, Karlovac, Croatia
Mario Tesla ; Dislocated professional nursing study in Karlovac, University of Rijeka, Rijeka, Croatia

Abstract

Aim. To assess the epidemiological and clinical differences between men and women with acute myocardial infarction (AMI).
Patients and methods. This retrospective study included 579 patients (352 men and 221 women) who were hospitalized in the coronary and postcoronary unit in the General Hospital, Karlovac, Croatia, from 2013 to 2016. We determined the frequency, patient's age, the type of symptoms, cardiovascular risk factors, localization, the time from onset of symptoms to arrival at the hospital, treatment and complications during hospitalization of AMI.
Results. AMI is more frequent in men than in women (P < 0.001) and in men is significantly more likely to occur at an earlier age than in women (P < 0.001). Men often have typical symptoms, and women atypical symptoms (P = 0.045). Women have more often arterial hy-pertension (P = 0.017) and diabetes (P = 0.025), while men are more often smokers (P = 0.001). There was no difference between the gender regarding hyperlipidemia (P = 0,674). Distribution of localization (P = 0.608), the time required for the arrival at the hospital (P = 0,399) and all the complications of AMI are equal (P = 0.365). Men are more likely to receive PCI treatment, while women conservative therapy (P = 0.007).
Conclusion. Compared with other studies, our women with AMI have less hyperlipidemia and do not come later to a hospital than men. Possible causes are dietary habits and genetics or education and good organization of outpatient emergency medical assistance.

Keywords

acute myocardial infarction; cardiovascular risk; Croatia; hospital treatment

Hrčak ID:

192880

URI

https://hrcak.srce.hr/192880

Publication date:

1.3.2018.

Article data in other languages: croatian

Visits: 2.331 *