Cardiologia Croatica, Vol. 14 No. 7-8, 2019.
Original scientific paper
https://doi.org/10.15836/ccar2019.167
The Relationship Between Gender and Ejection Fraction in Patients with Acute Coronary Syndrome after Reperfusion Therapy
Afrasyab Altaf
; Rehman Medical Institute, Peshawar, Pakistan
Hammad Shah
; Rehman Medical Institute, Peshawar, Pakistan
Momin Salahuddin
; Rehman Medical Institute, Peshawar, Pakistan
Abstract
Introduction: Previous gender-related studies on ejection fraction (EF) were single vessel specific and considered only patients with ST-segment elevation myocardial infarction (STEMI). This study evaluated the effect of gender on EF in acute coronary syndrome, including STEMI and non-STsegment elevation myocardial infarction (NSTEMI) as well as all blood vessels, since they can affect left ventricular function.
Patients and Methods: 480 patients with acute coronary syndrome (STEMI and NSTEMI) were enrolled. All baseline characteristics along with EF were noted. All patients received reperfusion therapy as per international guidelines. Patients were followed up for one year, after which EF was reassessed. Results: Women were significantly older than men (P<0.05). There was significant difference between EF the between female and male groups (P<0.05). No significant change was seen in EF in the female group during follow-up (P>0.05). Age and female gender were found to be independent predictors of change in EF.
Conclusion: Female gender is an independent predictor of recovery of EF in patients with acute coronary syndrome (STEMI and NSTEMI).
Keywords
ejection fraction; women; acute coronary syndrome; percutaneous coronary intervention
Hrčak ID:
226609
URI
Publication date:
17.9.2019.
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