Comparison between young males and females with acute myocardial infarction
OBJECTIVE: To assess the differences between young males and females after acute myocardial infarction. METHODS: We retrospectively studied 236 patients (54 females and 182 males) after acute myocardial infarction and during hospital stay assessed the following parameters: risk factors; the treatmen...
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Sociedade Brasileira de Cardiologia (SBC)
2002-11-01
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doaj-1e2bbdcfbc1349a18efb2f873436113b2020-11-24T21:58:23ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702002-11-0179551852510.1590/S0066-782X2002001400009Comparison between young males and females with acute myocardial infarctionRicardo Augusto Slaibi ContiMaria Cecília SolimeneProtásio Lemos da LuzAlexandre Miguel BenjóPedro Alves Lemos NetoJosé Antônio Franchini RamiresOBJECTIVE: To assess the differences between young males and females after acute myocardial infarction. METHODS: We retrospectively studied 236 patients (54 females and 182 males) after acute myocardial infarction and during hospital stay assessed the following parameters: risk factors; the treatment used; the pattern of coronary artery obstruction; left ventricular ejection fraction; complications; and, using a logistic regression model, the factors related to the occurrence of reinfarction and death. RESULTS: No significant difference was observed between the sexes in risk factors, pattern of coronary artery obstruction, and left ventricular function. The time interval between symptom onset and treatment was longer in females (p=0.03), who underwent thrombolysis (p=0.01) and angioplasty (p=0.03) less frequently than males did, but not myocardial revascularization. Female sex (OR = 5.98) and diabetes (OR = 14.52) were independent factors related to the occurrence of reinfarction and death. CONCLUSION: Young males and females after acute myocardial infarction did not differ in coronary risk factors, and clinical and hemodynamic characteristics. Females had their treatment started later, and they underwent chemical thrombolysis and angioplasty less frequently than males did. Female sex and diabetes were related to the occurrence of reinfarction and death.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400009acute myocardial infarctionyoungsexclinical evolution |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ricardo Augusto Slaibi Conti Maria Cecília Solimene Protásio Lemos da Luz Alexandre Miguel Benjó Pedro Alves Lemos Neto José Antônio Franchini Ramires |
spellingShingle |
Ricardo Augusto Slaibi Conti Maria Cecília Solimene Protásio Lemos da Luz Alexandre Miguel Benjó Pedro Alves Lemos Neto José Antônio Franchini Ramires Comparison between young males and females with acute myocardial infarction Arquivos Brasileiros de Cardiologia acute myocardial infarction young sex clinical evolution |
author_facet |
Ricardo Augusto Slaibi Conti Maria Cecília Solimene Protásio Lemos da Luz Alexandre Miguel Benjó Pedro Alves Lemos Neto José Antônio Franchini Ramires |
author_sort |
Ricardo Augusto Slaibi Conti |
title |
Comparison between young males and females with acute myocardial infarction |
title_short |
Comparison between young males and females with acute myocardial infarction |
title_full |
Comparison between young males and females with acute myocardial infarction |
title_fullStr |
Comparison between young males and females with acute myocardial infarction |
title_full_unstemmed |
Comparison between young males and females with acute myocardial infarction |
title_sort |
comparison between young males and females with acute myocardial infarction |
publisher |
Sociedade Brasileira de Cardiologia (SBC) |
series |
Arquivos Brasileiros de Cardiologia |
issn |
0066-782X 1678-4170 |
publishDate |
2002-11-01 |
description |
OBJECTIVE: To assess the differences between young males and females after acute myocardial infarction. METHODS: We retrospectively studied 236 patients (54 females and 182 males) after acute myocardial infarction and during hospital stay assessed the following parameters: risk factors; the treatment used; the pattern of coronary artery obstruction; left ventricular ejection fraction; complications; and, using a logistic regression model, the factors related to the occurrence of reinfarction and death. RESULTS: No significant difference was observed between the sexes in risk factors, pattern of coronary artery obstruction, and left ventricular function. The time interval between symptom onset and treatment was longer in females (p=0.03), who underwent thrombolysis (p=0.01) and angioplasty (p=0.03) less frequently than males did, but not myocardial revascularization. Female sex (OR = 5.98) and diabetes (OR = 14.52) were independent factors related to the occurrence of reinfarction and death. CONCLUSION: Young males and females after acute myocardial infarction did not differ in coronary risk factors, and clinical and hemodynamic characteristics. Females had their treatment started later, and they underwent chemical thrombolysis and angioplasty less frequently than males did. Female sex and diabetes were related to the occurrence of reinfarction and death. |
topic |
acute myocardial infarction young sex clinical evolution |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400009 |
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