Influence of sex on the short-term outcome of elderly patients with a first acute myocardial infarction
| Autor: | Aureliano Almazán, Juan L. Delcán, Jose Lopez-Sendon, Héctor Bueno, M. Teresa Vidán |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Population Myocardial Infarction Ventricular Dysfunction Left Sex Factors Risk Factors Physiology (medical) Internal medicine Diabetes Mellitus Prevalence Medicine Humans Myocardial infarction Hospital Mortality education Aged Heart Failure education.field_of_study Ejection fraction business.industry Mortality rate Incidence (epidemiology) Incidence Smoking Odds ratio medicine.disease Prognosis Surgery Heart failure Hypertension Multivariate Analysis Regression Analysis Female Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 92(5) |
| ISSN: | 0009-7322 |
| Popis: | Background Sex seems to affect the course of acute myocardial infarction (AMI) in the general population. Although the epidemiological importance of female sex among patients with AMI is more important from the sixth decade of life, little is known about the impact of sex on the outcome of AMI in the elderly. Methods and Results To determine the differences between sexes in the outcome of AMI in the elderly, we compared the clinical history and evolution of 204 consecutive patients (99 men, 105 women) ≥75 years of age admitted with a first AMI. Women had a higher prevalence ( P P P =.01; OR, 2.29; 95% CI, 1.26 to 4.26); however, sex was excluded as an independent predictor of in-hospital mortality in every regression model tested (OR, 0.75; 95% CI, 0.25 to 2.21). Conclusions After a first AMI, elderly women experience a more complicated hospital course than men. The increase in mortality risk seems to be related to the impact of cardiovascular risk factors on left ventricular function more than to sex itself. |
| Databáze: | OpenAIRE |
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