Sex Differences in 1-Year Rehospitalization for Heart Failure and Myocardial Infarction After Primary Percutaneous Coronary Intervention
| Autor: | Mark Y. Chan, A.M. Richards, Carolyn S.P. Lam, Hee Hwa Ho, Huay-Cheem Tan, Siang Chew Chai, Ling Li Foo, Terrance Chua, Doreen S.H. Tan, Chi-Hang Lee, Adrian F. Low, Jack Wei Chieh Tan, Anders Sahlén, Siew Pang Chan, Derek J. Hausenloy, Khim Leng Tong, Khung Keong Yeo, Huili Zheng |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Myocardial Infarction Time to treatment 030204 cardiovascular system & hematology Competing risks Patient Readmission Time-to-Treatment 03 medical and health sciences Percutaneous Coronary Intervention Sex Factors 0302 clinical medicine Sex factors Internal medicine medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Aged Proportional Hazards Models Retrospective Studies Heart Failure Proportional hazards model business.industry Percutaneous coronary intervention Drug-Eluting Stents Retrospective cohort study Middle Aged medicine.disease Treatment Outcome Heart failure Cardiology Female Cardiology and Cardiovascular Medicine business Platelet Aggregation Inhibitors |
| Zdroj: | The American Journal of Cardiology. 123:1935-1940 |
| ISSN: | 0002-9149 |
| Popis: | It is unclear whether universal access to primary percutaneous coronary intervention (pPCI) may reduce sex differences in 1-year rehospitalization for heart failure (HF) and myocardial infarction (MI) after ST-elevation myocardial infarction (STEMI). We studied 7,597 consecutive STEMI patients (13.8% women, n = 1,045) who underwent pPCI from January 2007 to December 2013. Cox regression models adjusted for competing risk from death were used to assess sex differences in rehospitalization for HF and MI within 1 year from discharge. Compared with men, women were older (median age 67.6 vs 56.0 years, p0.001) with higher prevalence of co-morbidities and multivessel disease. Women had longer median door-to-balloon time (76 vs 66 minutes, p0.001) and were less likely to receive drug-eluting stents (19.5% vs 24.1%, p = 0.001). Of the medications prescribed at discharge, fewer women received aspirin (95.8% vs 97.6%, p = 0.002) and P2Y |
| Databáze: | OpenAIRE |
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